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  • 學位論文

類風濕性關節炎患者之健康狀況與其生活品質及生產力損失之關聯

Association between Health Status, Quality of Life and Productivity Loss in Patients with Rheumatoid Arthritis

指導教授 : 許玫玲

摘要


本研究目的在探討類風濕性關節炎患者,因疾病造成身體上功能的損傷,影響生活品質並導致醫療花費及生產力的耗損。進一步探討類風濕性關節炎患者的人口學特質、健康狀況與生活品質及疾病成本之間的相關性。本研究採橫斷式研究,採立意取樣方式,以類風濕性關節炎病友協會員為研究對象。自民國99年3月至6月期間進行同意書及問卷的訪談作業,以電話訪談方式進行調查,有效問卷合計104份。問卷包括四個部分:類風濕性關節炎相關病史及歷程、治療方式與疾病成本、健康評估(HAQ)、生活品質(台灣簡明版生活品質量表)與個人基本資料。本研究將使用描述性分析、t檢定、one-way ANOVA及皮爾森積差相關分析進行資料統計分析。 結論: 問卷統計結果發現,在生活品質各項題目得分平均數介於2.55~3.84分之間,其中以第28項「您想吃的食物通常都能吃到」為得分最高,平均分數為3.84分(標準差為0.655)。進一步將研究對象的健康狀況與生活品質的生理健康、心理、社會關係與環境進行統計分析,結果顯示兩者在統計上有顯著的相關,表示類風濕性關節炎的患者,健康狀況愈好在生活品質的滿意程度也會較高。過去一年疾病成本總共為40,838,096元(中位數238,200元),平均直接成本(自行負擔)為32,003元,間接成本為360,671元,直接醫療成本中,以生物製劑自付費用較高,在直接非醫療費用則因僱用外勞及看護所需的費用就會較高;而在間接成本上,以提早退休所造成的損失為最高。顯示患者因疾病造成的支出,也是一項經濟負擔,希望藉由本研究結果提供衛生機構更多訊息,作為制定相關衛生政策的參考。

並列摘要


The aim of this study focussed on Rheumatoid Arthritis patients regarding their health status, quality of life measures, and reproductivity loss. Furthermore, the association with demographic data, health status, Quality of Life measures, and cost of illness from Rheumatoid Arthritis were examined in this study.Our approach was to use a cross-sectional design. Purposive sampling method is used, and the sample was collected from the Rheumatoid Arthritis Aid Group of R.O.C. in Taipei, Taiwan. 104 questionnaires in total were collected during from March to June, 2010. The questionnaires were considered four main parts including (1) the medical history, (2) therapy strategy and cost of illness, (3) Health Assessment Questionnaire (HAQ), (4) Quality of Life and personal information from Rheumatoid Arthritis patients. All data were analyzed by descriptive statistics, Student’s t-test, one-way ANOVA, and Pearson correlation analysis using commercial SPSS/Windows 17.0 statistical software. In regard to the quality of life measurement, our data demonstrated that all questions obtain the average score ranges from 2.55 to 3.84. Especially, on the question number 28, our samples obtained the highest score (3.84±0.655). Furthermore, the correlation between patients’ health status and quality of life in four domains (physical, psychological, social, and environment domains) was evaluated. Our data demonstrated significant correlation between health status and quality of life in our sample. This result suggests that good health status could reflect excellent score for quality of life in patient with Rheumatoid Arthritis. In regards to the cost of illness of Rheumatoid Arthritis, our data showed that the average medical cost for Rheumatoid Arthritis was NTD 40,838,096. The cost was including direct medical cost (NTD 32,003) and indirect medical cost (NTD 360,671) in Taiwan 2009. The medical cost of illness could be a heavy burden on the patent with Rheumatoid Arthritis. In this present study, our results could possibly provide a strong reference to the hygiene strategy design for government.

參考文獻


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被引用紀錄


吳小玉(2013)。類風溼性關節炎患者對治療達標(Treat to Target, T2T)衛教計畫之認知、態度與實行意願之初探〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2013.10501

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