近年來全球人口結構逐漸老化,台灣也進入了高齡的社會,根據內政部2016年統計,兩性平均餘命為80.2歲。老年人口的快速增加,會使疾病型態轉變成以慢性、退化性疾病為主,而功能障礙、及殘障的人口數目也會隨之增加,本研究描述性相關性的研究設計,研究的目的在於(1)脊椎壓迫性骨折病人之基本屬性(年齡、性別、教育程度、家庭月收入、婚姻狀況)與健康生活品質之關係;(2)脊椎壓迫性骨折病人之疾病特性(疼痛指數、壓迫節數、身體活動功能)與健康生活品質之關係;(3)脊椎壓迫性骨折病人之憂鬱症狀與健康生活品質之關係。 本研究採橫斷性、相關性設計、以便利取樣,在南部某區域教學醫院收集脊椎壓迫性骨折病人,資料蒐集於2015年06月20日至2015年12月30日經人體試驗委員會由研究者與醫院護理主管聯繫,對符合收案條件的病人,告知研究目的、研究過程及受測者的權利後,徵詢研究對象同意後填寫問卷。測量工具包括歐式失能指數評估量表及基本資料表、生活品質量表SF-36、美國流行病學研究中心憂鬱量表。統計方法主要以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關、相關性分析與線性複迴歸。結果發現脊椎壓迫性骨折病人37%發生不等程度的憂鬱症狀,其輕度憂鬱佔12.7%;中度焦慮佔8%,高度焦慮佔6.3%。脊椎壓迫性骨折病人身體活動功能障礙程度越高、脊椎壓迫性骨折病人疼痛指數越高,其憂鬱程度也會越高。脊椎壓迫性骨折病人身體活動功能障礙程度越高、壓迫節數越多,其生理健康生活品質也會越差。
In recent year, global population gradually aging, Taiwan also entered the old society. According to the statistical data, the average life expectancy in Taiwan is 80.2 years old. As the aging of population, diseases changed into chronic, degenerative-based. The number of dysfunction and disabled people also increased. Our purposes of this study are shown below: 1. The relationship of life quality and the characteristics of patient with compression fracture. Example: Age, gender, education, income, marriage. 2. The relationship of life quality and the characteristics of compression fracture. Example: pain scale, number of involved vertebral body, limitation of movement. 3. The relationship of life quality and the present of depression or not. This study is cross-sectional and correlational designed. During June 20th and December 30th 2015, data was collected in a single hospital. The participants were notified the purposes and process of study before filling in the questionnaire. The data collection was approved by the Institutional Review Board. Many global health scores are available. The Oswestry Disability Index(ODI)、Center for Epidemiologic Studies Depression Scale (CES-D)、the Short Form-36 Health Survey (SF-36).Statistical tools are descriptive statistics、Independent-Sample T Test、One-Way ANOVA、Pearson's product-moment correlation 、Correlation analysis and multiple regression analysis. Depression was found in thirty-seven percent of participants with compression fracture. Of all participants with compression fracture, 12.7% have mid depression, 8% have medium depression, and 6.3% have severe depression. Higher disability level and higher pain scale was associated with higher degree of depression. And lower quality of life was associated with more number of compressive vertebral body as well.