背景:下背痛是孕期常見身體不適之一,且對第三孕期身心有不同程度影響,與其生活品質相關性的探討並不多,有深入了解之必要性。目的:比較第三孕期不同程度下背痛婦女之生活品質。方法:本研究採橫斷式比較性之研究設計,針對台灣孕期調查研究資料庫的207位孕婦,進行次級資料分析;研究工具包括個人基本資料與臺灣簡明版世界衛生組織生活品質問卷,下背痛則以檢核表測量。結果:207位研究對象中,25.6%無下背痛,輕度及中重度下背痛分別為39.1%及35.3%;其中,無下背痛婦女的整體生活品質、生理健康及自覺健康狀況,顯著高於輕度及中重度下背痛婦女(F=4.375,p=.014;F=10.132,p<.001;F=3.832,p=.023);另外,中重度下背痛婦女的孕期體重增加(11.86±3.97)顯著高於無下背痛及輕度下背痛婦女(9.79±3.68&10.54±4.27),且第三孕期體重增加越多者,下背痛情形會越嚴重,進而影響其生活品質和生理健康狀況。結論:輕度及中重度下背痛婦女的整體生活品質明顯低於無下背痛婦女,其中第三孕期的體重增加量是影響下背痛程度的重要因子,因此適當控制體重將能降低下背痛的發生機率或減緩下背痛的不適程度,進而提升生活品質。本研究結果可作為日後擬定本土化臨床照護指引之實證依據,並可提供臨床醫護人員未來研究方向之參考。
Background: Low back pain is the most common complication of pregnancy and has a particularly profound impact in the third trimester. Few studies on low back pain are related to quality of life (QOL) in pregnant women. This issue deserves further investigation. Purpose: To compare QOL of women with different degrees of low back pain during the third trimester of pregnancy. Methods: A cross-sectional and comparative study using secondary data from a prenatal database of 207 women in prenatal care in Taiwan was conducted. QOL was measured by the Taiwan version of the World Health Organization Quality of Life Questionnaire respectively. A checklist was used to measure low back pain. Results: Of 207 participants, 25.6% reported no, 39.1% mild, and 35.3% moderate and severe low back pain. Pregnant women with moderate and severe low back pain had higher prenatal weight gain (11.86±3.97) than did women with mild or without low back pain (9.79±3.68 & 10.54±4.27). Pregnant women without low-back pain had significantly better QOL, physical health, and self-perceived health than did women with mild, or moderate and severe low back pain. Conclusions: The analysis of QOL measurement can be used as empirical evidence for the development of localized clinical care guidelines, and provide reference for future research for healthcare providers, thereby promoting QOL for pregnant women with low back pain.
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