中風後上肢關節疼痛與健康相關生活品質之關聯

Relationship between Post-Stroke Upper Extremity Joint Pain and Health-Related Quality of Life

楊書瑜(Shu-Yu Yang) ； 李雅珍(Ya-Chen Lee) ； 吳姿誼(Zi-I Wu) ； 尤菀薈(Wan-Hui Yu) ； 楊奇旻(Chi-Min Yang) ； 謝清麟(Ching-Lin Hsieh)

《職能治療學會雜誌》 Volume 31 Issue 2 (2013/12) Pp. 174-192

https://doi.org/10.6594/JTOTA.2013.31(2).03

Abstracts

上肢關節疼痛是中風所造成的後遺症之一，可能影響病患健康相關生活品質（health-related quality of life, HRQOL）。然而中風後上肢關節疼痛與整體HRQOL（overall HRQOL, O-HRQOL）及HRQOL特定層面之關係不明確，造成臨床人員難以有效制定治療計畫以提昇病患HRQOL。故本研究之目的為檢驗中風後上肢關節疼痛與O-HRQOL及HRQOL特定層面之關聯程度，並檢驗中風後上肢關節疼痛是否為O-HRQOL及HRQOL特定層面之主要相關因素。66位中風病患接受5個量表的評估，分別為福格邁爾運動量表（Fugl-Meyer Motor Assessment, FMA）：疼痛次量表上肢項目及上肢動作功能次量表、中風病患專屬生活品質量表（Stroke- Specific Quality of Life, SSQOL）、巴氏量表（Barthel Index）和芙蘭切活動量表（Frenchay Activities Index）。研究者以Pearson's r檢驗個案中風後一年FMA上肢關節疼痛總分與SSQOL總分及12個層面分數之關聯程度，並以逐步迴歸分析檢驗FMA上肢關節疼痛總分，在考量其它變項後，是否為SSQOL總分及12個層面分數之主要相關因素。研究者發現FMA上肢關節疼痛總分與SSQOL總分呈中度相關（r = .40），其與SSQOL12層面分數呈低至中度相關（r = .11-.43）。逐步迴歸分析結果發現FMA上肢關節疼痛總分未被納入SSQOL總分及12個層面分數之最終迴歸模型。以上結果顯示：中風後上肢關節疼痛雖不為O-HRQOL及HRQOL特定層面之主要相關因素，但仍與O-HRQOL及部分HRQOL特定層面具備中度相關。此結果支持臨床人員制定上肢關節疼痛治療計畫以期提昇病患HRQOL。

Keywords

上肢關節疼痛 ； 健康相關生活品質 ； 中風

Parallel abstracts

Upper extremity (UE) join pain is one of the consequences after stroke; it may affect patients' health-related quality of life (HRQOL). The relationships between post-stroke UE joint pain and overall HRQOL (O-HRQOL)/specific domains of HRQOL are unclear. Thus, clinicians may not be able to set effective treatment plans to improve patients' HRQOL. The purpose of this study was to investigate the relationships between post-stroke UE joint pain and O-HRQOL/specific domains of HRQOL. Furthermore, we examined whether post-stroke UE joint pain was an important factor of O-HRQOL/specific domains of HRQOL. Sixty-six patients with stroke were assessed using the UE items in the pain subscale of the Fugl-Meyer Motor Assessment (FMA), the UE motor subscale of the FMA, the Stroke- Specific Quality of Life (SSQOL), the Barthel Index and Frenchay Activities Index. Pearson's r and stepwise regression analysis were used to analyze the data. We found that the FMA UE pain score had moderate correlations with the SSQOL total score (r = .40), and weak to moderate correlations with 12 SSQOL domain scores (r = .11-.43). Regression analysis showed that the FMA UE pain score was not included in the final regression models of SSQOL total score and 12 SSQOL domain scores. Although post-stroke UE joint pain was not an important factor of O-HRQOL/specific domains of HRQOL, it was moderately correlated with O-HRQOL and some specific domains of HRQOL. These findings support clinicians to develop UE joint pain-related treatment plans to improve patients' HRQOL.

Parallel keywords

Upper extremity joint pain ； Health-related quality of life ； Stroke