微創煙囪式椎管下減壓手術病人健康相關生活品質之初探

The Health-related Quality of Life among Patients with Chimney Sublaminar Decompression (CSD) Surgery

黃惠滿(Hui-Man Huang) ； 蘇貞瑛(Chen-Ying Su) ； 陳文珠(Wen-Zhu Chen) ； 楊椒喬(Jiao-Qiao Yang) ； 侯佩儀(Pei-Yi Hou)

《台灣健康照顧研究學刊》 8期 (2010/01) Pp. 39+41-53

https://doi.org/10.29750/TJTHCA.201001.0003

摘要

本研究目的在︰（1）探討接受微創煙囪式椎管下減壓（CSD）手術後病人之健康相關生活品質（HRQOL）；（2）了解接受CSD手術後病人的人口學特性與HRQOL之關係。本研究採橫斷式相關性研究設計，立意抽樣選擇高雄市某區域醫院接受CSD手術後之48位病人為對象。以結構式問卷收集資料，包括病人基本資料、臺灣簡明版世界衛生組織生活品質量表及奧斯威日常生活功能障礙指數。結果發現：（1）病人對於HRQOL重要性之感受，以「身體健康狀況」平均得分最高，其次為「獨立程度」、「心理健康狀況」；而「宗教信仰或信念」得分最低；（2）病人在生活品質四範疇中，以「環境健康」範疇得分最高（3.40±0.46），「心理範疇」得分最低（3.03±0.74）；（3）生活品質各分項程度得分最高項目為「滿意自己的人際關係」（3.65±0.78），得分最低項目為「享受生活」（2.71±0.86）；（4）性別及年齡在HRQOL得分上有顯著差異，女性比男性及年齡小於60歲的病人比年齡大於60者其所感受的健康相關生活品質滿意程度較高。本研究結果可提供接受微創煙囪式椎管下減壓手術後病人之護理措施的參考。

關鍵字

微創煙囪式椎管下減壓手術 ； 腰椎狹窄病人 ； 健康相關生活品質

並列摘要

The purposes of this study were to: (1) understand the patients' health-related quality of life (HRQOL) after surgery of chimney sublaminar decompression (CSD);(2) explore the influencing factors on patients' HRQOL after a surgery of CSD. This study was a cross-sectional correlation design. Forty-eight patients were accepted the CSD operation from January to December, 2007, in a distract hospital. Three structured questionnaires were used in this study, included demographic characteristics, WHOQOL-BREF (Taiwan Version), and Oswestry Disability Index. The data was analyzed using SPSS 14.0. The results found: (1) the highest score of HRQOL among patients was ”physical health status”; following with ”independence level”, and ”psychological health status”; the lowest score was ”religious/belief”. (2) in the four domains of HRQOL, the environmental domain was the highest domain with a mean score of 3.40 ± 0.46, the lowest domain was the psychological domain with an average score of 3.03±0.74. (3) the highest item of patients' perception to the importance of HRQOL was ”satisfies with their own interpersonal relationships” (3.65±0.78), while the lowest item of patients' perception to the importance of HRQOL was ”enjoy life” (2.71±0.86). (4) gender and age were two factors in affecting patients' HRQOL. The female patients perceived a higher level of HRQOL than male. Younger patients (＜60 years old) had a higher level of HRQOL than older patients (＞60 years old). The results indicated that ”physical health status” was the most important domain of HRQOL for patients after surgery of CSD. The results provide a perspective for the improvement of medical caring services as well as further medical care services for patients after surgery of CSD.

並列關鍵字

Chimney Sublaminar Decompression(CSD) ； stenotic lumbar spinal canal ； health-related quality of life