- 學位論文
肌肉放鬆法對頸椎退化性疾病病人症狀困擾、睡眠品質與生活品質之改善成效
The Effects of Muscular Relaxation on Symptoms Distress, Sleep Quality and Quality of Life in Patients with Degenerative Cervical Disease
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摘要
目的: 本研究主要目的在探討頸椎退化性疾病患者，經肌肉放鬆技術介入後，症狀困擾、睡眠品質及生活品質改善之成效。 設計：本研究採雙組前、後測實驗設計。從南部某準醫學中心神經外科門診收案，隨機分派（根據患者的入院優先順序）將參與者分配到兩組。肌肉放鬆組為頸椎退化性疾病患者，進行手術治療前，於門診就診後給予「肌肉放鬆」技術訓練（n = 30）。無肌肉放鬆組為至神經外科就診後符合頸椎退化性疾病診斷之個案（n = 30）。無肌肉放鬆組則為頸椎退化性疾病患者，進行手術治療前，不施予任何訓練。然後於收案當日(T0)、第一個月(T1)、二個月(T2)及三個月(T3)針對症狀經驗、睡眠品質與生活品質進行追蹤。 結果：經由廣義估計方程式(GEE)分析顯示，在症狀困擾部分，肌肉放鬆組比無肌肉放鬆組，T1比T0增加0.68分(β=0.68, P>.05)、T2比T0降低0.18分(β=-0.18, P>.05)、T3比T0降低1.5分(β=-1.50, P<.05)，然在T1、T2皆達未顯著差異(P>.05)，而在T3達顯著差異(P<.001)。結果顯示漸進式肌肉放鬆法介入措施，對於頸椎退化性疾病病人的症狀困擾，在第三個月能顯著降低症狀困擾。在睡眠品質部分，T1比T0降低0.06分(β=0.06)、T2比T0降低0.76分(β=-0.76)、T3比T0增加0.03分(β=0.03)，然皆未達顯著差異(P>.05)。在生活品質部分，T1比T0增加2.27分(β=2.27)、T2比T0增加1.71分(β=1.71)、T3比T0降低1.22分(β=-1.22)，然T1、T2和T3皆未達顯著差異(P>.05)。 結論：本研究證實頸椎退化性疾病患者，經肌肉放鬆技術介入後，症狀困擾於第三個月，有助改善症狀干擾，但於睡眠品質及生活品質改善上，並無顯著成效。由於症狀困擾於第三個月，有助改善症狀干擾，但建議可於門診中，安排因脊椎退化性疾病新就診個案，進行肌肉放鬆法之教導，做為尚未達到手術標準或還在考慮外科手術介入之個案，一個除藥物之外能緩解症狀困擾的方式。並建議肌肉放鬆法介入時，可衡量個案年齡及工作狀態來進行衛教，以利達到較好的結果及成效。
關鍵字
無並列摘要
Aim: The main purpose of this study is to explore the effects of improving symptoms, sleep quality, and quality of life in patients with cervical degenerative diseases after the intervention of "muscle relaxation" technology. Methods: This study used an experimental and longitudinal study design. The case was accepted from the Neurosurgery clinic of a quasi-medical center in the south, and the participants were randomly assigned (according to the patient's admission priority order) to assign the participants to two groups. test group. The experimental group consisted of patients with degenerative cervical disease. Before surgery, they were given "muscle relaxation" technique training after outpatient visits (n = 30). The control group consisted of cases diagnosed with degenerative cervical disease after going to neurosurgery (n = 30). In the control group, patients with degenerative cervical disease were not given any training before surgery. Then on the day of acceptance, the first month, the second month, and the third month, the symptom experience, sleep quality, and quality of life were tracked. Results: In the symptom distressed part, in the experimental group, compared with the control group, T1 increased by 0.68 points (β=0.68, P>.05), T2 decreased by 0.18 points (β=-0.18, P>.05), and T3 compared with T0. T0 decreased by 1.5 points (β=-1.50, P<.001), and there was no significant difference between T1 and T2 (P>.05), but there was a significant difference in T3 at the third month (P<.001). The results show that the progressive muscle relaxation intervention has no significant effect in reducing the symptom trouble score in the first and second months for patients with degenerative cervical disease, but it significantly reduces the symptom trouble in the third month. The effectiveness of scoring. In the part of sleep quality, T1 is lower than T0 by 0.06 points (β=0.06), T2 is lower than T0 by 0.76 points (β=-0.76), and T3 is higher than T0 by 0.03 points (β=0.03), and there was no significant difference in T1, T2 and T3. In terms of quality of life, T1 increased by 2.27 points compared with T0 (β=2.27), T2 increased by 1.71 points (β=1.71) compared with T0, and T3 decreased by 1.22 points compared with T0 (β=-1.22), and there is no significant difference in T1, T2 and T3. Conclusion: This study confirms that patients with degenerative cervical disease, after the intervention of "muscle relaxation" technology, the symptoms are troubled in the third month, which helps to improve the symptom interference, but there is no significant effect in improving the quality of sleep and quality of life.
並列關鍵字
none參考文獻
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延伸閱讀
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