腰椎間盤突出患者的生活品質及其相關因素之探討

Life Quality and Related Factors in Herniated Lumbar Disc Patients

趙純真(Chun-Chen Chao) ； 顧乃平(Nai-Ping Ku) ； 吳肖琪(Shiao-Chi Wu) ； 林欣榮(Shinn-Zong Lin)

《護理研究》 7卷6期 (1999/12) Pp. 569-580

https://doi.org/10.7081/NR.199912.0569

摘要

本研究主要是探討腰椎間盤突出患者個人基本資料、疾病特徵、人格韌性、社會支持與生活品質的關係。取自一所醫學中心神經外科門診共95位腰椎間盤突出患者，以結構式問卷來收集資料。研究結果發現：(1)整體來看，患者具有中等的品質得分，但個別差異頗大，而各分項的生活品質自評得分的結果，由最佳者排序，依次爲心理狀態、社交功能、身體功能、活力、一般健康感受、身體疼痛、因情緒問題所致的角色限制、因生理問題所致的角色限制。(2)患者個人基本資料的不同，包括年齡、婚姻狀況、宗教信仰、教育程度、工作性質等五項的個別差異，在其部分分項或整體生活品質有統計上的顯著不同。(3)患者感受到疾病特徵或社會支持程度的不同，與整體生活品質，有統計顯著相關。(4)患者的「疾病特徵」、人格韌性的「投入」成分、社會支持的「實質支持」、宗教信仰、婚姻狀況爲其整體生活品質之最佳預測因素，此五因素共可解釋整體生活品質總變異量的64%。本研究結果可作爲評估或提供腰椎間盤突出患者護理措施的依據。

關鍵字

腰椎間盤突出 ； 生活品質 ； 疾病特征 ； 人格韌性 ； 社會支持

並列摘要

The purpose of this study was to investigate the relationship between individual characteristics, symptoms of disease, hardiness, social support, and quality of life in patients with lumbar herniated intervertebral disc (HIVD). Ninety-five patients with lumbar HIVD, recruited from the neurosurgery outpatients unit of a medical center in North Taiwan, were surveyed with the structural questionnaires. The following results were found: (1) In general, lumbar HIVD patients had 50 score on a 0-100 scale of life quality. The scores of eight subitems in quality of life, from the highest to the lowest, were mental health, social functioning, physcial functioning, vitality, general health, bodily pain, role-emotional limit and role-physical limit. (2) Individual characteristic differences, including age, marital status, religious belief, education and work class were correlated with their partial or whole life quality. (3) The relationship between patients’ perceived symptoms, social support and whole life quality was statistically significant. (4) In particular, the best predicted factors in quality of life were symptoms, commitment, instrumental supports, religious beliefs and marital status. The five factors may explain 64% of life quality in patients with lumbar HIVD. The results of this study contribute to providing assessment and nursing intervention in lumbar HIVD patients.

並列關鍵字

herniated lumbar disc ； life quality ； symptoms ； hardiness ； social support