退化性膝關節炎患者之症狀、休閒參與與休閒阻礙之研究

A Study of the Symptoms, Recreational Participations and Recreational Constraints for Patients with Knee Osteoarthritis

李壽興(So-Shing Lee) ； 黃娟娟(Chuan-Chuan Huang)

《運動休閒餐旅研究》 9卷4期 (2014/12) Pp. 1-17

https://doi.org/10.29429/JSLHR.201412_9(4).01

摘要

根據2014年世界衛生組織（World Health Organization, WHO）指出：全球60歲以上的人口約有9.6%的男性與18%的女性患有退化性關節炎，在這當中有25%的人沒辦法自行處理每日的生活自理工作，必須仰賴他人協助。退化性關節炎是中老年人常見之疾病，尤其以年長者更易罹患，許多實證顯示運動休閒治療能舒緩對疼痛與僵硬的感受程度，並提昇關節肌肉群強度與關節靈活度、穩定度，然而參與運動休閒在此族群中卻屬偏低。因此本研究之目的在瞭解退化性關節炎症狀程度、休閒參與、休閒阻礙之相互影響關係，作為未來相關人員在提供病患相關知識教育時參考。本研究以臺灣中部地區X光放射線檢查罹患Kellgren and Lawrence等級2及2以上之退化性膝關節炎患者共202位，男性92位，女性110位進行問卷訪問，問卷資料結果利用AMOS 18.0結構方程式來驗證退化性關節炎症狀程度、休閒參與、休閒阻礙之影響性。研究結果顯示退化性關節炎症狀程度對休閒參與有負向影響關係，而對休閒阻礙有正向直接影響關係，但休閒阻礙對休閒參與有低度正相關，其值未達顯著水準。結論：一、疼痛是造成退化性膝關節炎患者不願參與休閒活動主要原因。二、對不同個體而言，休閒阻礙並非是影響休閒參與的主要原因。三、較溫和的休閒活動較能吸引退化性膝關節炎患者參與。

關鍵字

退化性關節炎 ； 休閒參與 ； 休閒阻礙

並列摘要

According to the World Health Organization in 2014, more than 9.6 percent male and 18 percent female whose age over 60 years old were affected arthritis all around the world, and 25 percent of them lose their ability to carry out the simplest tasks in their daily lives. Osteoarthritis (OA) is one of common musculoskeletal diseases in the elder. At present, the cause of this irritating disease is still unrevealed, though there have been proven that participating physical activities has significant improvement in physical function, bodily pain and muscle strength, but the participate rate is low. The purpose of this study was to clarify the relationships among WOMAC, recreational participations, and recreational constraints in patients with KOA. Method: 202 self-reported with doctor diagnoses RKOA patients were invited to fulfill the questionnaires, RKOA was defined as the development of a Kellgren-Lawrence grade of ≥ 2. WOMAC, modified recreational participation form, and modified recreational constraint form were provided. AMOS 18.0 was to verify the relationships among them. The results showed: The WOMAC symptom indication was significantly negative associated with recreational participations (r=-0.57; p＜.01) and significantly direct positive associated with recreational constraints (r=0.20; p＜.05). However, the association between recreational constraints and recreational participation was not statistically significant (r =0.06; p=.47). Conclusions: In this case, the conclusions were following: 1.Pain was the core cause for participating recreational activities in patients with KOA. 2. Recreational constraints were not the main stumbling block in participating recreational activities in term of different individuals. 3. Recreational activities in mild intensity were popular and eye catching for KOA patients.

並列關鍵字

Osteoarthritis ； OA ； Recreational Participation ； Recreational Constraint

參考文獻

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