退化性膝關節炎患者健康相關生活品質之決定因子

Determinants of Health-Related Quality of Life in Patients with Knee Osteoarthritis

10.5297/ser.1403.012

李淑芳(Gladys Shuk-Fong Li)；王秀華(Hsiu-Hua Wang)

老化 ； 身體功能 ； 退化性膝關節炎量表 ； aging ； physical function ； Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

大專體育學刊

14卷3期（2012 / 09 / 01）

387 - 398

繁體中文;英文

本研究旨在探討退化性膝關節炎患者在健康相關生活品質之決定因子上的差異，並進一步瞭解不同身體活動程度退化性膝關節炎患者其症狀與健康相關生活品質的差異。調查對象為207位退化性膝關節炎門診患者，以中文版退化性膝關節炎量表、健康相關生活品質量表及身體活動分類問卷為施測工具。透過逐步多元迴歸探討患者之社會人口變項、身體活動程度及退化性膝關節炎症狀各變項對於健康相關生活品質的解釋力進行探討。再以單因子變異數之資料分析，探討不同身體活動程度之病患在其退化性膝關節症狀及健康相關生活品質之差異性。研究結果顯示：「身體活動功能」、「疼痛」、「年齡」、「手術與否」及「身體活動程度達建議量」等五個變項，均為患者健康相關生活品質之顯著預測因子（predictors）；亦能有效解釋退化性膝關節炎患者健康相關生活品質30.2％之變異量。而「身體活動功能」呈現最高的預測力，其獨立的變異量為20.1％。從事身體活動程度達到健康建議的患者比活動不足夠及不活動的患者在退化性膝關節症狀及健康相關生活品質的評分均較高。本研究結論為退化性膝關節炎之運動復健處方及策略需考量病患的健康相關生活品質，協助病患建立規律身體活動行為、改善其身體活動功能及疼痛感，進而提升其健康相關生活品質。

The purpose of this study was to compare the correlates of health-related quality of life between men and women, who were outpatients of knee osteoarthritis (knee OA) with three levels of exercise groups and four distinct age groups. This study also aimed to understand the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcome Study 36-item short-form general health survey measures (SF-36) for the different levels of physical activity (Recommended, Insufficient, and Inactive); and to explore the implications for a possible correlation of physical activity levels, and health-related quality of life (HRQoL), and WOMAC in patients with knee osteoarthritis. In this study, two hundred and seven patients with knee OA were participated. The self-response questionnaires including WOMAC, SF-36 and self-report containing sections on demographic characteristics and physical activity categories were assessed throughout one month period. In the results we found that patients with knee OA, who reported a higher level of physical activity (Recommended) showed significantly lower in some measures of WOMAC, and higher in HRQoL than their insufficient and inactive counterparts. Furthermore, ”Physical Function,” ”Pain,” ”Age,” ”Operation” and ”Recommended Physical Activity” were the significant explanatory factors of HRQoL in knee OA patients. The explained variance of these variables towards WOMAC was 30.2%. ”Physical Function” which accounted for 20.1%, has the highest predictability towards HRQoL. Our results concludes that reducing pain perception, enhancing physical function through reinforcing exercise habits in patients' exercise therapy, the HRQoL of the knee OA patients might be enhanced.

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