查詢結果分析
相關文獻
- Physical Functioning and Health-Related Quality of Life: Before and after Total Hip Replacement
- Postoperative 6-Month and 1-Year Evaluation of Health-Related Quality of Life in Total Hip Replacement Patients
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- Health Status and Physical Function in the Community Dwelling Elderly Women with Different Physical Activity Level
- 如何編製一份問卷:以「健康相關生活品質」問卷為例
頁籤選單縮合
題 名 | Physical Functioning and Health-Related Quality of Life: Before and after Total Hip Replacement=全人工髖關節置換前後身體功能及健康相關生活品質之比較 |
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作 者 | 邱亨嘉; 陳金淵; 許弘毅; 陳筱華; 張瑞根; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:6 2000.06[民89.06] |
頁 次 | 頁285-292 |
分類號 | 416.61 |
關鍵詞 | 全人工髖關節置換術; 身體功能; 健康相關生活品質; Total hip replacement; THR; SF-36; Health-related quality of life; HRQOL; |
語 文 | 英文(English) |
中文摘要 | 全人工髖關節置換術為關節相關疾病之主要手術。雖然確知本手術可 解除病人之疼痛和恢復身體功能,但對於該手術是否同時改善病人與健康相關之 生活品質則所知所限。本研究旨在同時探討病人接受全人工髖關節置換術前後, 其身體健康狀況及健康相關生活品質之變化與改善情形。 本研究係採用前瞻性 之研究設計,以南部某醫學中心接受某位骨科專科醫師所執行之全人工髖關節置 換病人為研究對象。資料收集期間(86年3月至87年6月),計有46病人成功完 成術前評估,並在術後六個月接受再評估,成功追訪率為88%。本研究所使用之 療效評估工具有哈里斯量表中文修訂版及中文簡短版健康狀態評估量表 (SF-36)。病患基本資料及與手術相關之其他資料(如合併症)則取自病歷審查。本 研究結果發現,接受全人工髖關節置換術之病人在術後6個月後,身體功能及健 康相關生活品質均達到顯著水準之改善。就哈里斯量表分數而言,整體身體功能 平均分數由術前之45.2(SD=17.3),改善為91.6(SD=10.7)。另就中文簡版健康狀 態評估量表結果,比較術前術後各面向評分之改善程度亦達顯著水準(p<.001); 其中以"因身體功能所造成角之色扮演限制"一項呈現最明顯之改善(15.2 vs.76.1),其次為"因情緒問題所造成之角色扮演限制"(25.4 vs. 73.0)。 整體而言, 全人工髖關節置換術確可顯著的減輕病人之疼痛及改善其身體功能,並可更進一 步地增進其健康相關生活品質。因此,若欲對THR病人進行全面性之療效評估, 須同時以髖關節特定疾病量表(如Harris Scale) 與整體性健康評估量表(如SF-36) 進行評估,以窺得THR療效之全貌。 |
英文摘要 | Total hip replacement (THR) is a commonly adopted procedure for arthritis-related diseases. Although the THR efficacy in pain relief and restoration of physical functioning has been extensively studied, it remains unclear how health-related quality of life is affected by THR. The major purpose of this study was to examine and compare the differences in physical functioning and health-related quality of life for THR patients before and after operations. Based on a prospective study design, 46 THR patients at one medical center were reviewed and followed up (six months after operations) during the period from March 1997 to June 1998, with a follow-up rate of 88%. The THR subjects were interviewed and measured by the Modified Harris Hip Scale and the Chinese-version Short-form 36-item Health Survey (SF-36). Patient characteristics and the information related to procedures were derived from chart review. The results indicated that the THR patients had statistically significant improvements in physical functioning and health-related quality of life. In terms of the Harris Score, the mean Harris score was 91.6 (SD=10.7) 6 months after THR, as compared to 45.2 (SD=17.3) before THR. The eight ratings in the SF-36 measures were also statistically significantly improved (p<0.001). Specifically, "role limitations due to physical functioning" demonstrated dramatic improvements after THR (15.2 vs. 76.1), followed by "role limitations due to emotional problems" (25.4 vs. 73.0). The findings confirm the effectiveness of THR outcomes in terms of physical functioning, pain relief, and health-related quality of life, which can be revealed by disease-specific (Harris Scale) and generic health measures (SF-36). |
本系統中英文摘要資訊取自各篇刊載內容。