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| 題 名 | 探討精神科慢性住院病人休閒活動時間與肌少症之相關性研究=Relationship between Leisure Activity Time and Sarcopenia in Chronic Psychiatric Inpatients |
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| 作 者 | 邱金快; 溫玉仁; 許元彰; 魏廉中; | 書刊名 | 精神衛生護理雜誌 |
| 卷 期 | 19:2 2024.08[民113.08] |
| 頁 次 | 頁16-25 |
| 分類號 | 419.85 |
| 關鍵詞 | 慢性精神科住院病人; 肌少症; 肌少症風險評估; Chronic psychiatric inpatient; Sarcopenia; Sarcopenia risk assessment; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6847/TJPMHN.202408_19(2).03 |
| 中文摘要 | 背景:慢性精神科長期住院病人經常合併內科慢性疾病、代謝症候群及因長期住院、服用精神科藥物、受限於住院活動空間等,導致運動量不足、生理功能退化,較同年齡者容易出現肌少症。目的:探討慢性精神科長期住院病人休閒活動與肌少症之相關性。方法:採橫斷式研究設計,收案時間為2021年1月1日至12月31日,研究對象為234位長期住院於北區某精神專科教學醫院之慢性病人。研究工具為肌少症風險評估問卷(SARC-F)、肌少症風險評估問卷加上小腿圍(SARC-CalF)、肌少症篩檢與生物電阻抗分析身體質量評估及穿戴式智慧型手環。本研究通過IRB審查後,進行收案,並採用IBM SPSS 20版及STATA進行資料分析。結果:234位慢性病人其肌少症風險評估平均得分6.3、肌少症風險評估問卷加上小腿圍平均得分11.5,肌少症風險評估問卷加上小腿圍≥ 11分;疑似肌少症約占51.28%,男性有58人(24.78%)篩檢出疑似肌少症、女性有62人(26.49%);再進行肌少症評估,男性有28人(11.97%),女性有19人(8.12%)符合肌少症。羅吉斯迴歸探討病人疑似肌少症之預測因子,模型概率比檢驗統計量為55.37,偽R平方(Pseudo R^2)為0.1715,表示模型可解釋約17.15%的因變量變異,顯示年齡、較低BMI、教育程度為國中(含)下、體重過輕者,有疑似肌少症的風險顯著較高(p = 0.001)性別、職能治療參與狀況對於肌少症預測未達統計上顯著差異。結論/實務應用:肌少症雖非急症,但與老年人、肌肉質量、運動關係密切。未來建議相關照護單位針對慢性精神病人定期篩檢肌少症,以達到早期診斷及治療,並提供足夠蛋白質攝取相關資訊與復健運動介入等,以預防肌少症之發生。 |
| 英文摘要 | Backgrounds: The present study focused on chronic psychiatric inpatients, who often exhibit coexisting chronic medical conditions and metabolic syndrome. Due to long-term hospitalization, use of psychiatric medications, and limited activity space, these patients tend to have insufficient physical activity, leading to physical function deterioration and a higher likelihood of developing sarcopenia compared with their same-aged counterparts. Goal: To investigate the relationship between leisure activity time and sarcopenia in chronic psychiatric inpatients. Method: A cross-sectional study design was adopted, with data collection spanning from January 1 to December 31, 2021. A total of 234 long-term inpatients from a psychiatric teaching hospital in northern Taiwan were included. The research tools included the strength, assistance with walking, rising from a chair, climbing stairs, and falls (SARC-F) questionnaire, SARC-F combined with calf circumference (SARC-CalF), sarcopenia screening, bioelectrical impedance analysis (BIA) for body mass assessment, and wearable smart wristbands. This study was approved by the Institutional Review Board and incorporated IBM SPSS version 20 and STATA for data analysis. Results: Among the 234 patients, the average SARC-F score for the was 6.3, and the average SARC-CalF score was 11.5. Approximately 51.28% of the patients were suspected of having sarcopenia based on a SARC-CalF score ≥11; specifically, 24.78% of male patients (58) and 26.49% of female patients (62) were suspected of having sarcopenia. Further assessments confirmed sarcopenia in 11.97% of male patients (28) and 8.12% of female patients (19). Logistic regression analysis was performed to explore the predictive factors for suspected sarcopenia. With a probability ratio test value of 55.37 and a pseudo-R-squared (Pseudo-R^2) value of 0.1715, the model explained approximately 17.15% of the variance in the dependent variable. The analysis showed that older age, lower BMI, education level of junior high school or below, and underweight significantly increased the risk of suspected sarcopenia (p = 0.001). Gender and participation in occupational therapy did not significantly predict sarcopenia. Conclusion / Practical Application: While sarcopenia is not an acute condition, it is closely related to aging, muscle mass, and exercise. It is recommended that chronic psychiatric patients undergo regular sarcopenia screening for early diagnosis and treatment. Interventions should include sufficient protein intake and rehabilitation exercises to prevent the onset of sarcopenia. |
本系統中英文摘要資訊取自各篇刊載內容。