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題名:原發性肺動脈高壓患者運動能力與生活品質相關因素之探討     (16點)
The Related Factors of Exercise Capacity and Quality of Life in Patients with Idiopathic Pulmonary Arterial Hypertension
著者:蕭淑芳(Shu-Fang Hsiao) ;吳英黛(Ying-Tai Wu) ;徐紹勛(Hsao-Hsun Hsu) ;賴玉玫(Yu-Mei Lai)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:原發性肺動脈高壓 ; 六分鐘行走測試 ; 生活品質 ; Idiopathic pulmonary arterial hypertension ; Six-minute walk test ; Health-related quality of life
刊名:物理治療
卷期:35卷1期(2010.3)
頁碼:8-15
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

背景與目的:原發性肺動脈高壓影響心臟、肺臟及血管系統功能,*研究探討這些患者之運動能 力和生活品質,及其相關性和影響因素。方法:徵召受試者18 名(1 6 名女性2 名男性) ,平均年齡 38.3::!:: 10.5 歲,罹病診斷時間48.2 士29.0 月,接受六分鐘行走測試(6-minute walk test, 6MWT) 、 Short-Form 36 item Health Survey (簡稱SF-36 )和明尼蘇違心臟衰竭生活品質量表( Minnesota living with heart failure questionnaire, MLHF) 之評量。採敘述性統計、皮爾森相關係數及部分相關法分 析變項間之相關性。結果:受試者平均6MWT 距離為479::!::78 公尺( 70.1 士10.8% 預測值) ,測試後 血氧飽和度92.5::!::6.2% '呼吸困難指數5.0::!::2.0 0 SF-站在「生理角色受限」領域的得分最低為44.4 ::!::40.7 分; MLHF 總分為27.5 士18.2 0 6MWT 距離之預測百分比值與測試後呼吸困難指數( r=-O.兒, p<0.05 )呈現負相關,測試後呼吸困難指數且與罹病時間呈正相閱( r=O.肘, p<0.05) ; 調整年齡、性 別後'6MWT 距離與MLHF 總分( r=-O.船, p<0.05 )呈現負相關,與SF-36 中的身體生理健康領域呈 現正相關(r=0.70, p<0.05) 。結論:肺高壓患者的6MWT 距離介於324-600 公尺,運動後血氧飽和 度顯著下降,呼吸困難程度為中度,行走距離與生活品質明顯相關。(物理治療2010;35(1):8-15 )
Background and Purposes: Idiopathic pulmonary arterial hypertension (IPAH) is associated with cardiopulmonary and vascular dysfunction. Relatively little is known about the exercise capacity and quality of life of these patients in Taiwan. The purpose of this study was to describe their exercise capacity and quality of life and to investigate the interrelationships among 6MWT distance, symptoms of dyspnea, and the QOL. Methods: Eighteen patients with IPAH were recruited (16 female and 2 male; mean age, 38.3 years; mean duration of disease, 48.2 months). All patients underwent 6MWT and filled in the Short-Form 36 item Health Survey (SF-36) and the Minnesota living with heart failure questionnaire (MLHF). Data were presented as mean::tstandard deviation. Pearson's correlation coefficients and partial correlation after controlling age and gender were used. Results: Distance walked in 6MWT was 479::t78m (70.1 ::t 10.8% predicted). Oxygen saturation dropped to 92.5::t6.2%, Borg scale increased to 5.0::t2.0 after 6MWT. Compared with population norms, patients reported impairment in multiple domains of SF-36 and MLHF. The lowest score of SF-36 was reported in the domain of role physical (44.4::t40.7). The total score of MLHF was 27.5::t18.2 (total score 0-105). The age-and gender predicted percentage of the distance walked in 6MWT was negatively correlated with the Borg scale post 6MWT (戶-0.52, p<0.05). The Borg scale post 6MWT was positively correlated with the duration of disease (r=0.67, p<0.05). After controlling age and gender, the distance walked in 6MWT was negatively correlated with the total score of MLHF (r=-0.66, p<0.05), but positively correlated with the domains of physical health of SF-36 (r=0.70, p<0.05). Conclusions: The 6-minute walking distance in patients with IPAH ranged from 324 m to 600 m. After walking test, subjects reported moderate dyspnea and their oxygen saturation dropped significantly. The distance walked in 6MWT was moderately correlated with QOL. (FJPT 2010;35(1 ):8-15)


    

本卷期目次
物理治療 35卷1期 (2010.3)
台灣老人身體活動能力與日常生活功能之階層相關探討/ 葉婷婷王靜怡林志峰陳惠雅
嚴重阻塞性睡眠呼吸中止症患者其呼吸道發炎反應與肺功能之探討/ 林珮君李佩玲吳惠東莊雅惠王儷穎
前十字韌帶重建術後穿戴膝護具之必要性探討--系統性回顧與統合分析/ 邱馨儀高宜暄郭曉縈陳佳琳施怡芬李雪楨陳文英
運動訓練對周邊動脈疾病患者周邊循環之療效:系統回顧與統合分析/ 趙婉茹吳英黛劉千綺
發展性舞蹈運動訓練對於發展障礙兒童的動作精練程度之影響:可行性報告/ 劉文瑜陳怡蓁彭曼筠黃維彬林燕慧連恒裕
中華民國物理治療學會第六十次學術研討會--論文摘要/ 陽明大學
原發性肺動脈高壓患者運動能力與生活品質相關因素之探討/ 蕭淑芳吳英黛徐紹勛賴玉玫
 
   
 
   

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