黃淑玲游巽如Xun-Ru You醫學研究所2026-10-299999-12-312017https://handle.ncl.edu.tw/11296/nq9rxxhttps://scholars.csmu.edu.tw/handle/123456789/36307本研究主要目的在於探討職業性肌肉骨骼疾患患者生活品質及其影響因子。過去已有許多研究針對工作相關之肌肉骨骼疾患生理健康相關的生活品質研究，較少針對患者的整體生活品質進行多面性、縱貫性的了解。故本研究採縱貫研究設計，探討疼痛情形、心理困擾與社會支持對整體生活品質的預測力。本研究以中部地區職業性肌肉骨骼疾患患者為研究對象，採問卷調查法，透過疼痛量表、華人健康量表、社會支持量表、以及台灣版聯合國世界衛生組織健康相關生活品質量簡表為研究工具，獲得有效樣本64位。採用統計分析了解變項間的關係，主要研究結果顯示：1.患者疼痛情形，在確診時和一年後有顯著差異。2.確診時整體生活品質與預測變項的相關性由高至低依序為疼痛情形、心理困擾、社會支持。3.一年後整體生活品質與預測變項的相關性由高至低依序為心理困擾、社會支持、疼痛情形。4.確診時預測變項對整體生活品質的整體解釋力為50％，僅疼痛情形與整體生活品質具顯著關聯性。5.一年後預測變項對整體生活品質的整體解釋力為64％，疼痛情形、心理困擾與社會支持的影響皆達顯著水準。6.確診時預測變項對一年後整體生活品質的整體解釋力為41％，疼痛情形和心理困擾具顯著影響。7.預測變項的變化對一年後整體生活品質的整體解釋力為20％。最後，研究者根據研究結果提出相關建議。The aim of the study was to investigate the quality of life and its related factors in the patients with work-related musculoskeletal disorders. To date, most of studies emphasized patients’ health-related quality of life, but few focused on the other domains of quality of life. In this study, the longitudinal study design was used to explore the related factors of quality of life. The instruments used in this study included Dallas Pain Questionnaire, Chinese Health Questionnaire, Perceived Social Support Scale and World Health Organization Quality of Life BREF. In total, 64 patients with work-related musculoskeletal disorders were recruited. The results were summarized as follows: 1. There was a significant difference on pain between the time points of diagnosed and one-year follow-up。2. The quality of life was significantly associated with pain (r＝-.67), psychological distress (r＝-.56), social support (r＝.40) at the time of diagnosed. 3. At one-year follow-up, the quality of life was significantly associated with pain (r＝-.48), psychological distress (r＝-.69), social support (r＝.65). 4. At the time of diagnosed, the variables explained 50% of variance of quality of life. 5. At one-year follow-up, the variables explained 64% of variance of quality of life. 6. The variables at the time of diagnosed explained 41% of variance of quality of life at one-year follow-up. 7. The changes of variables explained 20% of variance of quality of life at one-year follow-up. Finally, the advanced discussions and further suggestions based on the result of this study were addressed.職業性肌肉骨骼疾患疼痛心理困擾社會支持生活品質work-related musculoskeletal disorderspainpsychological distresssocial supportquality of lifethesis