帶狀? 疹的疼痛經驗及其對生活品質影響之探討
中文摘要
摘 要
論文名稱 : 帶狀 ? 疹的疼痛經驗及其對生活品質影響之探討
研究所名稱 : 臺北醫學大學護理學研究所
研究生姓名 : 劉錦心
畢業時間 : 九十四學年度第二學期
指導教授 : 張碧真 臺北醫學大學護理學研究所副教授
賴裕和 臺大醫學院護理學研究所教授
本研究目的在探討及比較急性帶狀 ? 疹及帶狀 ? 疹後神經痛患者的疼痛經驗及其對生活品質的影響。本研究採取橫斷式的研究設計，以立意方式取樣共 94 人，急性帶狀 ? 疹 46 人、帶狀 ? 疹後神經痛 48 人。統計以描述性統計、 t- test 、皮爾森相關及逐步回歸。研究結果發現 : （ 1 ）急性帶狀 ? 疹 及帶狀 ? 疹後神經痛在疼痛感覺、疼痛型態有差顯著差異；（ 2 ）急性帶狀 ? 疹及帶狀 ? 疹後神經 痛在生理、心理層面生活品質低於健康人；（ 3 ）疼痛情感、最痛程度、疼痛平均程度、疼痛干擾
、焦慮、憂鬱與生理層面生活品質有顯著相關；疼痛感覺、疼痛情感、最痛程度、疼痛平均程度、
疼痛干擾、焦慮、憂鬱與心理層面生活品質有顯注相關；（ 4 ）疼痛干擾愈大、焦慮愈強對生活品 質的生理層面的影響愈大，共同解釋變異量為 25% ，其中疼痛干擾對生理層面生活品質有最大解 釋力；憂鬱愈大、疼痛感覺愈強、焦慮愈大、疼痛干擾愈強，對生活品質的心理層面的影響愈大，
整體解釋變異量為 56% ，其中以憂鬱對心理層面生活品質具最大解釋力。此研究結果期能增加健 康照護人員對急性帶狀 ? 疹及帶狀 ? 疹後神經痛的疼痛經驗了解，對提昇該群患者之照護預期提
供實質供獻。Pain Experiences and Its Impacts On Quality of Life in Patients With Herpes Zoster.
英文摘要
Abstract
Title of Thesis: Pain Experiences and Its Impacts On Quality of Life in Patients With Herpes Zoster.
Institution: Graduate Institute of Nursing, Taipei Medical Universisty Author: Ching-Shing Liu
Thesis dircted by: Pi-Chen Chang, Associate Professor Yeur?Hur Lai, Professor
The aims of the cross-sectional study were to compare the experiences of pain and the impacts on quality of life (QOL) in pati ents with Acute Herpes Zoster (AHZ) and Postherpetic Neuralgia (PHN). A total of 94 patients were recruited, including AHZ (n=46) and PHN (n=48). The descriptive ststistics, t-test, Pearson’s correlation, and multiple regression were used to analyze t he date. The results showed that (1) AHZ and PHN were significantly different
on pain in its sensory dimension characters and pattern; (2) Physical and mental dimension of QOL in patients with AHZ and PHN were all below health people; (3) Affective of pain, worst pain intensity, average pain intensity, pain interference, anxiet y, depression were significantly associated with physical dimension of QOL; Sensory dimension of pain, affective of pain, wo rst pain intensity, average pain intensity, pain interference, anxiety, depression were significantly associated with mental dime nsion of QOL; (4) Pain interference and anxiety could negative predict the physical dimension of QOL (R2=25%); Depressio n, affective dimension of pain, anxiety and pain interference could negative predict the lower mental dimension of QOL (R2=
56%). The finding suggest the neuralgia pain is still a critical problem to patients with herpes zoster. Health care providers sh ould put more attention on this issue and to enhance their life quality.
Key word: Herpes Zoster, Postherpetic Neuralgia, Pain, quality of life
