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研究生: 劉若蕎
Liu, Jo-Chiao
論文名稱: 乾癬患者身體活動、健康體位與乾癬嚴重程度之關聯性研究
Associations of Physical Activity and Healthy Body Weight with Psoriasis Area Severity Index among Patients with Psoriasis
指導教授: 廖邕
Liao, Yung
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2018
畢業學年度: 106
語文別: 中文
論文頁數: 98
中文關鍵詞: 乾癬患者身體活動健康體位乾癬嚴重程度
英文關鍵詞: patients with psoriasis, physical activity, healthy body weight, psoriasis area aeverity index
DOI URL: http://doi.org/10.6345/THE.NTNU.DHPHE.006.2018.F02
論文種類: 學術論文
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  • 本研究主要目的在探討乾癬患者身體活動、健康體位與乾癬嚴重程度之關聯性。研究問卷使用衛生福利部國民健康署所公布之「臺灣活動量調查-短版」問卷及研究者蒐集相關文獻所編製而成,採受試者自填式作答,並利用身高體重計測量受試者身體質量指數及研究者協助乾癬嚴重程度評分。研究對象為長庚醫院皮膚科乾癬患者共129位,以SPSS for Windows 22.0統計軟體進行描述性及推論性統計,並以邏輯斯迴歸為統計方法分析身體活動、健康體位與乾癬嚴重程度之關聯性。結果如下:
    一、受試者乾癬嚴重程度平均值7.66 ± 7.11,輕度乾癬及中重度乾癬為 74.4%及25.6%。
    二、達到身體活動建議量與乾癬嚴重程度無關聯性,但無不良習慣者達到身體活動建議量與有不良習慣者相比有顯著差異,顯示無不良習慣者較容易達到身體活動建議量。
    三、將母群體分成男性及女性進行邏輯斯迴歸分析,將會發現男性健康體位與乾癬嚴重程度有顯著相關,顯示男性非健康體位罹患輕度乾癬之機率較高。另外,無慢性疾病者有健康體位與有慢性疾病者相比也有顯著差異,顯示無慢性疾病者較容易有健康體位。
    四、達到身體活動建議量與健康體位對乾癬嚴重程度無合併效果,即使調整了社會人口學因素同樣無法達到顯著差異。
    對於未來研究,建議可擴大研究對象蒐集範圍至全國醫院,並選取未施行任何乾癬療法之患者,減少乾癬療法對研究結果的判讀,另外,可進行縱貫性及介入性之研究,以了解各變項間之因果關係。對於實務工作,建議臨床醫護人員未來在男性乾癬患者之治療策略,將健康體位納入考量,期望能有效降低男性乾癬患者身體質量指數,使男性乾癬患者有利於體型控制在健康體位,進而減少乾癬嚴重程度。

    The purpose of this research was to investigate the associations of physical activity, healthy body weight with psoriasis area severity index among patients with psoriasis. A total of 129 patients with psoriasis in chang gung memorial hospital of dermatology were recruited.The data was used logistic regression to analysis.
    The main findings of this research were as follows:
    1.The average of subjects’ psoriasis area severity index were 7.66 ± 7.11. The percentage of mild psoriasis and moderate to severe psoriasis were 74.4% and 25.6% respectively.
    2.Achieving physical activity guideline was not correlated with psoriasis area severity index. But the subjects had no unhealthy habits were more likely to achieve physical activity guideline.
    3.Healthy body weight of the man was correlated with psoriasis area severity index. That showed the men with no healthy body weight were more likely to suffer from mild psoriasis. In addition, the subjects had no chronic disease were more likely to achieve healthy body weight.
    4.After adjusting the social and demographic factors, achieving physical activity guideline and healthy body weight were not correlated with psoriasis area severity index.
    Future studies are needed to target on a large number of study sample, to select patients who did not use any psoriasis therapy to reduce the interpretation of the results, and to use the longitudinal study and intervention study to realize the cause-effect relation between the variables. For health workers, it is suggested to promote healthy body weight into the patients with psoriasis treatment guideline, to reduce body mass index with psoriasis to improve psoriasis area severity index in man.

    第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 5 第三節 研究問題 6 第四節 研究假設 7 第五節 名詞解釋 8 第六節 研究限制 10 第二章 文獻探討 11 第一節 乾癬 11 第二節 身體活動與乾癬嚴重程度 16 第三節 健康體位與乾癬嚴重程度 24 第三章 研究方法 27 第一節 研究架構 27 第二節 研究對象 29 第三節 研究工具 30 第四節 研究步驟 32 第五節 資料處理與分析 35 第四章 研究結果 37 第一節 社會人口學因素之現況 37 第二節 乾癬患者達到身體活動建議量與乾癬嚴重程度之關聯性 40 第三節 乾癬患者健康體位與乾癬嚴重程度之關聯性 49 第四節 乾癬患者達到身體活動建議量與健康體位對乾癬嚴重程度之合併效果 57 第五章 討論 64 第一節 乾癬患者達到身體活動建議量與乾癬嚴重程度之關聯性 64 第二節 乾癬患者健康體位與乾癬嚴重程度之關聯性 67 第三節 乾癬患者達到身體活動建議量與健康體位對乾癬嚴重程度之合併效果 70 第六章 結論與建議 72 第一節 結論 72 第二節 建議 74 參考文獻 77 附錄一:乾癬患者身體活動、健康體位與乾癬嚴重程度之關聯性研究問卷 90 附錄二:長庚醫院人體試驗倫理委員會同意證明書 97 附錄三:衛生福利部國民健康署問卷同意使用公文 98

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