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    題名: 紅斑性狼瘡患者使用輔助療法與生活品質之相關性探討
    其他題名: Association between the Use of Complementary Therapy and Quality of Life in Patients with Lupus Erythematosus
    作者: 羅惠津
    LO, HUI-CHIN
    貢獻者: 自然生物科技學系自然療癒碩士班
    陳秋媛
    CHEN, CHIU-YUAN
    關鍵詞: 全身性紅斑性狼瘡;紅斑性狼瘡生活品質量表;輔助療法
    Systemic Lupus Erythematosus;Lupus QoL;complementary therapy
    日期: 2020
    上傳時間: 2022-05-23 11:21:36 (UTC+8)
    摘要:   背景與目的:全身性紅斑性狼瘡(Systemic Lupus Erythematosus,簡稱SLE),為一種會侵犯全身各器官組織反覆慢性發炎的自體免疫疾病。患者除了接受西醫治療之外,也常尋求輔助療法以期減緩症狀或改善生活品質。國內目尚缺乏對SLE患者使用輔助療法與生活品質相關研究資料或普遍性的調查。本研究之目的在探討紅斑性狼瘡患者的個人基本屬性、疾病活動度、生活品質與使用輔助療法之相關性。  研究方法︰本研究採橫斷式問卷調查研究,南部某區域教學醫院「過敏免疫風濕中心」門診作為收案場所。問卷包括基本資料、生活型態、疾病活動度、紅斑性狼瘡生活品質量表(Lupus QoL)及自擬結構式輔助療法(CAM)使用問卷。  研究結果:收案人數共納入352位SLE患者,有效問卷為351位參與著中,有317位是女性(90.3%),有效問卷回收率為 99.7%。輔助療法使用頻率前三名為營養補充療法80.6%、運動療法78.6%及民俗與信仰療法68.7%是SLE患者最常用。在中老年以上使用輔助療法種類較年輕者為多,其中能量療法以指壓推拿、刮痧拔罐較常用;身心靈療法以放鬆療法、芳香療法較常用;民俗療法以收驚、拜廟、誦經念佛較常用;傳統療法以醫院中醫部較常用;運動療法以健走、散步、騎腳踏車較常用;營養補充以薑黃、鈣片、維他命較常用。每個月花費在輔助療法五千元以內佔68.7%,主要理由為調整體質者佔61.3%。  結論:本研究能提供相關資訊給紅斑性狼瘡患者參考,亦可提醒相關醫療單位重視與瞭解紅斑性狼瘡患者選擇的醫療利用,研究結果可做為日後制定醫療政策之參考方向。
      Background and Purpose: Systemic lupus erythematosus (SLE) is an autoimmune disease that can invade various organs and tissues in the body repeatedly and chronically inflamed. In addition to receiving Western medical treatment, patients often seek complementary therapy to reduce symptoms or improve quality of life. The purpose of this study is to explore the correlation between personal basic attributes, disease activity, quality of life and the use of complementary therapy in patients with lupus erythematosus.  Materials and Methods: A cross-sectional survey was used. Data was collected from the outpatient clinic of the Allergy Immunology and Rheumatology Center of the Regional Teaching Hospital in Southern Taiwan. The questionnaire includes lifestyle, disease activity, lupus erythematosus quality of life scale (Lupus QoL) and CAM use questionnaire.  Results: The total number of receipts involved 352 patients with SLE. Among the 351 valid questionnaires, 317 were female (90.3%) and the effective questionnaire recovery rate was 99.7%. The top three frequency of use of adjuvant therapy is nutritional supplement therapy 80.6%, exercise therapy 78.6% and folk custom and belief therapy 68.7% are the most commonly used by patients with SLE. There are many types of complementary therapies used in middle-aged and older people. Among them, energy therapy is more commonly used as acupressure, scraping and cupping; body and soul therapy is more commonly used as relaxation therapy and aromatherapy; folk therapy is used for shock, temple worship, and chanting. It is more commonly used to read Buddha; traditional therapy is more commonly used in the Chinese medicine department of the hospital; exercise is more commonly used for walking, walking and cycling; nutritional supplements are more commonly used for turmeric, calcium tablets and vitamins. Each month, 68.7% of the complementary therapy is less than 5,000 yuan, the main reason is 61.3% of those who adjust their constitution.  Conclusion: This study can provide relevant information to patients with lupus erythematosus. The research results can be used as a reference for future medical policy development.
    顯示於類別:[自然生物科技學系(自然療癒碩士班)] 博碩士論文-自然療癒碩士班

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