| 摘要: | 背景及目的：全世界有超過15億人口患有慢性疼痛的問題。現今中醫調理保健觀念早已融入人們日常生活中且密不可分其個人的自覺健康狀態更是影響著國人的健康觀念行為，如何提高履行健康行為的意願於增進健康實為重要。因此本研究目的在於探討慢性疼痛民眾之中醫體質與健康促進生活型態的相關性。 材料及方法：本研究採橫斷式問卷調查，研究對象為臺灣南部地區民眾，透過網路FB相關社團公開招募20～64歲成年人，自覺有持續三個月以上之慢性疼痛感覺而尋求醫療協助者。問卷內容包含個人基本資料及生活型態、中文版簡明疼痛量表 (Chinese version of the Brief Pain Inventory, BPI-C)、健康促進生活方式中文版量表 (Health-Promoting Lifestyle Profile, HPLP) 及中醫體質量表 (Constitution in Chinese Medicine Questionnaire, CCMQ)。所得資料以統計套裝軟體IBM SPSS for Windows 20.0版本，進行數據處理與分析，依研究目的與不同之變項屬性而進行描述性和推論性分析。 結果：本研究共收集有效問卷200份，男性有79人 (39.5%)、女性有121人 (60.5%)；年齡層分佈以40-49歲居多。平和體質佔41%，偏頗體質佔59%，32% 的人具有兩種以上的複合體質，其中偏頗體質類型以氣虛、陰虛與痰濕體質三種偏頗體質型態較多。「疼痛總體平均強度」與平和質呈現顯著負相關，與氣虛質、陽虛質、血瘀質、氣鬱質呈現顯著正相關。健康促進生活型態 (HPLP) 與中醫體質 (CCMQ) 的相關分析結果發現，「人際支持」與平和質呈現顯著正相關，與氣虛質呈現顯著負相關；「自我實現」與氣虛質及氣鬱質呈現顯著負相關；休閒運動與氣鬱質呈現顯著負相關。 結論：本研究結果有助於了解慢性疼痛患者體質特性，評估並針對患者體質特性，進行中西醫治療或自然輔助療法介入療癒調理之參考，改善慢性疼痛患者生活品質，並增進慢性疼痛患者生活參與。
Background and purpose: More than 1.5 billion people worldwide suffer from chronic pain. Nowadays, the concept of Chinese medicine has been integrated into people's daily life and is inseparable from their conscious health status, which influences their health concept and behavior. Therefore, the purpose of this study is to investigate the correlation between TCM Body Constitution (BC) and health promotion lifestyle among people with chronic pain. Materials and Methods: This study adopts a cross-sectional questionnaire survey to recruit people who felt chronic pain for more than three months in southern Taiwan. The content of the questionnaire included: basic information, the Chinese version of the Brief Pain Inventory (BPI-C), the Health-Promoting Lifestyle Profile (HPLP), and the Constitution in Chinese Medicine Questionnaire (CCMQ) were used. Statistical methods adopt descriptive statistics, single-factor variation analysis statistics and correlation analysis. Results: A total of 200 valid samples were collected, 79 (39.5%) were males and 121 (60.5%) were females. Among them, qi-deficiency, yin-deficiency and phlegm-damp BC, were more common in the survey for the eight types of imbalanced BC. The overall mean intensity of pain was negatively correlated with the balanced BC and positively correlated with the qi-deficiency, yang-deficiency, blood stasis, and qi-stasis BC. The correlation between HPLP and CCMQ was found that ”interpersonal support” was significantly positively correlated with balanced BC and negatively correlated with qi-deficiency BC; ”self-realization” was negatively correlated with qi-deficiency and qi-stasis BC; and leisure exercise was negatively correlated with qi-stasis BC. Conclusion: Our results suggest that the body constitution of patients with chronic pain are associated with the imbalanced body constitution. These results can serve as a reference for the patients to better understand their body constitution and adjust their life style accordingly, that may lead to improvements in their overall health. |
