full2010.pdf - page 539

501
Ÿ¨„µ¦ª·‹´¥Â¨³„µ¦°£·ž¦µ¥Ÿ¨
Ÿ¼o˜°Â°™µ¤„¨´¤µš´ÊŠ®¤— 202 »— ‹µ„°™µ¤š´ÊŠ®¤— 250 »— ‡·—Áž} œ¦o°¥¨³ 80.8 °µ¥»
ÁŒ¨¸É¥ 35.48r5.86 že nŠÁž}œÁ¡«µ¥ 52 ‡œ (¦o °¥¨³ 25.7) ¨³Á¡«®·Š 150 ‡œ (¦o°¥¨³ 74.3) ×¥Ÿ¨„µ¦«¹ „¬µ
nŠ°°„Áž}œ—´Šœ¸Ê
‡ªµ¤» „¨³¦³—´‡ªµ¤¦»œÂ¦Š °Š°µ„µ¦žª—®¨´Šnªœ¨nµŠ
‡ªµ¤»„ °Š°µ„µ¦žª—®¨´Šnªœ¨nµŠ‹µ„„µ¦šÎ µŠµœ °Š¡œ´„Šµœ ¡ªnµ °µ„µ¦žª—®¨´Š£µ¥Äœ 1 žeš¸ÉŸnµœ
¤µ (annual prevalence) Ášnµ„´ 157 ‡œ (¦o°¥¨³ 77.7) ¨³¤¸°µ„µ¦žª—Äœ –³š¸ÉšÎ µ„µ¦Îµ¦ª‹ (point prevalence)
Ášnµ„´ 122 ‡œ (¦o°¥¨³ 60.39) Ž¹ÉŠ™º°ªnµ°¥¼nĜÁ„–”r ¼ŠÁ¤ºÉ°Áš¸¥„´Šµœª· ‹´¥Äœž¦³µ„¦š´ÉªÅžš¸É¤¸Ÿ¼o«¹„¬µ¤µ„n°œ
®œoµœ¸Ê ‡º° point prevalence = ¦o°¥¨³ 12-30 ¨³ annual prevalence = 15-45 (Anderson, 1999) µÁ®˜»°µ‹ÁœºÉ °Š‹µ„
„µ¦°°„Â°™µ¤š¸É Ťnŗo „ε®œ—¦³¥³Áª¨µ„µ¦žª—®¨´ŠÂ¨³°µ‹¦ª¤Á°µ„¨»n¤š¸É¤¸°µ„µ¦žª—®¨´Š‹µ„µÁ®˜»
°ºÉœÇ Á oµ¤µ—o ª¥ Ánœ žª—®¨´Š¦³®ªnµŠ¤¸ž¦³‹ÎµÁ—º°œ „µ¦˜·—ÁºÊ°šµŠÁ—·œž{ µª³ Áž}œ˜o œ ×¥¦³—´°µ„µ¦žª——Š
×¥ VAS ¤¸‡nµÁŒ¨¸É¥ 4.33r2.14 ¨³‹µ„„µ¦ž¦³Á¤· œ¦³—´‡ªµ¤¦»œÂ¦Š˜µ¤ Fairbank Disability Score Ž¹ÉŠ‡Îµœª–
ץĮo ‡³ÂœœÄœÂ˜n¨³—o µœ °ŠÂ°™µ¤°°Áªš¦¸Ž¹ÉŠ¤¸ 10 —oµœÁ¦¸¥Š¨Îµ—´ 0-5 ‡·—‡³ÂœœÁ˜È¤¦ª¤š»„—oµœ 50
‡³Âœœ ¨oªœÎµ¤µ‡·—Áž} œ¦o°¥¨³ (Fairbank, 1980) Ž¹ÉŠ„µ¦«¹„¬µœ¸Ê¡ªnµn ªœÄ®n¤¸¦³—´‡ªµ¤¦»œÂ¦Š °Š°µ„µ¦
žª—®¨´ŠÁ¨È „œo°¥ (¦o °¥¨³ 86.1) —´Š˜µ¦µŠš¸É 1 °µ‹ÁœºÉ°Š‹µ„„µ¦Á„ȝ o°¤¼ ¨šÎµÄœ„¨»n¤š¸É¥´Šµ¤µ¦™šÎ µŠµœÅ—o‹¹Šœnµ‹³°¥¼n
Ĝ„¨»n ¤š¸É¤¸°µ„µ¦žª—®¨´ ŠÅ¤n¤µ„œ´ „ š´Ê Šœ¸Ê Von œ³œÎµªn µŸ¼oš¸É ¤¸°µ„µ¦žª—®¨´Š ®µ„Ťn ŗo¦´„µ¦—¼Â¨¦´„¬µ „È‹³
¡´ •œµÄ®o ¤¸¦³—´‡ªµ¤¦»œÂ¦ŠÁ¡·É¤¤µ„ ¹Êœ šÎµÄ®o Ÿ¼oš¸É ¤¸°µ„µ¦žª—®¨´ŠÅ—o ¦´‡ªµ¤š¦¤µœ nŠŸ¨Ä®oÁ„·—„µ¦ µ—Šµœ
¨³Áž}œ o°‹Îµ„´—Äœ„µ¦„¨´Á o µ¤µšÎµŠµœÄ®¤n°¸„‡¦´ÊŠ (Von, 1994)
˜µ¦µŠš¸É 1 —Š¦³—´‡ªµ¤¦»œÂ¦Š˜µ¤ Fairbank Disability Scores °ŠŸ¼oš¸É¤¸°µ„µ¦žª—Äœ –³ž{‹‹»´ œ
¦³—´‡ªµ¤¦»œÂ¦Š‹ÎµÂœ„˜µ¤ ‹Î µœªœ‡œ
Fairbank Disability Scores (¦o°¥¨³)
¦³—´ Á¨È„œo°¥ (‡³Âœœ¦o °¥¨³ 0-20) 105 (86.1)
¦³—´ žµœ„¨µŠ (‡³Âœœ¦o °¥¨³ 21-40) 16 (13.1)
¦³—´ ¤µ„ (‡³Âœœ¦o °¥¨³ 41-60) 1 (0.8)
¦³—´ š»¡¡¨£µ¡ (‡³Âœœ¦o °¥¨³ 61-80) 0 (0)
¦³—´ ¡·„µ¦ (‡³Âœœ¦o °¥¨³ 81-100) 0 (0)
¦ª¤š´ÊŠ®¤— 122 (100)
Ÿ¨„¦³š °Š°µ„µ¦žª—®¨´Š˜n °„µ¦—εÁœ·œ¸ª·˜ž¦³‹Îµª´œ
Ÿ¨„¦³š °Š°µ„µ¦žª—®¨´ Š˜n°„µ¦—εÁœ·œ¸ ª·˜ž¦³Á¤·œ˜µ¤Â°™µ¤°°Áªš¦¸ ¡ªnµ °µ„µ¦žª—
®¨´ Š¤¸Ÿ¨„¦³š˜n°„µ¦œ´ÉŠ¤µ„š¸É »— (¦o°¥¨³ 23.8) ¦°Š¨Š¤µÅ—o„n „µ¦¥„ °Š (¦o°¥¨³ 20.4) „µ¦šÎ µŠµœoµœ (¦o°¥
¨³ 14.8) „µ¦¥º œ (¦o°¥¨³ 10.6) „µ¦Á oµ´Š‡¤ (¦o °¥¨³ 9) „µ¦œ°œ (¦o°¥¨³ 8.2) „µ¦Á—·œÂ¨³„µ¦—¼Â¨˜´ ªÁ°Š (¦o°¥¨³
5) ¨³ „µ¦Á—· œšµŠ (¦o°¥¨³ 4) ˜µ¤¨Îµ—´ —´ ŠÂ—ŠÄœ˜µ¦µŠš¸É 2 Ž¹ÉŠÂ°™µ¤°°Áªš¦¸ œ´ÊœÅ—o ¤¸Ÿ¼ož¨Áž} œ