Journal of Taiwan Occupational Therapy Research and Practice
目的：以職能(occupation)的觀點出發，探討巴金森病人日常生活中(1)職能活動參與數量與生活品質的相關性；以及(2)職能活動執行程度與生活品質的相關性。方法：本研究為「二次分析研究」，所採用之原始資料為16位巴金森病個案（男性9位，女性7位，平均年齡為64.88歲）在一有關罹病後的生活調適及目前生活安排的大型研究中的部分訪談內容。由兩位登錄者從訪談的逐字稿中摘錄個案參與的活動，計數其數量並判讀活動的執行程度。最後，將個案的職能活動參與數量與執行程度和巴金森病人之生活品質量表得分作相關性分析。結果：在控制疾病嚴重度之後，除了日常活動之外，各類活動參與數量與生活品質之間呈現低度、不顯著的淨相關(r(下標 partial)=-.27- -.29, p>.05)；在執行程度上，則總活動及各類職能活動與生活品質皆有中～高度、顯著的淨相關(r(下標 partial)=-.53- -.84,<.05)。結論：日常活動、產能、休閒與體能活動的執行程度在巴金森病人生活品質上扮演重要的角色，職能治療師應對於這些方面的活動多予協助，以提升病人的生活品質。
Objective: To explore the relationship between (1) the number of occupations and quality of life, and (2) the execution level of occupations and quality of life in patients with Parkinson's disease (PD). Method: This is a secondary analysis study. The original data were interviews of 16 participants with PD (9 males and 7 females; mean age of 64.88 years old) on adjustments after the disease onset and current life arrangement. Two raters coded occupation from interview transcripts, counted the number, and assessed the level of execution. Correlational analysis was used to compute the association between the number and execution level of occupations with the quality of life. Results: After controlling for disease severity, all types of activities, except for activities of daily living, were slightly, non-significantly correlated with the quality of life (r=-.27- -.29, p>.05). For execution level, all types of activities were moderately to highly correlated with the quality of life (r=-.53- -.84, p<.05). Conclusion: The execution level of activities of daily living as well as productive, leisure and physical activities plays important roles in the quality of life of patients with PD. Occupational therapists should provide assistance regarding these types of occupations to enhance the patients' quality of life.