臺南地區民眾運動傷害自覺原因和特性與各項就醫選擇因素構面之相關

A Study of Perceived Causes of Sports Injuries and Their Relationship with the Factors Influencing the Choice of Medical Treatment among Residents in Tainan

本研究目的為探討台南地區民眾感受運動傷害自覺原因和特性與四項就醫選擇因素構面之相關。本研究方法採用問卷調查，以台南地區各大運動場曾有運動傷害過之一般民眾為填卷對象，有效問卷884份。自行設計問卷內容包括：基本資料、運動類型、受傷活動、自覺受傷原因、受傷部位、急／慢性傷害，以及四個就醫選擇因素構面23題（環境設備、醫療專業與期待、服務態度、醫療費用與等候）。控制人口學等基本變項，以複迴歸分析運動類型、受傷活動、自覺受傷原因、受傷部位、急／慢性傷害等變項分別和四個就醫選擇因素構面依變項之相關。研究結果顯示大部份運動類型、受傷活動、自覺受傷原因、受傷部位、急性傷害與慢性傷害變項和四個就醫選擇因素構面分數皆有顯著相關（p＜0.05）。建議民眾在運動傷害發生後，若能自我偵測出運動傷害，並在適當時機選擇醫療機構就醫，將有助於醫療照護之治療計劃及增進身體機能。醫療機構亦可投入運動傷害防護、指導及醫療知識的推廣，將可降低民眾運動傷害之發生。

Objective: To explore the perceived causes of sports injuries and their relationship with the four factors influencing the choice of medical treatment among the public. Methods: The study employed a questionnaire survey. The subject of this questionnaire is individuals who have suffered sports injuries in sports grounds throughout Tainan. A total of 884 valid questionnaires were recovered. Our self-designed, 23-item questionnaire survey includes demographic data, sports type, activity leading to injuries, perceived cause, affected area, acute/chronic injury and the four factors influencing the choice of medical treatment (environment, facility, medical expertise, service attitude, medical expense and waiting). With the fundamental variables including demographic data controlled, multiple regression was used to analyze the relationship between variables (including sports type, activity leading to injuries, perceived cause, affected area, acute injury, and chronic injury) and the four factors influencing the choice of medical treatment. Results: Most sports-type activity leading to injuries, perceived causes, affected areas, acute injuries, and chronic injuries have significant relationships with the four factors influencing the choice of medical treatment. Conclusion: The public can benefit from self-detection of sports injuries and the consultation of medical institution at the right moment, as these actions facilitate the planning of medical treatment and the strengthening of physical abilities. By taking the initiative in the prevention, instruction and education on sports injury, medical institutions are expected to improve the public's awareness about sports injury.