天灸療法對氣喘病人健康相關生活品質之研究

The Study of Natural Moxibustion Therapy on Health-related Quality of Life in Patients with Asthma

目的：天灸療法是一種歷史悠久的傳統中醫治療法，在特定皮膚穴位上進行貼敷以治療特定疾病。氣喘為常見的呼吸道疾病之一，影響國人的健康甚鉅。由世界衛生組織所提出的健康促進，是一種國際性醫療健康文化趨勢與公衛政策未來的走向，因此本研究主要探討天灸療法對氣喘病患健康相關的生活品質之影響。方法：採取縱貫式問卷調查法，以立意取樣為原則，選取台北、宜蘭、苗栗等北部地區基層中醫診所符合取樣標準之34位氣喘病患者為研究對象。問卷內容台灣版「聖喬治呼吸問卷」以次數分配、百分比分析、平均值、標準差、獨立樣本t檢定、變異數分析等統計方法進行分析。結果：雖然天灸之後三個月相較於三個月前，症狀呈現、活動限制以及疾病衝擊沒有顯著差異，但是天灸之後三個月相較於尚未實施天灸之前，症狀呈現、活動限制以及疾病衝擊均獲得顯著改善。結論：天灸療法是一種健康促進的方法，尤其是對於改善氣喘病患的健康相關生活品質有所助益，值得進一步推廣。

Objectives: Natural moxibustion therapy is a kind of traditional Chinese medical treatment that is historic, the use of natural Chinese herbs, carried out on a particular acupoint in the treatment of certain diseases. Asthma is one of the common respiratory diseases that it affect people's health is very huge. Health promotion is an international healthcare policy and cultural trends and the future direction of public health and it was proposed by the World Health Organization. Therefore, this study focuses on the impact of natural moxibustion therapy for patients of asthma in health-related quality of life. Methods: This study used the longitudinal questionnaire survey with the purposive sampling method. The study ampling the grassroots Chinese medicine clinics in northern Taipei, Yilan, Miaoli meet the standard sampling of 34 patients with asthma were recruited. The questionnaire contained Taiwan version of 'the St. George's Respiratory Questionnaire' in order to carry out statistical analysis of frequency distribution, analytic percents, means, standard deviations, independent -sample t-test and variances analysis. Results: There were significant difference in the asthma presenting symptoms, limit daily activities and impact of the disease between before the natural moxibustion therapy and three months after the natural moxibustion, while there were no significant difference in the asthma symptoms, limit daily activities and impact of the disease between three months before the natural moxibustion therapy and three months after the natural moxibustion. Conclusions: The natural moxibustion therapy is a method of health promotion, especially for improving the overall quality of life in patients with asthma helpful and worthy of further promotion.