上肢關節疼痛是中風所造成的後遺症之一，可能影響病患健康相關生活品質 (health-related quality of life, HRQOL)。然而中風後上肢關節疼痛與整體HRQOL (overall HRQOL, O-HRQOL) 及HRQOL特定層面之關係不明確，造成臨床人員難 以有效制定治療計畫以提昇病患HRQOL。故本研究之目的為檢驗中風後上肢關 節疼痛與O-HRQOL及HRQOL特定層面之關聯程度，並檢驗中風後上肢關節疼痛 是否為O-HRQOL及HRQOL特定層面之主要相關因素。66位中風病患接受5個量 表的評估，分別為福格邁爾運動量表 (Fugl-Meyer Motor Assessment, FMA)：疼 痛次量表上肢項目及上肢動作功能次量表、中風病患專屬生活品質量表 (Stroke- Specific Quality of Life, SSQOL)、巴氏量表 (Barthel Index) 和芙蘭切活動量表 (Frenchay Activities Index)。研究者以Pearson’s r檢驗個案中風後一年FMA上肢關 節疼痛總分與SSQOL總分及12個層面分數之關聯程度，並以逐步迴歸分析檢驗 FMA上肢關節疼痛總分，在考量其它變項後，是否為SSQOL總分及12個層面分數 之主要相關因素。研究者發現FMA上肢關節疼痛總分與SSQOL總分呈中度相關 (r = .40)，其與SSQOL12 層面分數呈低至中度相關 (r = .11 - .43)。逐步迴歸分析結 果發現FMA上肢關節疼痛總分未被納入SSQOL總分及12個層面分數之最終迴歸模 型。以上結果顯示：中風後上肢關節疼痛雖不為O-HRQOL及HRQOL特定層面之 主要相關因素，但仍與O-HRQOL及部分HRQOL特定層面具備中度相關。此結果 支持臨床人員制定上肢關節疼痛治療計畫以期提昇病患HRQOL。

Upper extremity (UE) join pain is one of the consequences a er stroke; it may a ect patients’ health-related quality of life (HRQOL).  e relationships between post-stroke UE joint pain and overall HRQOL (O-HRQOL)/speci c domains of HRQOL are unclear.  us, clinicians may not be able to set e ective treatment plans to improve patients’ HRQOL.  e purpose of this study was to investigate the relationships between post-stroke UE joint pain and O-HRQOL/specific domains of HRQOL. Furthermore, we examined whether poststroke UE joint pain was an important factor of O-HRQOL/speci c domains of HRQOL. Sixty-six patients with stroke were assessed using the UE items in the pain subscale of the Fugl-Meyer Motor Assessment (FMA), the UE motor subscale of the FMA, the Stroke- Speci c Quality of Life (SSQOL), the Barthel Index and Frenchay Activities Index. Pearson’s r and stepwise regression analysis were used to analyze the data. We found that the FMA UE pain score had moderate correlations with the SSQOL total score (r = .40), and weak to moderate correlations with 12 SSQOL domain scores (r = .11 - .43). Regression analysis showed that the FMA UE pain score was not included in the final regression models of SSQOL total score and 12 SSQOL domain scores. Although post-stroke UE joint pain was not an important factor of O-HRQOL/specific domains of HRQOL, it was moderately correlated with O-HRQOL and some specific domains of HRQOL. These findings support clinicians to develop UE joint pain-related treatment plans to improve patients’ HRQOL.