中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/23900
English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 29490/55136 (53%)
造訪人次 : 1998720      線上人數 : 516
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋
    主頁 ‧ 登入 ‧ 上傳 ‧ 說明 ‧ 關於CMUR ‧ 管理 到手機版


    請使用永久網址來引用或連結此文件: http://ir.cmu.edu.tw/ir/handle/310903500/23900


    題名: 慢性阻塞性肺疾病患者生活品質及其相關因素之探討;Study the Quality of Life and Related Factors in Patients with Chronic Obstructive Pulmonary Disease(COPD)
    作者: 張郁瑩;Yu-Yin Chang
    貢獻者: 中國醫藥學院環境醫學研究所
    關鍵詞: 生活品質;慢性阻塞性肺疾病;焦點團體;台灣簡明版世界衛生組織生活品質問卷;QOL;COPD;focus group;WOLQOL-BREF
    日期: 1999
    上傳時間: 2009-11-30
    摘要: 摘要 本研究藉由文獻探討、與醫療專業人員或病人的訪談、實地觀察及焦點團體的進行等方式，獲得與慢性阻塞性肺疾病（Chronic Obstructive Pulmonary Disease ,COPD）患者相關的生活品質資訊，發展專屬COPD問題，並配合台灣簡明版世界衛生組織生活品質（WHOQOL-BREF）的一般問卷，設計一份專屬於COPD患者的問卷，以此專屬問卷估計COPD患者的生活品質。研究期間為民國88年10月至89年5月，由中國醫藥學院附設醫院1位中醫內科及3位西醫胸腔內科醫師門診患者為訪問對象。本研究分三階段進行：第一階段調閱88年12月門診資料，瞭解COPD患者的年齡分佈（共375人），並由其中抽樣且以電訪方式詢問患者疾病起始點（共57人），另外以WHOQOL-BREF台灣簡明版問卷至門診處對患者進行預測（共15人），初步瞭解患者生活品質情形及疾病的起始點；第二階段分別對病人及專業人員組成焦點團體，由焦點團體的進行、文獻的探討及第一階段對患者的瞭解，設計專屬於COPD患者相關的生活品質問題共10題；第三階段將設計的題目加於WHOQOL-BREF台灣簡明版問卷之後實際對患者測訪，共訪問62位男性COPD患者。依據WHOQOL-BREF台灣簡明版的四大範疇進行分析，在信度方面，加入新題目後四個範疇的Cronbach''s Alpha值依次為生理健康為0.74、心理為0.77、社會關係為0.78、環境為0.64，問卷整體的內部一致性為0.91；再測信度方面，對21位患者在2-4星期內進行第二次測訪，其相關係數範圍在0.50~0.98之間。效度方面，問卷的內容效度、效標關連效度、區辨效度及建構效度都有不錯的結果，其中建構效度中探索性因素分析法所分析出來的因素與WHOQOL-BREF的四大範疇架構呼應，可解釋54%的總變異量；路徑分析、複迴歸分析與綜合自我評估分析結果顯示生理範疇對於病患的生活品質佔最重要的地位，但在路徑分析及複迴歸分析中也可明顯看出COPD病患其心理範疇對於生活品質有最顯著的相關，因此醫護人員除使用臨床治療改善病患的生理狀況外，病患的心理層面的關懷與建設，對於改善病患的生活品質是非常重要的。 關鍵字：慢性阻塞性肺疾病、台灣簡明版世界衛生組織生活品質問卷、 生活品質、焦點團體; ABSTRACT The purpose of this investigation is to design a characteristic questionnaire for COPD patient that is based on paper research, clinician diagnosis, visiting patients, focus group and modified Taiwan simple version of WHOQOL-BREF to assess critical information about quality of life in patients with COPD. This study is performed by visiting COPD patients with designed questionnaire, and then to estimate their quality of life. This investigation is performed from October, 1999 to May, 2000 including three stages and all samples are derived from four doctors in China Medical College Hospital. At first stage, to define the quality of life and the presumable suffering time of COPD patients by visiting fifteen samples with Taiwan simple version of WHOQOL-BREF as the preliminary study. At second stage, the writer designs ten new disease-specific questions of COPD that are derived from paper research, implications in focus group of COPD patients and clinicians and some experiences from preliminary study. Finally, the new modified questionnaire including Taiwan simple version of WHOQOL-BREF plus 10 new questions are used in this study and total visiting samples are sixty-two male patients with COPD. According to the four domains of Cronbach''s Alpha (including physical, psychical, social and environmental), the analysis of reliability that derived from disease-specific questionnaire of COPD are 0.74, 0.77, 0.78, 0.64 respectively, and the total internal consistence is 0.91. In the aspect of test-retest, the investigator does the second test to the 21 patients within two to four weeks and the range of correlation is from 0.50 to 0.98. In the part of validity, the result of content validity, criterion validity, discrimination validity and construct validity is quite well. The factor of the exploratory factor analysis of the construct validity not only responds to the four domains of WHOQOL-BREF but also could be explained in 54% of total variation. By the analysis of the path analysis, the multi-regression analysis and the self-estimation, the result reveals the truth that the physical domain plays the most important role of all. Obviously, it also can be found that the psychological domain of the patients of COPD concerns about the quality of their life. Therefore, the clinician in addition to improve their physical problems, they must concern and construct the patients'' psychological problems. To improve the quality of the patients'' life is the utmost work. Key words: COPD, WHOQOL-BREF, QOL, focus group
    顯示於類別:[環境醫學研究所(已停用)] 博碩士論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    中文摘要.PDF中文摘要10KbAdobe PDF679檢視/開啟
    內容.PDF內容174KbAdobe PDF1861檢視/開啟
    圖.PDF圖34KbAdobe PDF601檢視/開啟
    英文摘要.PDF英文摘要9KbAdobe PDF423檢視/開啟
    表.PDF表131KbAdobe PDF631檢視/開啟
    附錄.PDF附錄50KbAdobe PDF5053檢視/開啟


    在CMUR中所有的資料項目都受到原著作權保護.

    TAIR相關文章

     

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋