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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 張睿詒 | |
dc.contributor.author | Chun-I Lee | en |
dc.contributor.author | 李俊億 | zh_TW |
dc.date.accessioned | 2021-06-07T23:55:16Z | - |
dc.date.copyright | 2013-09-24 | |
dc.date.issued | 2013 | |
dc.date.submitted | 2013-08-22 | |
dc.identifier.citation | 中文部分
于勝宗、張新儀、姚開屏、林宇旋、洪百薰 (2009)。EQ-5D之效度分析;2009年國民健康訪問暨藥物濫用調查結果。臺北:行政院衛生署國民健康局。 王麗玲、楊麗芬 (2004)。末期腎病患者選擇透析模式的影響因素。腎臟與透析,16(4),241-246。 台灣版世界衛生組織生活品質問卷發展小組 (2000)。台灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌,19(4),315-324。 台灣腎臟醫學會 (2010)。慢性腎臟病防治手冊。台北:行政院衛生署國民健康局。 江惠英、鐘信心 (1997)。血液透析病人疲倦感與社會支持、憂鬱傾向及血液生化檢查值相關性探討。護理研究,5(2),115-126。 吳宛蕙、楊長興 (2007)。全民健保對健康差距之影響-以平均餘命為測量。臺灣公共衛生雜誌,26(3),196-207。 呂俊甫、洪蘭、梁若瑜 (2001)。華人性格研究。臺北:逺流出版事业股份公司。 林榮第、姚開屏、游芝亭、王榮德 (1997)。健康相關生活品質之效用測量方法信度與效度的評估:以血液透析之末期腎病患者為例。中華衛誌,16(5),404-416。 初麗娟,高尚仁 (2005)。壓力知覺對負面心理健康影響:靜坐經驗、情緒智能調節效果之探討。中華心理學刊,47(2),157-179。 姚開屏 (2000)。簡介與評論常用的一般性健康相關生活質量表兼談對未來研究的建議。測驗年刊,47(2),111-138。 姚開屏 (2002a)。台灣版世界衛生組織生活品質問卷之發展與應用。台灣醫學,6(2),193-200。 姚開屏 (2002b)。健康相關生活品質概念與測量原理之簡介。台灣醫學,6(2),183-192。 施金水 (2010)。休閒活動參與對血液透析病患憂鬱程度影響之研究。國立勤益科技大學研發科技與資訊管理研究所碩士論文。 洪維河、江東亮、張睿詒 (2005)。市場結構與組織特性對醫院營運效率之影響。管理學報,22(2),191-203。 胡文郁、戴玉慈、陳慶餘,陳月枝 (2003)。生活品質之概念分析。安寧療護雜誌,8(1),45-60。 馬麗卿、孫嘉玲、謝湘俐 (2010)。血液透析病患之憂鬱狀態及生活品質滿意度相關性研究。臺灣腎臟護理學會雜誌,9(1),1-16。 許婷秀、林文娟 (2006)。照顧一位糖尿病腎病變病患初次血液透析之護理經驗。台灣腎臟護理學會雜誌,5(2),26-38。 郭昭玲、方莉 (2013)。照顧一位末期腎病變初次血液透析病人之護理經驗。臺灣腎臟護理學會雜誌,12(1),72-86。 張友珊、楊志良 (1999)。全民健保對各科醫師消長影響之初探。中華公共衛生雜誌,18(2),123-137。 張彧、王顏和、游正芬、鍾智文、王榮德 (2000)。以焦點團體方式探討影響脊髓損傷患者生活品質之因素。中華民國復健醫學會雜誌,28(2),87-95。 張碧玉、毛莉雯、黃尚志、黃素貞、簡麗珠、黃麗利、蔡秋月 (2000)。透析患者之生活品質測量:比較血液透析及腹膜透析病患。臺灣腎臟醫學會雜誌,14(4),307-307。 梁嘉慧、楊勤熒、盧國城、朱柏齡、陳瓊華、謝湘俐、周桂如 (2008)。慢性腎臟疾病患者選擇腹膜透析模式影響之因素。臺灣腎臟護理學會雜誌,7(2),1-9。 陳美玲、顧乃平 (1998)。血液透析病患生活品質及其相關因素探討。護理研究,6(5),393-403。 彭邁克 (1993)。難以捉摸的中國人。香港:牛津。 黃惠紅、王曼蒂、邱政元 (2008)。腹膜透析患者生活品質及其相關因素之探討。榮總護理,25(4),306-314。 黃淑貞、詹惠雅 (2006)。以歐倫自我照顧理論護理一位血液透析患者之護理經驗。台灣腎臟護理學會雜誌,5(1),54-65。 鈕淑芬 (2004)。透析病患之生活品質及其相關因素探討。臺灣腎臟護理學會雜誌,3(2),88-101。 黃昱瞳、楊長興、薛亞聖 (2002)。全民健保實施對醫療資源分布的影響評估。臺灣公共衛生雜誌,21(6),403-410。 黃禎貞 (2007)。台灣與美國青少年心理健康泛文化比較研究。國立臺灣師範大學衛生教育學系博士論文。 楊國樞 (1989)。心理學。台北:台灣商務印書館。 楊碧枝 (2011)。長期血液透析婦女疲憊感及其相關因素之探討。國立臺北護理健康大學護理研究所碩士論文。 楊樹昌、王榮德、吳麥斯、郭佩雯、蘇喜 (2007)。長期血液透析病患的生活品質。台灣醫學,11(2),140-152。 董鈺琪、鍾國彪、張睿詒 (2000)。綜合教學醫院推行品質管理與營運績效之關係研究。中華公共衛生雜誌,19(3),221-230。 廖秋萍、蔣偉姣、陳淑娟 (2006)。腹膜透析病患生活品質及其相關因素探討。臺灣腎臟護理學會雜誌,5(1),22-39。 劉淑樺、周偉倪、黃志強 (2000)。血液透析病患洗腎中之運動訓練。護理雜誌,47(4),71-75。 盧瑞芬、曾旭民、蔡益堅 (2003)。國人生活品質評量(I):SF-36台灣版的發展及心理計劃特質分析。台灣公共衛生雜誌,22(6),501-511。 蕭文 (1999)。災變事件的前置因素對心理復健的影響-復原力的探討與建構。測驗與輔導,(156),3249-3253。 英文部分 Abbey, A., & Andrews, F. M. (1985). Modeling the Psychological determinants of Life Quality. Social Indicators Research, 16(1), 1-34. Alfano, M. S., Joiner Jr, T. E., & Perry, M. (1994). Attributional Style: A Mediator of the Shyness–Depression Relationship?. Journal of Research in Personality, 28(3), 287-300. Anees, M., Hameed, F., Mumtaz, A., Ibrahim, M., & Khan, M. N. S. (2011). Dialysis-Related Factors Affecting Quality of Life in Patients on Hemodialysis. Iranian Journal of Kidney Diseases, 5(1), 9-14. Apostolou, T., & Gokal, R. (2000). Quality of life after peritoneal dialysis. In R. Gokal, R. Khanna, R.T. Krediet, & K.D. Nolph (Eds.), Textbook of Peritoneal Dialysis (2nd ed., pp.709-735). Greet Britain: Kluwer Academic Bennett, K. K., Compas, B. E., Beckjord, E., & Glinder, J. G. (2005). Self-blame and distress among women with newly diagnosed breast cancer. Journal of Behavioral Medicine, 28(4), 313-323. Borgquist, L., Hansson, L., Nettelbladt, P., Nordström, G., & Lindelöw, G. (1993). Perceived health and high consumers of care: a study of mental health problems in a Swedish primary health care district. Psychological Medicine-London. 23, 763-763. Calman, K. C. (1987). “Definition and dimensions of quality of life”. In: Aaronson NK, Beckman J, eds. The quality of life of cancer patients. New York: Raven Press, pp. 1-9. Cheek, J. M., & Busch, C. M. (1981). The influence of shyness on loneliness in a new situation. Personality and Social Psychology Bulletin, 7(4), 572-577. Coyte, P. C., Young, L. G., Tipper, B. L., Mitchell, V. M., Stoffman, P. R., Willumsen, J., & Geary, D. F. (1996). An economic evaluation of hospital-based hemodialysis and home-based peritoneal dialysis for pediatric patients. American Journal of Kidney Diseases, 27(4), 557-565. Chiang, C. K., Peng, Y. S., Chiang, S. S., Yang, C. S., He, Y. H., Hung, K.Y., Wu, K. D., et al. (2004). Health-Related Quality of Life of Hemodialysis Patients in Taiwan: A Multicenter Study. Blood Purification, 22, 490-498. Daugirdas, J. T., Blake, P. G. & Ing, T. S. (2007). Handbook of dialysis, 4th ed. Philadelphia: Lippincott Williams & Wilkins. Dill, J. C., & Anderson, C. A. (1999). Loneliness, shyness, and depression: The etiology and interrelationships of everyday problems in living. The interactional nature of depression: Advances in interpersonal approaches, 93-125. Dolan P (1997). Modeling valuations for EuroQol health states. Medical Care. 35(6), 1095-1108. Dubos, R. (1976). The state of health and quality of life. Western Journal of Medicine, 125(1), 8-9. EuroQol Group. (1990). EuroQol- A new facility for the measurement of health-related quality of life. Health Policy, 16(3), 199-208. Ferrans, C. E., & Powers, M. J. (1992). Psychometric Assessment Of the Quality –of-Life Index. Research in Nursing & Health, 15(1), 29-38. Friedman, L. C., Romero, C., Elledge, R., Chang, J., Kalidas, M., Dulay, M. F. & Osborne, C. K. (2007). Attribution of blame, self-forgiving attitude and psychological adjustment in women with breast cancer. Journal of behavioral medicine, 30(4), 351-357. Fayers, P. M., Machin, D. (2000). Quality of life: Assessment, Analysis, and Interpretation. John Wiley & Sons Ltd. Hall, J. E. (2010). Guyton and Hall Textbook of Medical Physiology. 12th ed. New York: Elsevier. Hornquist J. O. (1982). The concept of quality of life. Scandinavian Journal of Social Medicine. 10(2). 57-61. Howard, K., Salkeld, G., White, S., McDonald, S., Chadban, S., Craig, J. C., & Cass, A. (2009). The cost-effectiveness of increasing kidney transplantation and home-based dialysis. Nephrology, 14(1), 123-132. Hsieh, R. L., Lee, W. C., Huang, H. Y., & Chang, C. H. (2007). Quality of life and its correlates in ambulatory hemodialysis patients. Journal of Nephrology, 20(6), 731-738. Hurst, N. P. D., Ruta, A., & Kind, P. (1998). Comparison of the mos short form-12 (SF-12) Health Status Questionnaire with the SF36 in Patients with rheumatoid arthritis. British Journal of Rheumatology, 37, 862-869. Jaeschke, R., & Guyatt, G. H. (1990). “How to develop and validate a new quality of life instrument”. Quality of Life Assessments in Clinical Trials. New York, Raven, pp. 47-57. Johansen, K. L., Kutner, N. G., Young, B., & Chertow, G. M. (2006). Association of body size with health status in patients beginning dialysis. American Journal of Clinical Nutrition, 83(3), 543-549. Jung, B., Blake, P. G., Mehta, R. L., & Mendelssohn, D. C. (1999). Attitudes of Canadian nephrologists toward dialysis modality selection. Peritoneal Dialysis International, 19(3), 263-268. Just, P. M., de Charro, F. T., Tschosik, E. A., Noe, L. L., Bhattacharyya, S. K., & Riella, M. C. (2008). Reimbursement and economic factors influencing dialysis modality choice around the world. Nephrology Dialysis Transplantation, 23(7), 2365-2373. Kalantar-Zadeh K, Kopple JD, Block G & Humphreys MH. (2001). A malnutrition-inflammation score is correlated with morbidity and mortality in maintenance hemodialysis patients. American journal of kidney diseases, 38(6), 1251-1263. Kessler, T. A. (2002). Contextual variables, emotional state, and current and expected quality of life in breast cancer survivors. Oncology Nursing Society, 29(7), 1109-1116. Kontodimopoulos, N., & Niakas, D. (2008). An estimate of lifelong costs and QALYs in renal replacement therapy based on patients' life expectancy. Health Policy, 86(1), 85-96. Kuyken, W., Orley, J., Power, M., Herrman, H., Schofield, H., & Murphy, B. (1995). The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc sci med, 41(10), 1403-1409. Lai, J. C., Cheung, H., Lee, W. M., & Yu, H. (1998). The utility of the revised Life Orientation Test to measure optimism among Hong Kong Chinese. International Journal of Psychology, 33(1), 45-56. Lentzner, H. R., Pamuk, E. R., Rhodenhiser, E. P., Rothenberg, R., & Powell-Griner, E. (1992). The quality of life in the year before death. American Journal of Public Health, 82(8), 1093-1098. Little, Irwin, Marshall, Rayner & Smith (2001). Predicting a patient's choice of dialysis modality: Experience in a United Kingdom renal department. American Journal of Kidney Diseases, 37(5), 981-986. Luecken, L. J., & Compas, B. E. (2002). Stress, coping, and immune function in breast cancer. Annals of Behavioral Medicine, 24(4), 336-344. Mau, L. W., Chiu, H. C., Chang, P. Y., Hwang, S. C., & Hwang, S. J. (2008). Health-Related Quality of Life in Taiwanese Dialysis Patents: Effects of Dialysis Modality. Kaohsiung Journal of Medical Sciences, 24(9), 453-460. Manns, B., Johnson, J. A., Taub, K., Mortis, G., Ghali, W. A., & Donaldson, C. (2003). Quality of life in patients treated with hemodialysis or peritoneal dialysis: what are the important determinants? Clinical Nephrology, 60(5), 341-351. Noshad, H., Sadreddini, S., Nezami, N., Salekzamani, Y. & Ardalan, M. R. (2009). Comparison of outcome and quality of life: haemodialysis versus peritoneal dialysis patients. Singapore medical journal, 50(2), 185. Patrick, D. L., & Erickson, P. (1988). What constitutes quality of life? Concepts and dimensions. Clinic Nursing, 7(2), 53-63. Patrick, D. L., & Erickson, P. (1993). Health status and Health Decisions. In: Patrick DL, Erickson P, eds. Health status and health policy: quality of life in health care evaluation and resource allocation. Oxford England: Oxford University Press, 25. Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of health and social behavior, 337-356. Peng, Y. S., Chiang, C. K., Hung, K. Y., Chang, C. H., Lin, C. Y., Yang, C. S. & Chen, W. Y. (2011). Comparison of self-reported health-related quality of life between Taiwan hemodialysis and peritoneal dialysis patients: a multi-center collaborative study. Quality of Life Research, 20(3), 399-405. Romero, C., Friedman, L. C., Kalidas, M., Elledge, R., Chang, J. & Liscum, K. R. (2006). Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. Journal of Behavioral Medicine, 29(1), 29-36. Rammohan, M., Kalantar-Zadeh, K., Liang, A., & Ghossein, C. (2005). Megestrol acetate in a moderate dose for the treatment of malnutritioninflammation complex in maintenance dialysis patients. Jourmal of Renal Nutrition, 15, 345-355. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. Ross, C. A., & Keamey, K. (2000). Dialysis disequilibrium syndrome. American Journal of Nursing, 100(2), 53-54. Salzberg, D. J. (2009). Principles and practice of dialysis: Quality of Life and Rehabilitation in Dialysis Patients. 4th ed. Philadelphia, PA : Lippincott Williams & Wilkins. Sayin, A., Mutluay, R., & Sindel, S. (2007). Quality of life in hemodialysis, peritoneal dialysis, and transplantation patients. Transplantation Proceedings, 39(10), 3047-3053. Skevington, S. M. (1999). Measuring quality of life in Britain: introducing the WHOQOL-100. Journal of Psychosomatic Research, 47(5), 449-459. Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A. & Higgins, R. L. (1996). Development and validation of the State Hope Scale. Journal of personality and social psychology, 70(2), 321. Soni, R. K., Weisbord, S. D., & Unruh, M. L. (2010). Health-related quality of life outcomes in chronic kidney disease. Current Opinion in Nephrology and Hypertension, 19(2), 153-159. Szende, A., Oppe, M., & Devlin, N. (2007). EQ-5D value sets: Inventory, comparative review and user guide. UK: EuroQol Group. Torrance G. W. (1987). Utility approach to measuring health-related quality of life. Journal of Chronic Diseases, 40(6), 593-600. Tsuchiya A, Ikeda S, Ikegami N, Nishimura S, Sakai I, Fukuda T, Hamashima C, Hisashige A, and Tamura M(2002). Estimating an EQ-5D population value set: the case of Japan. Health Economics,11(3). 341-353. Valderrabano, F., Jofre, R., & Lopez-Gomez, J. M. (2001). Quality of life in end-stage renal disease patients. American Journal of Kidney Diseases, 38(3). 443-464. Wang, J. D., Yu, C. F., Chung, C. W., & Yao, G. (2000). Evaluation of effectiveness of health service in the 21st century: Quality of life and quality adjusted survival analysis. Formosan Journal of Medicine, 4(1), 65-74. Wallace, M. (1998). Renal transplantation. Association of Perioperative Registered Nurse, 68(6), 962-1002. Wasserfallen, J. B., Halabi, G., Saudan, P., Perneger, T., Feldman, H. I., Martin, P. Y., & Wauters, J. P. (2004). Quality of life on chronic dialysis: comparison between haemodialysis and peritoneal dialysis. Nephrology Dialysis Transplantation, 19(6), 1594-1599. Wenger, N. K., Mattson, M. E., Furberg, C. D., & Elinson, J. (1984). Assessment of quality of life in clinical trials of cardiovascular therapies. The American journal of cardiology, 54(7), 908-913. Winkelmayer, W. C., Weinstein, M. C., Mittleman, M. A., Glynn, R. J., & Pliskin, J. S. (2002). Health economic evaluations: The special case of end-stage renal disease treatment. Medical Decision Making, 22(5). 417-430. Yeo, W., Mo, F. K. F., Koh, J., Chan, A. T. C., Leung, T., Hui, P., & Zee, B. (2006). Quality of life is predictive of survival in patients with unresectable hepatocellular carcinoma. Annals of oncology, 17(7), 1083-1089. Zhang, J. S., Huang, C. Y., Li, Y. L., Chen J., Shen, F. Y., Yao, Q., Qian, J. Q., et al., (2013). Health-related quality of life in dialysis patients with constipation: a cross-sectional study. Patient Preference and Adherence, 7, 589-594. Zhan, L. (1992). Quality of life: conceptual and measurement issues. Journal of Advanced Nursing, 17(7), 795-800. Zhang, A. H., Cheng, L. T., Zhu, N., Sun, L. H., & Wang, T. (2007). Comparison of quality of life and causes of hospitalization between hemodialysis and peritoneal dialysis patients in China. Health and Quality of Life Outcomes, 5(1), 49. Zimet, G. D., Dahlem, N. W., Zimet, S. G. & Farley, G. K.(1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30-41. Zineldin.(2006). The quality of health care and patient satisfaction An exploratory investigation of the 5Qs model at some Egyptian and Jordanian medical clinics. International Journal of Health Care Quality Assurance, 9(1), 60-92. 網站資料 中央健康保險局網站 http://www.nhi.gov.tw/search/search.aspx 台灣腎臟醫學會網站 http://www.tsn.org.tw/UI/H/H002.aspx 安禾醫療機構網站 http://www.safekidney.com.tw/ 美國腎臟基金會網站 http://www.kidney.org/index.cfm 美國腎臟資料登錄系統網站 http://www.usrds.org/atlas.aspx 衛生署網站 http://www.doh.gov.tw/cht2006/index_populace.aspx | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/17067 | - |
dc.description.abstract | 研究背景:生活品質的調查其結果可評估族群中各種疾病之痛苦程度及健康相關生活品質;目前國內外已發展數種不同生活品質發展問卷,一般研究大多以單一量表測量生活品質,鮮少以多種量表測量來探討。
研究目的:調查血液透析病人健康相關生活品質,以瞭解其生活品質之現況,同時探討血液透析病人之基本屬性、疾病特性與血液生化值在不同健康相關生活品質量表之差異,進一步比較不同量表間的差異。 研究方法:本研究採橫斷性研究,利用EQ-5D、SF-12、KDCS、WHOQOL-BREF (TW) 四種量表進行資料收集,以中部及北部共四家區域醫院的血液透析為研究對象。統計方法採單因子變異數分析、多變量線性迴歸及廣義估計方程式評估血液透析病人之基本屬性、疾病特性與血液生化值對健康相關生活品質之差異,進一步探討四種量表的差異。 研究結果:共 398位血液透析病人參與此研究,平均年齡為61.16±13.77歲,男性有184人 (46.2%),大部份為已婚(70.4%)。結果顯示教育程度、透析時間在1-3年者、有社交活動、生活功能越佳及血清白蛋白正常者在四種健康相關生活品質量表皆呈現正相關。從四種健康相關生活品質量表得知:(1)EQ-5D在性別為女性、年齡50歲以上、未婚、離婚及喪偶、有後遺症、血清白蛋白異常以及疾病嚴重度差者有顯著負相關;學歷為國中以上、持續透析時間為1-3年、有社交活動、KPS皆有顯著正相關。(2)SF-12在生理健康構面,女性、年齡50歲以上、未婚、離婚及喪偶、有後遺症、血清白蛋白異常以及疾病嚴重度差者有顯著負相關;學歷為國中以上、持續透析時間為1-3年、有社交活動、日常體能狀態皆有顯著正相關;在心理健康構面,年齡50歲以上、未婚、離婚及喪偶、血清白蛋白異常以及疾病嚴重度差者有顯著負相關;學歷為國中以上、持續透析時間為1-3年、有社交活動者有顯著正相關。(3)KDCS在生理健康構面,性別為女性、年齡50歲以上、未婚、離婚及喪偶、血清白蛋白異常以及疾病嚴重度差者有顯著負相關;在心理健康構面,學歷為國中以上、持續透析時間為1-3年有顯著正相關。(4) WHOQOL-BREF (TW) 在生理健康構面,年齡50歲以上、未婚、離婚及喪偶、有後遺症、血清白蛋白異常以及疾病嚴重度差者有顯著負相關;學歷為國中以上、持續透析時間為1-3年有顯著正相關;在心理健康構面,未婚、離婚及喪偶、有後遺症、血清白蛋白異常以及疾病嚴重度差者有顯著負相關;學歷為國中以上、持續透析時間1-3年、有社交活動者有顯著正相關;在社會關係構面,女性、學歷為國中以上、持續透析時間1-3年、有社交活動、日常體能狀態正常有顯著正相關;在環境構面,未婚、離婚及喪偶有顯著負相關;學歷為國中以上者有顯著正相關。從廣義估計方程式得知:社交活動在EQ-5D、SF-12、WHOQOL-BREF (TW) 的生理、心理及社會關係構面均有顯著正相關;日常體能狀態在EQ-5D、SF-12的生理構面、WHOQOL-BREF (TW) 的生理及社會關係構面均有顯著正相關。 結論:女性、年齡越高、教育程度為國小者、離婚、喪偶以及未婚、透析時間為1年以下者、有後遺症及併發症者、鮮少參與社交活動、日常體能狀態較差、疾病嚴重度量表分數越差以及血清白蛋白異常者,健康相關生活品質較差。EQ-5D、SF-12和WHOQOL-BREF (TW) 在生理健康範疇具有一致性;SF-12和WHOQOL-BREF (TW) 在心理健康層面具有一致性。 | zh_TW |
dc.description.abstract | Background: Result from life quality survey can assess degree of painfulness in various diseases and health-related life quality among population; a number of different life quality questionnaires are developed both in Taiwan and aboard. In general, single scale is used to measure life quality assessment and multi scales are rarely used in this situation.
Objective: This research is to investigate hemodialysis patients' health-related life quality, in order to understand the current situation in their life and explore the fundamental properties of hemodialysis patients, disease characteristics and blood biochemical values in differences of various health-related life quality scales, to further compare differences between scales. Method: Cross-Sectional Study is used in this research, using four types of scales EQ-5D, SF-12, KDCS, WHOQOL-BREF (TW) to collect dates on hemodialysis patients from four regional hospitals in central and northern Taiwan. Statistical methods utilize ANOVA analysis, Simple Linear Regression and Generalized Estimating Equations to evaluate the basic properties of hemodialysis patients, disease characteristics and biochemical data on health-related life quality differences, to further study difference in four scales. Results: A total of 398 hemodialysis patients participated in this study, the average age was 61.16 ± 13.77 years. There were 184 males (46.2%) and most were married (70.4%). The results showed that patients with higher educational level, duration of 1-3 years dialysis, more active social activities, better living capabilities , and normal serum albumin had a positive correlation in four types of health-related life quality scales. Four health-related quality of life scales show: (1) EQ-5D in female sex, age over 50 years old, unmarried, divorced and widowed, with sequelae, abnormal serum albumin, and with severe diseases had a significant negative correlation; education above junior high school, 1-3 years duration of dialysis, with social activities, KPS all had a significant positive correlation; (2) SF-12 in physiological health dimension, women, ages over 50 years old, unmarried, divorced and widowed, with sequelae, abnormal serum albumin, and with severe diseases had a significant negative correlation; education above junior high school, 1-3 years duration of dialysis, with social activities and daily physical condition had a significant positive correlation; in dimensions of mental health, aged over 50 years, unmarried, divorced and widowed, abnormal serum albumin, and with severe diseases had significant negative correlation; education about junior high school, 1-3 years duration of dialysis, and with social activists had a significant positive correlation; (3) KDCS in physical health dimension, female gender, age over 50 years old, unmarried, divorced and widowed, abnormal serum albumin and with severe diseases had a significant negative correlation; in dimensions of mental health, education about junior high school and 1-3 years duration of dialysis had a significant positive correlation; (4) WHOQOL-BREF (TW) in physiological health dimension, age over 50 years, unmarried, divorced and widowed, with sequelae, abnormal serum albumin, and with severe diseases had a significant negative correlation; education about junior high school and 1-3 years duration of dialysis had a significant positive correlation; in dimensions of mental health, unmarried, divorced and widowed, with sequelae, abnormal serum albumin, and with severe diseases had a significant negative correlation; education about junior high school, 1-3 years duration of dialysis and with social activists had a significant positive correlation.; in dimensions of social relations, women, education above junior high school, 1-3 years duration of dialysis, with social activities and normal daily physical condition had a significant positive correlation; in environmental dimensions, unmarried, divorced and widowed had a significant negative correlation ; education about junior high school had a significant positive correlation. Results from generalized estimating equation: social activities in physiological, mental, and social relation dimensions of EQ-5D、SF-12、and WHOQOL-BREF (TW) all had significant positive correlations; daily physical conditions in physiological dimension of EQ-5D、SF-12 and in physiological and social relation dimensions of WHOQOL-BREF (TW) all had significant positive correlations. Conclusion: Women, higher age, education level of elementary school, divorced, widowed and unmarried, dialysis for 1 year or less, with sequelae and complications, low participation in social activities, poor daily physical condition, low scores in disease severity, and abnormal serum albumin, health-related quality of life is poor. EQ-5D, SF-12 and WHOQOL-BREF (TW) in physiological health dimension are consistent; SF-12 and WHOQOL-BREF (TW) in mental health dimension are consistent. | en |
dc.description.provenance | Made available in DSpace on 2021-06-07T23:55:16Z (GMT). No. of bitstreams: 1 ntu-102-P98843004-1.pdf: 1082081 bytes, checksum: 74477a7cfb139338d534a27139c42262 (MD5) Previous issue date: 2013 | en |
dc.description.tableofcontents | 口試委員會審定書……………………………………………………I
致謝………………………………………………………………………. II 摘要…………………………………………………………………IV Abstract………………………………………………...………………V 表目錄………………………………………………………………….. X 圖目錄…………………………………………………………………XII 第一章 緒論………………...……………….……………....…………..1 第一節 研究背景與動機......................................................................1 第二節 研究目的..................................................................................4 第二章 文獻探討......................................................................................5 第一節 腎臟疾病定義與透析治療.........................................................5 第二節 生活品質............................................................11 第三節 生活品質之評量工具........................................................14 第四節 血液透析病人生活品質………………………............22 第三章 研究方法....................................................................................34 第一節 研究設計................................................................................34 第二節 研究對象................................................................................38 第三節 研究工具................................................................................39 第四節 統計分析................................................................................41 第四章 研究結果....................................................................................42 第一節 基本資料描述性統計....................................................42 第二節 生活品質量表................................................50 第三節 影響生活品質的因素................................................57 第五章 討論............................................................................................71 第一節 研究結果討論........................................................................71 第二節 研究建議..................................................................................78 參考文獻..................................................................................................81 中文部份..............................................................................................81 英文部分..............................................................................................84 附錄..........................................................................................................92 附錄一 人體試驗同意書..................................................................92 附錄二 透析病人生活品質問卷..........................................................96 | |
dc.language.iso | zh-TW | |
dc.title | 長期血液透析病人在不同問卷工具下健康相關生活品質差異之探討 | zh_TW |
dc.title | The Impact of Different Questionnaires on Measuring Health-Related Quality of Life for Maintenance Hemodialysis Patients | en |
dc.type | Thesis | |
dc.date.schoolyear | 101-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王炳龍,林文德 | |
dc.subject.keyword | 血液透析,健康相關生活品質,健康相關生活品質量表,EQ-5D,SF-12,KDCS,WHOQOL-BREF (TW), | zh_TW |
dc.subject.keyword | Hemodialysis,Health-Related Quality of Life,EQ-5D,SF-12,KDCS,WHOQOL-BREF (TW), | en |
dc.relation.page | 114 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2013-08-22 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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