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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 蘇喜(Syi Su) | |
dc.contributor.author | Teh-Sheng Hsieh | en |
dc.contributor.author | 謝德生 | zh_TW |
dc.date.accessioned | 2021-06-08T04:51:31Z | - |
dc.date.copyright | 2009-09-16 | |
dc.date.issued | 2009 | |
dc.date.submitted | 2009-07-27 | |
dc.identifier.citation | 1. 行政院衛生署國民健康局:http://www.bhp.doh.gov.tw/BHPnet/Portal/
2. 行政院衛生署統計公布網,保險統計年報:http://www.doh.gov.tw/CHT2006/index_populace.aspx 3. 林榮第、姚開屏、游芝亭、王榮德:健康相關生活品質之效用測量方法信度的評估:以血液透析之末期腎臟病人為例。中華衛誌 1997;16(5):404-416。 4. 姚開屏:健康相關生活品質概念與測量原理簡介。台灣醫學會 2002;6(2):183-192 5. 姚開屏:世界衛生組織生活品質問卷之發展與應用。台灣醫學2002;6(3):193-200。 6. 姚開屏:台灣簡明版世界衛生組織生活品質問卷之發展及使用手冊。台北世界衛生組織生活品質問卷之發展及使用手冊。 7. 陳麗如、邱啟潤、高金盆:居家照護病患主要人格韌性、健康狀況與生活品質相關性探討。長期照護雜誌2006;10(1):053-067 8. American Urological Association website: http://www.auanet.org/content/homepage/homepage.cfm 9. Bullinger, M., Schmidet, S., & Petersen, C. “Assessing quality of life of children with chronic health condition and disabilities:A European approach.” International Journal of Rehabilitation Research,2002, 25, 197-206. 10. Clemente Ramos LM. “High power 980 nm diode laser: preliminary results in the treatment of benign prostatic hyperplasia” Arch Esp Urol. 2009 Mar;62(2):125-30. 11. Descazeaud A, Robert G, Azzousi AR, Ballereau C, Lukacs B, Haillot O, Dumonceau O, Devonec M, Fourmarier M, Saussine C, de la Taille A; “Laser treatment of benign prostatic hyperplasia in patients on oral anticoagulant therapy: a review.” BJU international, 2009 May;103(9):1162-5. 12. Drummond MF. Mcguire, “A Economic evaluation in Health care. Merging theory with practice.” Oxford, New York.,2001. 13. Miano R, De Nunzio C, Asimakopoulos AD, Germani S, Tubaro A. ” Treatment options for benign prostatic hyperplasia in older men.” Medical science monitor : international medical journal of experimental and clinical research, 2008 Jul;14(7):RA94-102. 14. Malek, M..” An econometric analysis of screening and treatment of patients with suspected Chlamydia.” Health care management science. 2002 Feb;5(1):33-9 15. Nissen, MJ. Swenson, KK. Ritz, LJ. Farrell, JB. Sladek, ML. Lally, RM. “Quality of Life After Breast Cacinoma Surgery.” American Cancer Society, 2001,91(7) , 1238-46. 16. Paulo Rodrigues; Alex Meller; João C. Campagnari; Daniel Alcântara; Márcio D'Império “International prostate symptom score – IPSS - AUA as discriminat scale in 400 male patients with lower urinary tract symptoms (LUTS)” International braz j urol ,2004,30(2),135-141. 17. Ruszat R, Seitz M, Wyler SF, Müller G, Rieken M, Bonkat G, Gasser TC, Reich O, Bachmann A. “Prospective single-centre comparison of 120-W diode-pumped solid-state high-intensity system laser vaporization of the prostate and 200-W high-intensive diode-laser ablation of the prostate for treating benign prostatic hyperplasia.” BJU international, 2009 Feb 23. 18. Te AE, Malloy TR, Stein BS, Ulchaker JC, Nseyo UO, Hai MA, Malek RS. “Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia: 12-month results from the first United States multicenter prospective trial.” The Journal of Urology, 2004 Oct;172(4 Pt 1):1404-8. 19. Wendt-Nordahl G, Huckele S, Honeck P, Alken P, Knoll T, Michel MS, Häcker A. “980-nm Diode laser: a novel laser technology for vaporization of the prostate.” European urology, 2007 Dec;52(6):1723-8 20. van Melick HH, van Venrooij GE, Eckhardt MD, Boon TA.“A randomized controlled trial comparing transurethral resection of the prostate, contact laser prostatectomy and electrovaporization in men with benign prostatic hyperplasia: analysis of subjective changes, morbidity and mortality.” The Journal of Urology, 2003 Apr;169(4):1411-6. 21. van Melick HH, van Venrooij GE, Boon TA. “Laser prostatectomy in patients on anticoagulant therapy or with bleeding disorders.” The Journal of Urology, 2003 Nov;170(5):1851-5. 22. Vejdani K, Eisner BH, Pengune W, Stoller ML.” Effect of laser insult on devices used to prevent stone retropulsion during ureteroscopic lithotripsy.” Journal of endourology, 2009 Apr;23(4):705-7. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23282 | - |
dc.description.abstract | 良性攝護腺肥大症(BPH)是一種常見的老年疾病,在過去最有效的根除方式仍是以經尿道攝護腺電刀切除術(TURP)為主,但近年開始以雷射(Laser)手術來代替電刀,國內外臨床報告中已證實有效,但在術後生活品質上的相關研究仍極少見,台灣地區僅有少數在臨床上的報告,與生活品質相關更是少見。
本研究針對某醫學中心在2006.1~2008.12間,接受兩種術式之病患共150名進行生活品質相關探討,以世界衛生組織生活品質問卷(WHOQOL)、國際攝護腺症狀分數(IPSS)、臨床症狀三種進行病患特性、術前與術後生活品質與疾病狀態改變衡量,比較病患是否會因接受不同手術方式而有所差異。 研究結果發現:病患在手術方式的選擇上,會因為年齡、教育程度、是否合併其他慢性疾病、家庭收入而有所不同。但不論接受何種手術方式,病患在術後改善情形均佳,其IPSS與滿意度均有大幅提升,而Laser手術方式在臨床結果上也能達到大幅改善症狀的效果,並可降低因手術所產生之風險。而接受Laser手術方式病患其生活品質健康狀態在心理範疇與社會網路滿意度明顯優於接受TURP之病患。 由本研究可知,雷射攝護腺手術的臨床效果與傳統電刀手術相似,但術後的生活品質卻有較佳的表現,且手術的安全度明顯較高,期望研究結果能作為健保給付政策之決策者的參考。 | zh_TW |
dc.description.abstract | Benign prostate hyperplasia (BPH) is a common disease of old age. Traditionally, the most effective treatment is transurethral resection of the prostate (TURP). However laser prostatectomy (LP) becomes very popular in recent years. Many clinical reports had approved its result of treatment. But there are only few investigations concerning the quality of life after prostatectomy. No publication about this area was seen in Taiwan.
Our research studied 150 cases of BPH patients receiving TURP or LP in one medical center in North Taiwan. Post-operation quality of life is the main interest. Life quality questionnaire from World Health Organization (WHOQOL), International Prostate Symptom Score (IPSS) and change of clinical symptoms were used to see any difference of patient character or any changes of life quality after different operation methods. The results showed age, education, concomitant chronic medical diseases and family income will affect the patients to choose different methods of surgery. Both surgical methods can get equal good results of clinical symptoms. Laser prostatectomy may have less surgical risks. On the other hand, comparing with TURP, it may get better improvements about quality of life especially in the aspects of health of psychology and satisfaction of social relationships. Conclusively, LP may have the same clinical efficacy as TURP and having better post-operation quality of life. It also has less surgical risks. We wish the result of this research may be a useful reference for decision makers of policy of national health insurance. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T04:51:31Z (GMT). No. of bitstreams: 1 ntu-98-P95843006-1.pdf: 3933529 bytes, checksum: 08cc12f412d3a4b52c81e8f4156249e2 (MD5) Previous issue date: 2009 | en |
dc.description.tableofcontents | 第一章 緒論 ----------------------------------------------------------------------------------1
第一節 研究背景------------------------------------------------------------------------1 第二節 研究動機------------------------------------------------------------------------3 第三節 研究目的------------------------------------------------------------------------4 第二章 文獻探討------------------------------------------------------------------------------5 第一節 社會人口老化及就醫狀況改變---------------------------------------------5 第二節 醫用雷射市場演進------------------------------------------------------------8 第三節 台灣地區泌尿科常見疾病狀況-------------------------------------------12 第四節 生活品質量表----------------------------------------------------------------14 第三章 研究方法----------------------------------------------------------------------------17 第一節 研究設計----------------------------------------------------------------------17 第二節 研究假說----------------------------------------------------------------------18 第三節 研究材料與工具-------------------------------------------------------------19 第四節 研究變項操作型定義-------------------------------------------------------22 第五節 資料處理與分析方法-------------------------------------------------------26 第四章 研究結果----------------------------------------------------------------------------27 第一節 描述性統計-------------------------------------------------------------------27 第二節 接受不同手術之病患特質推論統計-------------------------------------47 第三節 接受不同手術之病患健康狀態推論統計-------------------------------53 第五章 討論與研究限制-------------------------------------------------------------------59 第一節 研究結果之討論-------------------------------------------------------------59 第二節 研究限制----------------------------------------------------------------------61 第六章 結論與建議-------------------------------------------------------------------------62 第一節 結論----------------------------------------------------------------------------62 第二節 建議----------------------------------------------------------------------------64 參考文獻----------------------------------------------------------------------------------------65 中文部分---------------------------------------------------------------------------------------65 英文部分---------------------------------------------------------------------------------------66 附錄A 生活品質問卷-------------------------------------------------------------------------69 | |
dc.language.iso | zh-TW | |
dc.title | 不同術式之良性攝護腺肥大症患者生活品質探討 | zh_TW |
dc.title | Life Quality of Benign Prostate Hyperplasia Patient after Different Methods of Surgery | en |
dc.type | Thesis | |
dc.date.schoolyear | 97-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 孫光煥,林蒼祥 | |
dc.subject.keyword | 生活品質,攝護腺手術,WHOQOL,IPSS, | zh_TW |
dc.subject.keyword | life quality,prostatectomy,WHOQOL,IPSS, | en |
dc.relation.page | 69 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2009-07-27 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 醫療機構管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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