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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 吳淑瓊(Shwu-Chong Wu) | |
dc.contributor.author | Shao-Yi Wen | en |
dc.contributor.author | 溫劭宜 | zh_TW |
dc.date.accessioned | 2021-06-08T05:57:51Z | - |
dc.date.copyright | 2007-09-12 | |
dc.date.issued | 2007 | |
dc.date.submitted | 2007-08-30 | |
dc.identifier.citation | 英文部分
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Sleep. 14(5):386-91, 1991 中文部分 衛生署衛生統計資訊網 http://www.doh.gov.tw/statistic/index.htm 內政部主計處 94年社會發展趨勢調查-健康安全http://www129.tpg.gov.tw/society/Health-94/2-1.htm 林憲, 林信男, 胡海國合著:精神科治療學 第二章第五節安眠藥 橘井文化事業股份有限公司 趙國芳等編譯, 臨床藥學與治療學. 台北市:合記, 民95[2006]; Ch58 睡眠性疾患p1229-1245 邱啟潤、仇方娟:老人使用藥物之初探。高雄醫學科學雜誌 1995; 11: 164-169 王瑩玉:慢性病老人的居家用藥。台北市藥師公會會刊 1998; 16; 46-61 黃盈翔 盧豐華:老年人之用藥原則。台灣醫學 2003; 7卷3期; 385-395 碩士論文:吳淑瓊、莊美如:台北社區老人自述長期固定用藥研究 1994 碩士論文:林壽惠、謝錦鑾:護理之家之潛在性不適當用藥 2003 碩士論文:陳秀美、郝宏恕:老年人門診處方適當性之研究;2004 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/24887 | - |
dc.description.abstract | 為瞭解我國老人安眠藥的使用情形,本研究利用「全國長期照護需要評估」第一階段隨機抽取的樣本,從中挑選出失能老人,再連結到全民健保門診申報檔獲得其就醫與用藥資訊,研究期間從2001年7月至2002年6月,分析全國失能老人使用安眠藥之情形,包括使用率、使用種類、使用天數、連續使用、重複用藥與不適當用藥等,以及影響安眠藥使用情形的因素。
在一年的研究期間內,共有30.1%的老人服用過安眠藥,最常使用的安眠藥品項為lorazepam、zolpidem、estazolam、zopiclone、diazepam;有30.9%的安眠藥使用者在一年內的使用天數超過180天,有超過五成的使用者連續服用安眠藥超過28天,有17.1%的使用者在同一天使用兩種以上安眠藥,並且約有15.5%的使用者使用了不建議老人服用的安眠藥。 以邏吉斯複迴歸分析安眠藥使用情形之影響因素,分析結果顯示:女性、年齡在65-74歲者、外省人、有配偶、居家聘有全職看護(OR=1.709)、只有IADL障礙者(OR=1.456)、罹患3種以上慢性病者、以及罹患心臟病、精神疾病(OR=2.219)、巴金森氏症、癌症者,服用安眠藥的可能性較高。。籍貫為外省人、居住在直轄市、國中以上教育程度、居家聘有全職看護(OR=1.502)、及罹患心臟病、中風、精神疾病(OR=1.914)、巴金森氏症與嚴重身體功能障礙者(OR=1.478),連續使用安眠藥超過28天的可能性較高。居家聘有全職看護(OR=1.388)、患有精神疾病(OR=2.611)、及嚴重身體功能障礙者(OR=1.485),重複用藥之可能性較高。患有心臟病、中風、糖尿病、失智症者,使用不適當用藥的機率較低;而罹患三種慢性病以上者(OR=1.949),有不適當用藥的機率較高。 | zh_TW |
dc.description.abstract | To understand the hypnotic drug use among disabled elderly in Taiwan, the objects and information was obtained from the “Evaluation of Taiwan National Requirements for Long-Term Care”. This data was linked to the National Health Insurance claim database to obtain all prescription data from western medical ambulatory visits between July 2001 and June 2002.
The prevalence rate of hypnotic drug use among disabled Taiwanese elders were 30.1%. The most popular hypnotic drug was lorazepam, followed by zolpidem, estazolam, zopiclone, diazepam. 30.9% of hypnotic users use hypnotics more than 180 days during the study year, and more than half users use hypnotics more than 28 days continuously. 17.1% of hypnotic users used more than one kind hypnotics in the same day, and about 15.5% of users used potentially inappropriate hypnotics. In multivariate logistic regression models, female, age between 65-74 years old, married, dwelling in community with a fulltime caregiver(OR=1.716), and with heart disease, stroke, psychiatric diseases(OR=2.231), parkison’s disease and cancer, only IADL disabled(OR=1.452) and more than 3 kinds of chronic diseases were more likely to use hypnotics. Significant correlates of continuous use more than 28 days were mainlanders, living in big cities, higher education, dwelling in community with a fulltime caregiver(OR=1.505), and with heart disease, stroke, psychiatric diseases(OR=1.926), having serious disabled(OR=1.479). Significant correlates of multiple hypnotic use dwelling in community with a fulltime caregiver(OR=1.377), psychiatric diseases(OR=2.628), seriously disabled. Patients who were seriously disabled were more likely to have potentially inappropriate hypnotic use(OR=1.930). | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T05:57:51Z (GMT). No. of bitstreams: 1 ntu-96-R94845111-1.pdf: 396261 bytes, checksum: 8ec22c013262a2e2c6d421d110a067f7 (MD5) Previous issue date: 2007 | en |
dc.description.tableofcontents | 中文摘要i
英文摘要ii 致謝i ii 目錄iv 表目錄vi 圖目錄vii 緒論1 第一章 文獻探討3 第一節 安眠劑介紹與使用指引3 第二節 老人用藥之特殊性7 第三節 老人安眠劑之使用概況及影響因素11 第四節 使用安眠劑對老人的影響與可能的問題15 第五節 老人潛在性不適當用藥與相關影響因素17 第二章 研究方法.22 第一節 研究架構22 第二節 研究假說23 第三節 資料材料24 第四節 研究變項與操作型定義定義26 第五節 資料分析方法29 第三章 研究結果.30 第一節 樣本特質及安眠藥使用概況30 第二節 樣本特質與安眠劑使用情形的關係33 第三節 影響安眠藥使用情形的相關因素分析41 第四章 結論與討論.73 第一節 重要發現73 第二節 研究限制76 第三節 未來研究建議及政策啟示77 參考文獻79 | |
dc.language.iso | zh-TW | |
dc.title | 台灣失能老人安眠藥使用情形與相關因素探討 | zh_TW |
dc.title | Utilization and Influencing Factors of Hypnotics among Disabled Elderly in Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 95-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 黃文鴻,詹鼎正 | |
dc.subject.keyword | 失能老人,安眠藥使用, | zh_TW |
dc.subject.keyword | disabled elderly,hypnotic use, | en |
dc.relation.page | 81 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2007-08-30 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 衛生政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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