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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳秀熙(Hsiu-Hsi Chen) | |
dc.contributor.author | TSUEI-YU JU | en |
dc.contributor.author | 朱翠玉 | zh_TW |
dc.date.accessioned | 2021-06-17T09:09:55Z | - |
dc.date.available | 2025-03-13 | |
dc.date.copyright | 2020-03-13 | |
dc.date.issued | 2019 | |
dc.date.submitted | 2019-10-03 | |
dc.identifier.citation | 中文文獻:
1.林怡君、賴玉玲:牙周病整體治療病例報告及文獻回顧。台北,中華牙周醫誌,2005。 2.謝明家、許玉恒、王貝婷、黃純德:維生素E的攝取與糖尿病患牙周狀況之相關性探討。高雄,台灣口腔醫學科學雜誌,2007;78-90。 3.洪慧君:牙醫師對於提供牙科就診病患牙周病治療之意願。碩士,2010;台北,台北醫學大學。 4.賴昭翰:定期回診和牙周統合治療在牙周臨床狀況與回診率之分析研究。碩士,2014;台北,台北醫學大學。 5.賴昭翰、呂炫堃:牙周炎和糖尿病在臺灣盛行狀況與東西方流行病學文獻回顧。台北,台灣牙周醫誌,2015;103-114。 6.吳逸氏,楊奕馨,蔡吉政:嚼食檳榔與牙周病之關係。台北,中華牙周醫誌,1997;243。 7.顏瑞瑩;陳恆理;賴玉玲:口臭診斷與處理的現況探討。台北,中華牙周醫誌,2006;151-156。 8.朱維仁;吸煙對低程度牙周破壞患者的效應。台北,中華牙周醫誌,1998;96。 9.凌莉珍、黃惠華、謝依蓁;吸菸:牙周病的危險因子。台北,中華牙周醫誌,1998;96。 10.陳惠華、曾春典、袁國、曾春棋;牙周病與心血管疾病的關係探討。台北,中華牙周醫誌,2005;77-88。 11.陳瑞雲、董醒任;牙周病之基因與遺傳危險因子。台北,中華牙周醫誌,1998;241。 12.方毓健、陳志宇、林俐妏;糖尿病與牙周病間相互影響的關係。台北,台灣牙周醫誌,2009;277-290。 13.董醒任;牙周病與心血管疾病。台北,中華牙周醫誌,1998;50。 14.黃學民;糖尿病與牙周病的關係。台北,中華牙周醫誌,1996;128-129。 15.黃學民;糖尿病患者及抽煙對牙周病患者的反應。台北,中華牙周醫誌,1997;49-50。 16.董醒任;和全身性疾病有關之牙周炎的治療準則。台北,中華牙周醫誌,2001。 17.陳惠華、曾春典、袁國; 牙周病與心血管疾病的關係探討。台北,中華牙周醫誌,2005;77-89。 18.蘇桄緯、唐正;抽煙與牙周病的關係。台北。中華牙周醫誌,2006;321-333。 19.李宜芳、陳玄祐、楊岳炤;牙周病與糖尿病、維他命D的關係-近期觀點探討。台北,中華牙周醫誌,2015;300-308。 20.馬子嬌、謝天渝、楊奕馨;環保人員口腔保健行為與齟齒及牙周病相關性探討。台北,台灣口腔醫學衛生科學雜誌,2003;48-57。 21.王貝婷、謝明家、洪信嘉;第二型糖尿病病人牙周健康狀況與血糖控制相關性探討。台北,台灣口腔醫學衛生科學雜誌,2008;23-36。 22.蕭郡南、柯政全、謝天渝;嚼食檳榔與牙周狀況之研究-以原住民社區居民為例。台北,台灣口腔醫學衛生科學雜誌,2014;107-118。 23.王敏瑩; 牙周病的預後與治療計畫。台北,中華牙周醫誌,1997;63-75。 24.王英斌、陳慶長、黃景勝;家族成員患有嚴重牙周病之病例報告。台北,中華牙周醫誌,1998。 25.凃瑞珠:心血管疾病與牙周疾病及缺牙相關因素探討。碩士,2001;高雄,高雄醫學大學。 26.李清傑:台灣南部某鄉鎮居民-口腔狀況、心血管疾病危險因子與心血管疾病之相關性探討。碩士,2001;高雄,高雄醫學大學。 27.王培子: 牙周相關疾病與冠狀動脈疾病風險的相關性研究。碩士,2006; 高雄,高雄醫學大學。 28.蔡欣恬:第二型糖尿病患牙周相關認知、態度、行為及生活品質探討。碩士,2009;高雄,高雄醫學大學。 29.汪婷婷: 糖尿病與牙周病相關因子探討。碩士,2001;台北,台灣大學。 30.駱明德:以臨床隨機分派試驗評估口腔衛生教育介入對高血糖個案牙周病之成效。碩士,2009;台北,台灣大學。 31.林雨潔:以多階層模式探討牙周病與代謝症候群之相關,碩士,2011; 台北,台灣大學。 32.林益弘:罹患牙周病會增加心血管疾病風險。台北,血管醫學防治月刊,2016;1-4。 33.李協泰:牙周病與糖尿病整合門診介紹。台北,血管醫學防治月刊,2016;5-6。 34.陳俊呈:糖尿病、心血管疾病與牙周病的相關性。台北,中華民國糖尿病衛教學會會訊,2014;31-35。 35.馬子嬌:成人口腔保健行為與齲齒及牙周病相關性探討。碩士,2002;高雄,高雄醫學大學。 36.林冶純:成年人口腔保健行為與衛教需求相關性之探討─以台南縣為例。碩士,2004;高雄,高雄醫學大學。 37.劉經文:高雄市國中一年級學生齲齒狀況與特定相關因素探討。碩士,1995;高雄,高雄醫學大學。 38.呂宜珍:國小高年級學童口腔衛生行為及其相關因素。碩士,1994;高雄,高雄醫學大學。 39.賴弘明:臺灣社群牙周病情況與面臨之挑戰。碩士,2013;高雄,高雄醫學大學。 英文文獻: 1.F.D Floyd,M and Ide,R.M. Palmer, Clinical guide to periodontology Reconstructive periodontal treatment,British Dental Journal 2014:9:511-518 2.Jun-chi Suzuki,MD and Norio Aoyama and DDS Mieko Aokiand DDS Yuko Tada etc, HIGH Incidence of Periodontitis in Japanese Patients With Abdominal Aortic Aneurysm, International Heart Journal Association 2014:55,1-3 3.Pei Hsuan Lin and Hsiang His Hong,Gingival Fibromatosis Associated with Zimmermann-Laband Syndrome, A Case Report,J Taiwan Periodontol, vol.19, No.3(March),2014:238-246 4. Vinod R.Jathanna,Ramya V. Jathanna, Roopalekha Jathanna, The Awareness and attitudes of students of one Indian Dental School toward information technology and its use to improve patient care, Education for Health,vol.27,N0.3(December),2014:2 93-296 5.Ana Karina Mascarenhas, B.D.S,Dr.PH, Patient Satisfaction with the Comprehensive care model of Dental Care Delivery, Journal of Dental Education,vol 65,NO.11(November),2001:1266-1271 6. Makino-Oi A, Ishii Y Hoshino T, Okubo N, Sugito H, Hosaka Y, Fukaya c, Nakagawa T, Saito A, Effect of periodontal surgery on oral health-related quality of life in patients who have completed initial periodontal therapy,Journal of periodontal research 2015:1-8 7. Sherry Yueh-Hsia Chiu, Hongmin Lai, Temporal sequence of the bidirectional relationship between hyperglycemia and periodontal disease: a community-based study of 5,885 Taiwanese aged 35–44 years, Acta Diabetol 2015:52,123-131 8. Jan E Clarkson,, Craig R Ramsay, IQuaD dental trial; improving the quality of dentistry: a multicentre randomised controlled trial comparing oral hygiene advice and periodontal instrumentation for the prevention and management of periodontal disease in dentate adults attending dental primary care, Clarkson et al. BMC Oral Health 2013:13-58 9. José-Manuel Almerich-Silla , Pedro J. Almiñana-Pastor, Socioeconomic factors and severity of periodontal disease in adults (35-44 years). A cross sectional study, Community and Preventive Dentistry 2017:9,988-994 10.Guey-Lin Hou,Chi-Cheng Tsai,The effect of ultrasonic scaling therapy in periodontitis III. A longitudinal study over three years,Kaohsiung J Med sci 1996:12,25-35 11.Ka-fang hu,Hsiao-Ching Kuo,Oral and General Health-Related Quality of life(OHRQoL) among patient undergoing periodontal treatment and Regular supportive periodontal treatment,Taiwan periodontal 2016:21,12-22 12.W.Paul Lang,David L.Ronis,Mahassen M Farghaly,Preventive behaviors as correlates of periodontal health status,journal of public health dentistry 1995:55,10-17 13.Rokhsareh sadeghi,Ferial taleghani,Samira mohammad,The effect of diabetes mellitus typeⅠon periodontal and dental status,journal of clinical and diagnostic research 2017:11,14-17 14.Poklepovic T,Worthington HV,Johnson TM,Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults,Cochrane collaboration 2013:12,1-3 15.Renz A,Ide M,Newton T,Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases, Cochrane collaboration 2007:2,1-2 16.Ruby Suresh,Katharine C Jones,Jonathan Timothy Newton,An exploratory study in to whether self-monitoring improves adherence to daily flossing among dental patients,journal of public health dentistry 2012:72,1-7 17.Ting-Ting wang,Tony Hsiu-His Chen,Po-En Wang,A population-based study on the association between type 2 diabetes and periodontal disease in 12,123 middle-aged Taiwanese,J Clin periodontol 2009:36,372-379 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/74902 | - |
dc.description.abstract | 背景與目的:民國101年全民健康保險開始給付牙周病統合(簡稱牙統)照護治療計畫,主要希望透過給付方案提升牙周病照護品質,增加就醫公平性及降低口腔疾病的醫療花費。然而目前對於牙統照護治療計畫執行滿意度、治療成效及影響治療成效的相關因素的相關研究仍相當缺乏。因此希望透過實習方式達到下列主要目的,包含(1)了解民眾對於牙周病統合照護治療的滿意程度(2)牙周病統合照護治療是否有顯著改善牙周狀況及(3)病患之牙科疾病史、生活習慣及飲食習慣等是否為影響牙周病統合照護成效的重要因素。
研究方法:本研究採橫斷式研究於台大醫院牙周病科進行收案,研究對象為參與牙周病統合照護計劃的病患,以問卷的方式進行資料蒐集與調查。問卷內容主要分為三大面向,第一面向為探討牙周病統合照護治療的滿意程度;第二面向為探討牙周病統合照護治療是否有顯著改善牙周狀況;第三面向為探討病患之牙科疾病史、生活習慣及飲食習慣,收集病患之牙科疾病史。收案期程分為二個時期(2016年5月15日至2016年6月15日與2017年5月20日至2017年6月20日進行),期間共計發放200份問卷,回收192份(回收率為96%)。 研究結果:所有192名患者中,有39.3%的患者直系或旁系親屬具有牙周疾病史,19.4%的患者有糖尿病家族史。71.2%的患者有缺牙情形,65.5%的患者沒有半年定期於牙科診所洗牙的習慣,多數患者沒有吸菸(84.8%),喝酒(82.2%)及嚼檳榔(95.3%)的習慣。67%的患者曾偏好較硬的食物,而28.3%則偏好含糖飲料。 針對牙統照護治療前後,牙周改善狀況評估結果,其中具統計學明顯改善的項目包含牙齦紅腫、刷牙流血的情形 (治療前後平均分數降低1.12(標準差為1.02),其p值為<.0001);牙齒鬆動的情形(治療前後平均分數降低0.70 (標準差1.01),其p值為<.0001);牙齒冷熱敏感的情形(平均分數降低0.30 (標準差1.01),其p值為0.0002);口臭的情形(平均分數降低0.63 (標準差0.85),其p值為<.0001);牙齦退縮的情形(平均分數降低0.77 (標準差0.88),其p值為<.0001)。 對於牙統照護治療計畫滿意程度填答結果顯示,97.9%的患者認為在接受牙統照護治療時,牙醫師提供了完整的說明;81.6%的患者在接受牙統治療後,能更加了解牙周病。96.3%患者在接受牙統治療後,其整體滿意程度達到滿意/非常滿意。97.9%患者認為在接受牙統治療時,牙醫師是有提供完整/非常完整的良好口腔衛教。48.2%患者在牙統治療中感覺到輕微不舒服,15.7%感到中等嚴重不舒服,13.6%感到非常嚴重的不舒服。接受牙統治療時,有95%以上的病患對於牙醫師提供清楚的說明,提供良好的口腔衛教及整體滿意度感到滿意。有81.6%的患者在接受牙統治療後,對於更加了解牙周病的知識感到滿意。 結論:牙統照護治療計畫能夠有效改善病患的牙周狀況,特別在牙齦紅腫、刷牙流血的情形的改善上。病人在接受牙統照護治療計畫後,有相當好的滿意度。然而,未來可以針對如何舒緩治療程序上的疼痛進行改善,並關注特定病人的特質對於照護成效的影響以作為未來臨床治療或政策給付的參考。 | zh_TW |
dc.description.abstract | Background and Objective:
The National Health Insurance began to pay for Comprehensive Periodontal Treatment Project. It is mainly intended to improve the quality of periodontal care through the payment program, increase the fairness of medical treatment and reduce the medical expenses of oral diseases. However, there is still a lack of relevant research on the implementation satisfaction of the dental care treatment plan, the effectiveness of treatment, and the related factors affecting the effectiveness of treatment. Therefore, we hope to achieve the following main objectives through practicum, including (1) understanding the satisfaction of the comprehensive periodontal treatment (2) whether comprehensive periodontal treatment has a significant improvement in periodontal disease and (3) Whether the disease history, living habits and eating habits of patients are important factors affecting the effectiveness of comprehensive periodontal treatment. Methods: In this study, a cross-sectional study was conducted at the Department of Periodontology, National Taiwan University Hospital. The subjects were patients who participated in the comprehensive periodontal treatment project, and data collection and investigation were conducted by questionnaire. The content of the questionnaire is mainly divided into three aspects. The first aspect is to discuss the satisfaction degree of comprehensive periodontal treatment. The second aspect is to explore whether the comprehensive periodontal treatment can significantly improve the periodontal condition. The third aspect is to explore the risk factor affecting the efficacy such as history of dental diseases, living habits and eating habits, the history of dental diseases of patients. The collection process is divided into two periods (from May 15, 2016 to June 15, 2016 and May 20, 2017 to June 20, 2017). During the period, a total of 200 questionnaires were distributed and 192 copies were collected. (The recovery rate is 96%). Results: Of all 192 patients, 39.3% had a history of periodontal disease in the immediate or collateral family, and 19.4% had a family history of diabetes. 71.2% of the patients had missing teeth, and 65.5% of the patients did not have the habit of regularly cleaning their teeth in the dental clinic for half a year. Most patients did not smoke (84.8%), drink alcohol (82.2%) and chew betel nut (95.3%). 67% of patients prefer hard food, while 28.3% prefer sugary drinks. For the evaluation of periodontal improvement before and after the treatment of dental care, the items with statistically significant improvement included gingival redness and brushing bleeding (average score before and after treatment decreased by 1.12 (standard deviation was 1.02), and its p value was <. 0001); tooth loosening (average score before and after treatment decreased by 0.70 (standard deviation 1.01), its p value was <.0001); teeth were hot and cold sensitive (average score decreased by 0.30 (standard deviation 1.01), and its p value was 0.0002. In the case of bad breath (the average score decreased by 0.63 (standard deviation 0.85), its p value was <.0001); the case of gingival recession (the average score decreased by 0.77 (standard deviation 0.88), and its p value was <.0001). According to the satisfaction degree of comprehensive periodontal treatment project, 97.9% of the patients thought that the dentist provided a complete explanation when receiving the dental care treatment; 81.6% of the patients could understand the teeth after receiving the dental treatment. 96.3% of patients had satisfactory/very satisfied on overall satisfaction after receiving dental treatment. 97.9% of patients believe that the dentist has a complete/very complete good oral education when receiving dental treatment. 48.2% of patients felt mild discomfort during the treatment, 15.7% felt moderately uncomfortable, and 13.6% felt very uncomfortable. More than 95% of patients receiving dental care are satisfied with the dentist's clear instructions and good oral education and overall satisfaction. 81.6% of patients were satisfied with the knowledge of periodontal disease after receiving dental treatment. Conclusion: The dentate care treatment program can effectively improve the periodontal condition of patients, especially in the improvement of gingival swelling and brushing bleeding. The patient had a good satisfaction after receiving the dental care treatment plan. However, the future can be improved on how to relieve pain in the treatment program, and to focus on the impact of specific patient characteristics on the effectiveness of care as a reference for future clinical treatment or policy payments. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T09:09:55Z (GMT). No. of bitstreams: 1 ntu-108-R01847032-1.pdf: 3754235 bytes, checksum: bdecc7aee1eb2f34446ea2f9151a7230 (MD5) Previous issue date: 2019 | en |
dc.description.tableofcontents | 摘要
第一章 緒論- 1 - 第一節 研究背景- 1 - 第二節 研究目的- 3 - 第三節 實習單位特色與簡介- 4 - 第二章 文獻回顧- 10 - 第一節 牙周病統合照護計劃- 10 - 第二節 牙周病的定義- 12 - 第三節 醫療照護服務特性- 13 - 第四節 醫療健康照護服務品質衡量- 16 - 第五節 醫療品質與病人滿意度- 18 - 第六節 牙周疾病與相關因子的關係- 22 - 第七節 綜合討論- 29 - 第三章 研究材料與方法- 30 - 第一節 研究設計與研究架構- 30 - 第二節 研究對象與資料收集- 31 - 第三節 研究工具與變項定義- 33 - 第四節 資料處理與分析方法- 42 - 第四章 研究結果- 48 - 第一節 問卷描述性資料分析- 48 - 第二節 牙周病統合照護治療的滿意程度- 49 - 第三節 牙周病統合照護治療之牙周狀況改善情形- 51 - 第四節 牙科疾病史、生活習慣及飲食習慣對牙周病之影響- 55 - 第五節 影響牙周病統合照護治療牙周狀況改善情形之因子- 56 - 第五章 討論- 101 - 第一節 研究資料的品質- 101 - 第二節 研究主要發現- 102 - 第三節 研究限制-104 - 第六章 結論與建議- 107 - 第一節 結論- 107 - 第二節 未來研究建議- 107 - 參考文獻- 109 - 附件- 114 - 問卷補充資料- 114 - | |
dc.language.iso | zh-TW | |
dc.title | 台北地區牙周病統合照護計劃執行滿意度調查 | zh_TW |
dc.title | Patient Satisfaction Survey on Comprehensive
Periodontal Treatment Project in Taipei | en |
dc.type | Thesis | |
dc.date.schoolyear | 108-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 林明彥(Ming-Yen Lin),陳立昇(Li-Sheng Chen),郭彥彬(Yen-Pin Kuo) | |
dc.subject.keyword | 牙周病,病人滿意度,醫療照護服務品質,牙周病統合照護計劃,相關因子, | zh_TW |
dc.subject.keyword | Periodontal disease,patient satisfaction,quality of medical care services,Comprehensive Periodontal Treatment Project,related factors, | en |
dc.relation.page | 134 | |
dc.identifier.doi | 10.6342/NTU201904125 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2019-10-04 | |
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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ntu-108-1.pdf 授權僅限NTU校內IP使用(校園外請利用VPN校外連線服務) | 3.67 MB | Adobe PDF | 檢視/開啟 |
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