請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/99353完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳月霞 | zh_TW |
| dc.contributor.advisor | Yueh-Hsia Chen | en |
| dc.contributor.author | 林啟文 | zh_TW |
| dc.contributor.author | Chi-Wen Lin | en |
| dc.date.accessioned | 2025-09-09T16:07:53Z | - |
| dc.date.available | 2025-09-10 | - |
| dc.date.copyright | 2025-09-09 | - |
| dc.date.issued | 2025 | - |
| dc.date.submitted | 2025-07-24 | - |
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Clarissa, C.; Salisbury, L.; Rodgers, S.; Kean, S., A Constructivist Grounded Theory of Staff Experiences Relating to Early Mobilisation of Mechanically Ventilated Patients in Intensive Care. Glob Qual Nurs Res 2022,9, 23333936221074990. 115. Goddard, S. L.; Lorencatto, F.; Koo, E.; Rose, L.; Fan, E.; Kho, M. E.; Needham, D. M.; Rubenfeld, G. D.; Francis, J. J.; Cuthbertson, B. H., Barriers and facilitators to early rehabilitation in mechanically ventilated patients-a theory-driven interview study. J Intensive Care 2018,6, 4. | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/99353 | - |
| dc.description.abstract | 復健運動介入可協助長期使用呼吸器病人，提昇身體動作功能及改善呼吸器脫離，但復健運動介入內容多元。本研究目的為針對慢性呼吸衰竭使用呼吸器病人，設計持續性復健活動訓練，進行前瞻性隨機分配控制研究，針對由加護病房轉入亞急性呼吸照護病房的病人，控制組執行常規呼吸器脫離計畫，及手踏車訓練，實驗組執行常規呼吸器脫離計畫及持續性復健活動訓練，並就呼吸器脫離成功率、亞急性呼吸照護病房呼吸器使用日數、亞急性呼吸照護病房住院日數、總住院天數進行分析。初步結果顯示，實驗組的呼吸器脫離率比控制組有較高趨勢(89.3% vs. 67.9%)，但沒有統計差異(p=0.051)。實驗組相較控制組，呼吸器使用日數較少(17.1±10.5 vs. 29.0±13.4，p=0.000)，亞急性呼吸照護病房日數也較少(21.5±9.6日 vs. 34.8±14.6日，p=0.000)，均具統計顯著差異；在總住院日數，實驗組與控制組分別為59.3±21.5日與70.5±24.4日，兩組沒有顯著差異(p=0.075)。長期使用呼吸器病人接受持續性活動訓練，可以降低呼吸器使用日數及亞急性呼吸照護病房入住日數。而呼吸器脫離成功率及總住院日數，沒有顯著成效。 | zh_TW |
| dc.description.abstract | Objective: This study investigates the effectiveness of an exercise program in facilitating ventilator weaning. The programs focused on mobility levels; however, the optimal duration of mobility training remains unclear. This study aims to evaluate the clinical effects of continuous mobility training in patients with prolonged mechanical ventilation.
Methods: This randomized controlled trial enrolled participants from a respiratory care center, who were randomly assigned to two groups. The experimental group received both a standard ventilator weaning protocol and a continuous mobility training program, while the control group followed the standard ventilator weaning protocol combined with hand-cycle training. Outcomes measured included the ventilator weaning success rate, the duration of mechanical ventilation, length of stay in the respiratory care center and total hospital stay. Results: The success rate of ventilator weaning in the experimental group was higher than that in the control group (89.3% vs. 67.9%); however, there was no statistically significant difference (p=0.051). Compared with the control group, the length of mechanical ventilation (17.1±10.5 vs. 29.0±13.4, p=0.000) and the length of stay at the respiratory care center (21.5±9.6 vs. 34.8±14.6, p=0.000) were significantly shorter in the experimental group. The total lengths of hospital stay of the experimental and control groups were 59.3±21.5 and 70.5±24.4, respectively, without significant difference between the two groups (p=0.075). Conclusions: Continuous mobility training for patients with prolonged mechanical ventilation may reduce the length of mechanical ventilation and stay in the respiratory care center; however, it has no significant effect on the success rate of mechanical ventilation weaning and the total length of hospital stay. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2025-09-09T16:07:53Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2025-09-09T16:07:53Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 誌謝 i
中文摘要 ii 英文摘要 iii 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第二章 文獻回顧 4 第一節 呼吸器使用現況 4 第二節 呼吸器使用相關併發症 6 第三節 長期使用呼吸器相關因素 18 第四節 長期使用呼吸器病人的運動治療 21 第三章 研究方法 35 第一節 研究架構 35 第二節 研究設計 36 第三節 研究對象 37 第四節 研究流程 38 第五節 資料分析 42 第四章 結果 43 第五章 討論 48 第六章 結論 56 參考文獻 58 附錄 論文發表紀錄 80 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 呼吸器 | zh_TW |
| dc.subject | 呼吸器脫離 | zh_TW |
| dc.subject | 復健 | zh_TW |
| dc.subject | 運動 | zh_TW |
| dc.subject | 亞急性呼吸照護病房 | zh_TW |
| dc.subject | continuous mobility training | en |
| dc.subject | ventilator weaning | en |
| dc.subject | exercise | en |
| dc.subject | rehabilitation | en |
| dc.subject | mechanical ventilator | en |
| dc.title | 持續性活動訓練對長期使用呼吸器病人之成效探討 | zh_TW |
| dc.title | The Effects of Continuous Mobility Training for Patients with Prolonged Mechanical Ventilation | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 113-2 | - |
| dc.description.degree | 博士 | - |
| dc.contributor.oralexamcommittee | 趙遠宏;王儷穎;邱國樑;蔡森蔚 | zh_TW |
| dc.contributor.oralexamcommittee | Yuan-Hung Chao;Li-Ying Wang;Kuo-Liang Chiu;Sen-Wei Tsai | en |
| dc.subject.keyword | 呼吸器,呼吸器脫離,復健,運動,亞急性呼吸照護病房, | zh_TW |
| dc.subject.keyword | mechanical ventilator,ventilator weaning,continuous mobility training,rehabilitation,exercise, | en |
| dc.relation.page | 110 | - |
| dc.identifier.doi | 10.6342/NTU202502437 | - |
| dc.rights.note | 同意授權(全球公開) | - |
| dc.date.accepted | 2025-07-25 | - |
| dc.contributor.author-college | 醫學院 | - |
| dc.contributor.author-dept | 物理治療學研究所 | - |
| dc.date.embargo-lift | 2025-09-10 | - |
| 顯示於系所單位： | 物理治療學系所 | |
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