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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 薛亞聖 | |
dc.contributor.author | Shun-Ping Cheng | en |
dc.contributor.author | 鄭舜平 | zh_TW |
dc.date.accessioned | 2021-06-08T05:35:59Z | - |
dc.date.copyright | 2005-01-31 | |
dc.date.issued | 2005 | |
dc.date.submitted | 2005-01-26 | |
dc.identifier.citation | 王瑞霞(民83):社區老年人健康體能活動參與及相關因素的探討。行政院衛生署研究計畫.
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/24671 | - |
dc.description.abstract | 如何減緩醫療保健支出的成長與提升醫療有關的生活品質,是目前許多國家面臨的重大挑戰,醫療成本效用分析,則是作為有效分配有限醫療資源的指引。本研究的目的即是要了解健走對社區老人之生活品質的影響,並探討健走訓練後之品質調整後的存活年數(QALY)及其成本效用。本研究以基隆市65歲以上老人為母群體,採前瞻性隨機控制之臨床試驗,進行健走訓練對社區老人健康生活品質與成本效用之探討。本研究分成實驗組與對照組,實驗組接受12週健走訓練並於訓練前後進行生活品質及成本的調查,對照組則未接受健走訓練。本研究以SF-36作為測量生活品質的工具,另外再將SF-36數值轉換成健康效用指數(health utility index),配合成本調查的結果,計算出成本效用比率(ICUR),以進行健走訓練對老人成本效用的分析。
本研究實驗組與控制組各有38人完成前後測試,結果發現12週的健走訓練在生活品質中身體功能、社會功能、因情緒問題造成的角色限制、精神健康等四方面均能呈現顯著的進步;12週的健走訓練,可以增進老人的品質調整後存活年數 ( 0.248+ .034 QALY),其ICUR值為389092元/QALY。由本研究結果可推論老人健走訓練是符合經濟考量的介入性措施。 | zh_TW |
dc.description.abstract | Objective : How to decrease the growth of medical and health-care expenditure is the most important challenge in many countries.Cost utility analysis provides a guide of making decisions among the limited
medical resources. The purpose of the study was to evaluate the health related quality of life, quality-adjusted life years (QALYs) and cost utility of walk training on community-dwelling elderly. Design : A prospective randomized controlled clinical trial. Methods : The aged 65 and older in Keelung were included in this study. An experiment group received the 12-week walk training and interview of SF-36 and cost before and after the training. A control group received no treatment. A conversion was applied to the SF-36 to derive a preference-based health related quality of life (health utility index), QALYs and the incremental cost-utility ratio (ICUR). Results: 38 older adults in each group finished this study completely. The aged in the training group demonstrated significant improvement in physical functioning, social functioning, role limitaion due to emotional problems and mental health among the domains of SF-36. 0.248+0.034 QALYs were derived in the training group.Thus the ICUR was NT 389,092/ QALY. Conclusions: Our results suggest that walk training on community-dwelling elderly can show a positive trend toward economic considerations. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T05:35:59Z (GMT). No. of bitstreams: 1 ntu-94-P91843008-1.pdf: 600055 bytes, checksum: 0bf50754990dcc002151f7474811877d (MD5) Previous issue date: 2005 | en |
dc.description.tableofcontents | 目次
摘要 中文摘要...........................................................................................................Ⅰ 英文摘要……………………………………………………………………...Ⅱ 第一章、緒論……………………………………………………………………….1 第一節 研究背景...............................................................................................1 第二節 研究目的……………………………………………………………...2 第二章、文獻探討………………………………………………………………….3 第一節 老人健康狀況及運動益處…………………………………………...3 第二節 健走運動……………………………………………………………...7 第三節 生活品質之測量……………………………………………………...9 第四節 成本分析…………………………………………………………….14 第五節 健康照護之經濟評估.........................................................................16 第三章、研究方法………………………………………………………………...20 第一節 研究設計.............................................................................................20 第二節 研究問題與假設….…………..….………………………………….22 第三節 研究對象…………………………………………………………….23 第四節 研究程序…………………………………………………………….23 第五節 資料分析…………………………………………………………….29 第四章、結果……………………………………………………………………...31 第一節 參與研究個案狀況………………………………………………….31 第二節 人口學特性………………………………………………………….34 第三節 生活品質分析……………………………………………………….38 第四節 成本效用分析……………………………………………………….43 第五章、討論……………………………………………………………………...48 第一節 生活品質分析……………………………………………………….48 第二節 成本效用分析……………………………………………….………53 第三節 研究限制…………………………………………………………….54 第六章、結論……………………………………………………………………...56 參考文獻…………………………………………………………………………...58 附件 附件一 跌倒評估調查問卷………………………………………………….65 附件二 專家名單…………………………………………………………….69 附件三 SF-36使用同意書……………………………………………..……70 附件四 SF-36中文版問卷…………………………………………………..73 附件五 成本調查問卷……………………………………………………….77 附件六 人體試驗計畫申請書……………………………………………….78 附件七 參與研究同意書…………………………………………………….82 表目錄 表一:參與研究之人數統計概況………………………………………………….32 表二:個案中途退出研究之原因…………………………………………………33 表三:實驗組與控制組之描述性分析與差異性檢定……………………………36 表四:實驗組與控制組在SF36的8個類別之前後測得分與差異性檢定…….41 表五:實驗組SF36前後測之差異檢定( paired t test )…………………………42 表六:實驗組與控制組老人之各項成本明細表…………………………………45 表七:實驗組與控制組之健康效用指數( HUI )與品質調整後的存活年數 (QALY)…………………………………………………………………….47 表八:前測資料與台北市、台中地區老人得分之比較…………………………52 圖目錄 圖一:研究過程架構……………………………………………………………….22 圖二:實驗組控制組在SF-36的得分狀況………………………………………50 | |
dc.language.iso | zh-TW | |
dc.title | 健走訓練對社區老人健康生活品質與成本效用影響之探討 | zh_TW |
dc.title | Health related quality of life and cost utility analysis of walk training on community-dwelling elderly | en |
dc.type | Thesis | |
dc.date.schoolyear | 93-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 楊銘欽,周正亮 | |
dc.subject.keyword | 健走訓練,老人,健康生活品質,成本效用, | zh_TW |
dc.subject.keyword | health related quality of life,aged,cost utility,walk traing, | en |
dc.relation.page | 85 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2005-01-26 | |
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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