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膝退化性關節炎病患經治療後之預後評估-以南部某地區教學醫院之病例分析 =...

國立高雄大學運動健康與休閒學系碩士班

膝退化性關節炎病患經治療後之預後評估-以南部某地區教學醫院之病例分析 = A prognosis study of knee osteoarthritis patients after treatment- case analysis of a regional teaching hospital in southern

紀錄類型:	書目-語言資料,印刷品 : 單行本
並列題名:	A prognosis study of knee osteoarthritis patients after treatment- case analysis of a regional teaching hospital in southern
作者:	梁可欣,
其他團體作者:	國立高雄大學
出版地:	[高雄市]
出版者:	撰者;
出版年:	2014[民103]
面頁冊數:	80面圖，表 : 30公分;
標題:	膝退化性關節炎
標題:	keen osteoarthritis
電子資源:	http://handle.ncl.edu.tw/11296/ndltd/94532884901070158150
附註:	參考書目：面26-29
附註:	103年12月16日公開
摘要註:	目的：退化性膝關節炎為常見的疾病之一，本研究主要目的為，評估探討膝退化性關節炎患者經過治療後的預後。方法：1.回溯式世代研究法：由2007年-2011年南部某地區教學醫院就診之病患資料，篩選出國際疾病代碼（ICD-9）715.16之病患進行後續研究。2.橫斷面研究法：由上述病患中，依照治療方式不同，篩選出600名病患進行電話訪問。結果：回溯式病例研究結果顯示，不論配對抽樣與否，藥物加儀器治療（95％CI＞1）或是藥物、儀器與運動治療（95％CI＞1）與藥物組相較之下有較高風險進行侵入性治療，但若以年度資料分析則結果為藥物組進行侵入性治療比率上升（6.93％上升至16.79％）。但若以問卷調查結果，某院病患自覺達到治療目標，在藥物組中較差。討論：配對抽樣時，將年齡變數控制住後，資料分析顯示，三組之間預後無顯著差異。推測年齡對於患者是否接受侵入性治療而言，是一重要因素。在問卷結果顯示，病患對於物理治療有良好的接受度。此外由於本研究只使用某院之資料，故不具代表性。結論：南部某地區教學醫院罹患膝退化性關節炎病患之比率，在年度資料中可看出有逐年下降的趨勢，且下降的族群集中在藥物組，且同時進行藥物與物理治療的比率有逐年上升的趨勢，但將病患資料串連後則有不樣的結果。可能需針對醫師對於膝退化性關節炎患者處為何處以不同處方之理由，及為何藥物組病患逐年消失，進行相關調查，才能更進一步確定導致此結果之原因。建議：1.病患對於物理治療有較良好的接受度，臨床也許可以投入發展。2.使用健保資料庫進行相關研究，則資料具代表性之外，病患的資料串聯會更完整。 Objective: knee osteoarthritis is one of the common diseases, the main purpose of this study was to assess explore knee osteoarthritis patients after treatment prognosis. Method: a retrospective cohort study method: analysis patients with international disease code (ICD-9) 715.16 from 2007 to 2011 in an area south of the teaching hospital. 2. Cross-sectional study method: by the patients, according to treatment in different ways, screened 600 patients for telephone interviews. Results: The retrospective case study showed that, regardless of whether or not paired sampling, drug therapy and machine (95% CI> 1) or drugs, machine and exercise therapy (95% CI> 1) in comparison with the drug group have more invasive treatment of high-risk, but if the result is an annual data analysis for drug -invasive treatment group ratio increased ( 6.93% rising to 16.79% ) . However, if the results of a questionnair, a hospital patient consciously achieve treatment goals , poor in the drug group. Discussion: When paired sample, after the age of variables under control, data analysis showed no significant difference between the three groups prognosis. For patients aged speculated accepted invasive treatment purposes, is an important factor. In the survey results show that physical therapy for patients with good acceptance. In addition, because this study uses only the information in a hospital, it is not representative. Conclusion: Southern Regional Teaching Hospital suffering from the knee osteoarthritis patient ratio, can be seen in the annual information have a declining trend. The decline of populations concentrated in the drug group, and at the same time the ratio of drugs and physical therapy have an increasing trend. But there is not the kind of results after the patient data series. For physicians may need knee osteoarthritis patients at different prescriptions of the reasons why impose, and why the drug group had disappeared every year, undertake a survey to further determine the cause of this result. Suggestions : (1) physical therapy for patients who have a more favorable acceptance , may be put into clinical development . 2 Use the NHI database for research , the data representative outside the patient 's data series will be more complete .

膝退化性關節炎病患經治療後之預後評估-以南部某地區教學醫院之病例分析 = A prognosis study of knee osteoarthritis patients after treatment- case analysis of a regional teaching hospital in southern
梁, 可欣

膝退化性關節炎病患經治療後之預後評估-以南部某地區教學醫院之病例分析 = A prognosis study of knee osteoarthritis patients after treatment- case analysis of a regional teaching hospital in southern / 梁可欣撰 - [高雄市] : 撰者, 2014[民103]. - 80面 ; 圖，表 ; 30公分.
參考書目：面26-29103年12月16日公開.
膝退化性關節炎keen osteoarthritis

膝退化性關節炎病患經治療後之預後評估-以南部某地區教學醫院之病例分析 = A prognosis study of knee osteoarthritis patients after treatment- case analysis of a regional teaching hospital in southern
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330 $a 目的：退化性膝關節炎為常見的疾病之一，本研究主要目的為，評估探討膝退化性關節炎患者經過治療後的預後。方法：1.回溯式世代研究法：由2007年-2011年南部某地區教學醫院就診之病患資料，篩選出國際疾病代碼（ICD-9）715.16之病患進行後續研究。2.橫斷面研究法：由上述病患中，依照治療方式不同，篩選出600名病患進行電話訪問。結果：回溯式病例研究結果顯示，不論配對抽樣與否，藥物加儀器治療（95％CI＞1）或是藥物、儀器與運動治療（95％CI＞1）與藥物組相較之下有較高風險進行侵入性治療，但若以年度資料分析則結果為藥物組進行侵入性治療比率上升（6.93％上升至16.79％）。但若以問卷調查結果，某院病患自覺達到治療目標，在藥物組中較差。討論：配對抽樣時，將年齡變數控制住後，資料分析顯示，三組之間預後無顯著差異。推測年齡對於患者是否接受侵入性治療而言，是一重要因素。在問卷結果顯示，病患對於物理治療有良好的接受度。此外由於本研究只使用某院之資料，故不具代表性。結論：南部某地區教學醫院罹患膝退化性關節炎病患之比率，在年度資料中可看出有逐年下降的趨勢，且下降的族群集中在藥物組，且同時進行藥物與物理治療的比率有逐年上升的趨勢，但將病患資料串連後則有不樣的結果。可能需針對醫師對於膝退化性關節炎患者處為何處以不同處方之理由，及為何藥物組病患逐年消失，進行相關調查，才能更進一步確定導致此結果之原因。建議：1.病患對於物理治療有較良好的接受度，臨床也許可以投入發展。2.使用健保資料庫進行相關研究，則資料具代表性之外，病患的資料串聯會更完整。 Objective: knee osteoarthritis is one of the common diseases, the main purpose of this study was to assess explore knee osteoarthritis patients after treatment prognosis. Method: a retrospective cohort study method: analysis patients with international disease code (ICD-9) 715.16 from 2007 to 2011 in an area south of the teaching hospital. 2. Cross-sectional study method: by the patients, according to treatment in different ways, screened 600 patients for telephone interviews. Results: The retrospective case study showed that, regardless of whether or not paired sampling, drug therapy and machine (95% CI> 1) or drugs, machine and exercise therapy (95% CI> 1) in comparison with the drug group have more invasive treatment of high-risk, but if the result is an annual data analysis for drug -invasive treatment group ratio increased ( 6.93% rising to 16.79% ) . However, if the results of a questionnair, a hospital patient consciously achieve treatment goals , poor in the drug group. Discussion: When paired sample, after the age of variables under control, data analysis showed no significant difference between the three groups prognosis. For patients aged speculated accepted invasive treatment purposes, is an important factor. In the survey results show that physical therapy for patients with good acceptance. In addition, because this study uses only the information in a hospital, it is not representative. Conclusion: Southern Regional Teaching Hospital suffering from the knee osteoarthritis patient ratio, can be seen in the annual information have a declining trend. The decline of populations concentrated in the drug group, and at the same time the ratio of drugs and physical therapy have an increasing trend. But there is not the kind of results after the patient data series. For physicians may need knee osteoarthritis patients at different prescriptions of the reasons why impose, and why the drug group had disappeared every year, undertake a survey to further determine the cause of this result. Suggestions : (1) physical therapy for patients who have a more favorable acceptance , may be put into clinical development . 2 Use the NHI database for research , the data representative outside the patient 's data series will be more complete .
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