氣喘病人之生活品質與醫療利用之分析－以台中某區域級教學醫院為例

The Analysis of Quality of Life and Medical Utility Among Asthma Patients－A Pilot Study on Regional Hospital in Taichung

劉懿瑩(ying-yi Liu)

指導教授 ： 劉見祥

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

背景--氣喘是全球性健康問題，估計全球有3億人受影響；若不加以控制，會增加氣喘相關醫療資源的利用與支出及社會成本；故也會造成對患者的生活限制、及降低的生活品質。 目的—1.有無接受「氣喘試辦計畫」之氣喘患者相關因素探討；2. 對有無加入氣喘試辦計畫患者之生活品質相關分析討論；3.分析對有無加入氣喘試辦計畫之病患在總醫療利用相關分析之探討。 方法--本研究之對象為胸腔科醫師確定為氣喘之病患於門診進行收案 ，立意取樣方式作為研究。以1.描述性統計：敍述本研究人口學變項與依變項資料分佈狀況。2.推論性統計：採t-test、ANOVA、皮爾森積差相關之分析，來探討人口學變項之相關差異。3.強迫進入之複迴歸分析預測變項之解釋力。 結果—研究發現有無加入氣喘試辦計畫之患者，在個人自覺健康好壞及目前無工作者為影響生活品質之重要因子。且於總醫療使用上，個人自覺健康好壞與年齡會影響病患在醫療資源的利用多寡。 結論--氣喘嚴重影響人們日常生活品質的慢性疾病，在門診、急診、住院等醫療利用方面，有可觀的醫療支出。而世界各國推廣疾病管理時，適當的門診照護來降低急診與住院結果之特質的策略也是重要，瞭解各階層之氣喘病人在醫療利用情形，及對於生活品質的影響，以提供氣喘病人未來更好的照護。

關鍵字

氣喘 ； 生活品質 ； 醫療利用 ； 生活品質、醫療利用

並列摘要

Background－Asthma is a global health issue that affects approximately 3 billion people around the world. Without proper control, asthma-related medical utilization and expenses as well as social costs will increase. The emphasis of this study is to reduce the restriction on patients’ life style and improve their quality of life.
Objective－(1)To utilize the WHOQOL-BREF to investigate and analyze the quality of life for asthma patients, and (2) to investigate and analyze the total medical utilization of asthma patients.
Method－The study recruited patients diagnosed with asthma by thoracic physicians during the outpatient service using a purposive sample approach .The following approaches were performed, 1.Descriptive statistical analysis: to describe the distribution of demographic variables and dependent variables in the study, 2. Inferential statistical analysis: to discuss the differences among the demographic variables using t-test, ANOVA and Pearson product-moment correlation , 3.enter method multiple regression analysis: to predict the explanatory power of variables
Result－Research results show that in the study that for patients participated and not participated in the asthma pilot program,self- perceived health condition and status of unemployment are considered the impact factors that affect their quality of life. In terms of total medical utilization, self-perceived health condition and age are considered the impact factors.
Conclusion－Asthma is a chronic disease that has a profound impact on the quality of our daily lives, incurring a considerable amount of medical expenses for outpatient clinics, emergency services and hospitalization care. In the global promotion of disease management, the strategy of providing proper outpatient care to reduce emergency and hospitalization outcomes is of great importance. By enhancing the integration of disease management, we will have a better understanding on the medical utilization of asthma patients from different backgrounds as well as the impact on the quality of life. It is our hope that through this study, we will be able to provide better care for asthma patients in the near future.

並列關鍵字

asthma ； quality of life ； medical utilization ； quality of life ； medical utilization

參考文獻

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