目標:評估台灣公共衛生雜誌投稿論文統計方法使用的適合性。方法:負責統計審查的副主編提供40篇送審論文之專家意見。結果:按研究設計與工具、研究執行、研究資料的分析與統計分析結果的呈現方式等階段並以實例提出各項缺失與改進的方法之整體報告。結論:統計於公共衛生研究上為一重要而必備的工具,公共衛生研究學者應在考量研究設計與資料屬性的前題之下選擇正確的統計方法。
Objectives: Chronic fatigue is one of the most common symptoms in medical care. This investigation is to explore the comorbidity of somatic & psychiatric symptoms and personality characteristic of patients. Methods: 102 patients with chronic fatigue and 70 healthy controls were evaluated by self-reported questionnaire. Results: Those with chronic fatigue had a higher prevalence of psychiatric diseases(p<0.00l), sleep disturbance(p<0.001), immune impairment (p<0.01), and peptic ulcer(p<0.05). The amount of psychosomatic symptoms of patients was significantly more than the control group(12.13±6.36 vs. 3.03±3.63, p<0.001). There were more than half of the patients suffering from mouth dryness, neck tightness, poor memory, palpitation, headache or dizziness, eye dryness or blurred vision, irritability and poor concentration. The personality of patients showed more suspiciousness, sensitivity, and radicalism (p<0.05). Conclusions: The symptoms of chronic fatigue patients frequently covered multiple organs without clear underlying medical explanations and related with psychological factors. Clinicians should approach chronic fatigue patients with a bio-psychosocial mode, intervening in patient’s psychosocial variables as well as biological variables.
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