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研究生:王瑞祥
研究生(外文):Ruay-shyang Wang
論文名稱:急診發燒老年病患
論文名稱(外文):Analysis of Admission of the Febrile Geriatric Patients in Emergency Department
指導教授:鄭滄祥鄭滄祥引用關係
學位類別:碩士
校院名稱:南台科技大學
系所名稱:企業管理系
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:45
中文關鍵詞:老年發燒病人、急診、決策樹、分類分析
外文關鍵詞:Geriatric Febrile Patient, Emergency Department, Decision Tree, Classification Analysis
相關次數:
  • 被引用被引用:0
  • 點閱點閱:336
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  • 下載下載:38
  • 收藏至我的研究室書目清單書目收藏:0
台灣已經步入老年社會,健保的實施更延長了平均壽命,因此老年患者所占比例也相對地提升。由於經濟的考量與照護需求,部份老人家的照護工作由外傭負責,部分則接受長照機構的照護,健康狀況稍佳的老人家則還能自理生活。照護型態的改變也影響到就醫行為。本研究以回溯性的方式,收集過去三年急診室的615個老年人發燒案例,進行資料的探勘與分析。本研究利用決策樹所歸納的分析結果顯現出老年人的身體功能狀態與是否有膿尿情況兩項因素,可以提供醫師下達住院決策的重要參考因素。從歷史案例中所獲得的歸納性的規則,對於臨床醫療的實務執行有相當大的實用性。對於新進的醫師,在訓練的過程中,這些歸納性的規則尤其可以提供其實務操作的重要參考。
Taiwan has entered the aging society, the implementation of health insurance system extends the average life expectancy in elderly patients. The proportion of the elderly patients is relatively increased. Due to economic considerations, some of elderly is cared by foreign domestic helpers, some accept the care of long term care institutions, while the other better health status of elderly people can take care of themselves. In this study, we have collected 615 febrile geriatric patients in the emergency department in a local hospital of southern Taiwan over the past three years and analysed the data with data mining. Our study reveals the functional status of the elderly patients and urine routine's results, are the important decision-making factors of the admission of the patients for the physician. Decision tree inducts rules which correspond to the clinical treatment for us to follow. It can provide valuable information, especially for new physicians in the training process.
致 謝 i
中文摘要 ii
Abstract iii
目 錄 iv
表目錄 v
圖目錄 vi
第一章 緒論 1
第一節 研究背景及動機 1
第二節 研究目的 2
第三節 研究範圍與限制 3
第二章 文獻探討 4
第一節 老年人感染的相關研究 4
第二節 支援照護與身體功能 6
第三節 生命徵象記錄 8
第四節 檢查與檢驗結果 9
第五節 資料探勘與分類分析 11
第三章 資料收集與分析模式的建構 15
第一節 資料的收集與描述 15
第二節 模式預測效能衡量指標 18
第四章 實證評估 20
第一節 變數離散化的成效 20
第二節 調整模式所需的參數值 22
第三節 急診住院診斷經驗規則的萃取 30
第四節 總結 36
第五章 結論與建議 39
第一節 結論 39
第二節 研究限制及未來研究方向 40
參考文獻 42
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