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研究生:李浩陽
研究生(外文):Hao-Yang Lee
論文名稱:探討罹患青光眼之相關影響因素
論文名稱(外文):Explore Related Factors of the Risk of Glaucoma
指導教授:林榮禾林榮禾引用關係
指導教授(外文):Dr. Rong-Ho Lin
學位類別:碩士
校院名稱:國立臺北科技大學
系所名稱:管理學院工業工程與管理EMBA專班
學門:工程學門
學類:工業工程學類
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:101
中文關鍵詞:群集分析卡方檢定區別分析青光眼流行病學因素生活品質因素
外文關鍵詞:Cluster analysischi-square testdiscriminant analysisglaucomaEpidemiology factorsquality of life factors
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隨著人類平均年齡的增加,青光眼的流行率也愈來愈高,在這個逐漸高齡化的社會中,青光眼的早期診斷與治療愈來愈重要。而國內青光眼病人視覺功能及健康相關生活品質之相關研究仍著重在兩者關聯性之探討。若能藉由問卷調查的方法來瞭解青光眼病患自覺視覺功能不良的情形及生活品質,同時評估青光眼病患視覺功能與健康相關生活品質、視覺相關生活品質的關係,研究結果將可以作為臨床治療的重要參考依據。研究採取問卷調查方式,有效問卷數量為290份。並利用群集分析、卡方檢定及區別分析進行研究。研究結果說明;1.青光眼病患流行病學因素以「其他眼科疾病或外傷史」最多,其次「高度近視程度」,第三為「青光眼家族史」,「眼軸較短及眼球較小的遠視」為最少;2.病患基本資料在健康相關生活品質、視覺相關生活品質構面之差異分析部份,計有年齡、教育程度、個人月收入、眼壓、運動等因素是相當顯著;3.年齡、教育程度、居住地區、婚姻狀況、個人月收入、眼壓、BMI、運動、熬夜與青光眼判定等與青光眼致病族群成顯著差異關係;4.健康相關生活品質、視覺相關生活品質等構面是可以有效區別青光眼致病族群。建議事項為採取問卷調查的方式瞭解青光眼病患自覺視覺生活品質及一般生活品質,其調查結果可作為臨床治療的重要參考依據。

With the increase of the average human age, the rate of glaucoma pandemic is getting higher in the gradually aging society. The early diagnosis and treatment of glaucoma is growing more important. Domestic glaucoma patient visual function and health-related quality of life research still focuses on the both correlation. If the method of questionnaire survey can be usd to understand the adverse situation and quality of life of glaucoma patients perceived visual function, to assess the relationship between glaucoma patients with visual function and health-related quality of life, vision-related quality of life, then the related findings also can be used as a clinical treatment an important reference. This study adopts questionnaire method which has 290 valid questionnaires numbers and applies the methods of cluster analysis, Chi-square test and discriminant analysis. The results shows that 1.glaucoma patients epidemiological factors other eye disease or history of trauma ", followed by the degree of high myopia," third for "family history of glaucoma, axial length shorter and smaller eye hyperopia at least; 2.demographic data analysis part, namely, age, educational level, personal monthly income, intraocular pressure, exercise and other factors are significant differences in health-related quality of life, vision-related quality of life dimensions; 3. age, educational level, area of residence, marital status, personal monthly income, intraocular pressure, BMI, and sports, staying up late with glaucoma to determine significant differences in relationship with the glaucoma pathogenic ethnic groups; 4. The structure of health-related quality of life and vision-related quality of life can effectively distinguish glaucoma pathogenic populations. Therefore, this research research suggests taking the questionnaire survey to understand consciously the visual quality of life and general quality of life of glaucoma patients can be used as important reference for clinical treatment.

摘 要 i
ABSTRACT ii
誌 謝 iii
目 錄 iv
表目錄 vi
圖目錄 viii
第一章 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 3
1.3 研究流程與章節架構 3
第二章 文獻探討 5
2.1 眼部疾病的類別 5
2.2 青光眼之盛行率 6
2.3 青光眼之定義 7
2.4 青光眼之種類 9
2.5 青光眼之治療方式 9
2.6 視覺疾病對生活品質的影響 14
2.7 影響眼部疾病的相關因素 15
2.8 生活品質之相關文獻 18
2.8.1 生活品質的概念 18
2.8.2 生活品質的測量 18
2.8.3 視覺相關的生活品質 20
第三章 研究方法 23
3.1 研究架構 23
3.2 問卷調查 24
3.3 研究對象與抽樣計劃 29
3.4 群集分析 29
3.5 統計分析方法 30
第四章 研究分析結果 34
4.1 人口統計因素 34
4.2 流行病學因素資料 36
4.3 差異性分析檢定 39
4.4 K-means集群分析 52
4.5 卡方檢定 57
4.6 區別分析 76
4.7 二元Logistic迴歸分析 81
第五章 研究結論與建議 85
5.1 研究結論 85
5.2 管理意涵 86
5.3 未來研究建議 87
參考文獻 88
研究問卷 95



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