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研究生:吳雅萍
研究生(外文):WU,YA-PING
論文名稱:比較科技通訊與傳統衛教介入對幽門螺旋桿菌感染患者醫療遵從性之研究
論文名稱(外文):A Study on the Compliance in Patients with Helicobacter Pylori Infection by Communication Technology Software versus Traditional Health Education
指導教授:張綠怡張綠怡引用關係
指導教授(外文):CHANG,LU-I
口試委員:怡懋.蘇米胡志棠
口試委員(外文):SUBEQ,YI-MAUNHU,CHI-TAN
口試日期:2017-07-28
學位類別:碩士
校院名稱:慈濟大學
系所名稱:護理學系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:63
中文關鍵詞:幽門螺旋桿菌遵從性科技通訊
外文關鍵詞:Helicobacter pyloricompliancecommunication technology software
相關次數:
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  • 下載下載:39
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幽門螺旋桿菌是一種感染超過50%人群的病原體,導致全世界的高醫療成本。雖然一些幽門螺桿菌陽性的個案可能沒有症狀,但感染者容易引起胃腸不適,甚至導致嚴重的疾病,例如萎縮性胃炎,消化性潰瘍疾病和胃癌。最近研究報告指出,接受根除幽門螺旋桿菌治療的患者中,導致幽門螺桿菌根除率低於80%的兩個主要因素為較差的服藥遵從性以及細菌耐藥性。因此,本研究的目的在於比較科技通訊軟體衛教以及傳統衛教兩者對醫療遵從性之成效影響。實驗組以傳統衛教加上科技通訊軟體介入,而對照組則僅以傳統衛教介入的方式進行兩組的比較。
本研究採用類實驗研究法,收案地點為花蓮慈濟醫學中心,參與研究者為152位接受藥物治療的幽門螺旋桿菌陽性患者,以臺大醫院提供的基本資料問卷收集基本人口學資料、生活型態、飲食習慣,過去病史,藥物史以及是否有腸胃系統相關症狀等,而在結果評估的部分,則以日記卡、飲食記錄表、幽門螺旋桿菌根除率、以及研究者自行發展之醫療滿意度問卷等作為結果評估。研究數據予以編碼後,以 SPSS version 22.0 (IBM corp, 2013) 統計軟體進行資料建檔及統計分析。本研究結果發現實驗組與對照組之患者醫療遵從性及治療成效上並無顯著的差異(p > .05),但對於整體醫療滿意度是具有顯著差異的(p < .05)。顯示加入新的科技通訊衛教方式相較於只提供傳統衛教方式成效並不顯著,未來或許可嘗試找尋更好的衛教方式來增加病患的醫療遵從性。


Helicobacter pylori is a pathogen that infects more than 50% of the population, resulting in high medical costs worldwide. Although some H. pylori-positive individuals may remain asymptomatic during their lifetime, those infected can cause chronic gastritis and even cause serious illnesses such as atrophic gastritis, peptic ulcer and gastric cancer. Recent studies showed that poor compliance and drug resistance of the bacterial were the two major factors associated with lower eradication of Helicobacter pylori (≤80%) among patients receiving treatment. The purpose of this study is to compare the effects of two different health education strategies on patients’ compliance to medication and H. Pylori eradication. The two different strategies are mobile communication combined with telephone interview versus telephone interview only. This is a study done in a single medical center. Questionnaires on basic demographic data, lifestyle, eating habits, past history, medication history and gastro-intestinal symptoms were collected. Outcome was evaluted with H. pylori eradication rate, diary (daily records of medication and gastro-intestinal symptoms), dietary record, and survey on medical care satisfaction. Research data were encoded and analyzed with SPSS version 22.0(IBM corp, 2013) statistical software. The results of this study showed no significant difference(p > .05) between the experimental group and the control group, but there was significant difference(p < .05) for the overall medical care satisfaction. Showing that the addition of new technology to health education is not significant compared to the mere fact that traditional philanthropy is only available, and that future attempts to seek better ways of health care can be used to increase patient compliance.
目錄
碩博士論文上網授權書....................I-II
碩士學位論文審定書......................III
致謝...................................IV
中文摘要................................V
Abstract...............................VI
目錄...................................VII-VIII
表目錄................................ IX
圖目錄.................................IX
第一章 緒論
第一節 研究動機與背景..................2
第二節 研究目的........................3
第三節 研究假設........................3
第四節 名詞界定........................4-7
第二章 文獻查證
第一節 幽門螺旋桿菌人口學及流行病學........8-9
第二節 幽門螺旋桿菌診斷、治療、副作用......10-12
第三節 影響幽門螺旋桿菌治療成效之相關原因.. 13-15
第四節 醫療遵從性.........................16
第五節 醫療遵從性與滿意度相關性...........17-18
第六節 資訊衛教方案及近期相關研究.........19-20
第三章 研究方法
第一節 研究架構.........................21
第二節 研究設計.........................22
第三節 研究對象與研究場所................22-23
第四節 研究工具及信效度..................23-24
第五節 研究流程.........................25-26
第六節 資料處理與統計分析................27
第七節 研究對象權益保護..................28
第四章 研究結果
第一節 基本人口學特性與同質性檢定.........29-34
第二節 醫療遵從性包含服藥及飲食遵從性......35-37
第三節 傳統衛教組及科技通訊衛教組治療成效之差異..38
第四節 傳統衛教組及科技通訊衛教組醫療滿意度之差異...39-40
第五章 討論與應用
第一節 研究結果分析與討論..............41-42
第二節 研究限制與建議..................43-44
第三節 研究結果應用....................44
參考文獻
中文部分................................45
英文部分................................46-48
附錄表
附錄一 基本資料問表......................49-53
附錄二 日記卡............................54
附錄三 飲食紀錄表........................55
附錄四 滿意度調查表......................56-58
附錄五 研究倫理委員會審議同意書...........59-62
附錄六 飲食衛教單張......................63

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