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研究生:李宜靜
研究生(外文):LEE, YI-JING
論文名稱:顱內出血術後病人長期使用呼吸器預測因子之探討
論文名稱(外文):Predictors for Prolonged Mechanical Ventilation in Intracranial Hemorrhage Patients after Surgery
指導教授:王桂芸
指導教授(外文):Wang, Kwua-Yun
口試委員:張玉坤劉偉修張乃文王桂芸
口試委員(外文):Chang,Yue-CuneLiu, Wei-HsiuChang, Nai-WenWang, Kwua-Yun
口試日期:2020-05-12
學位類別:碩士
校院名稱:國防醫學院
系所名稱:護理研究所
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:2020
畢業學年度:108
語文別:中文
論文頁數:194
中文關鍵詞:顱內出血長期使用呼吸器預測因子
外文關鍵詞:Intracranial hemorrhageprolonged mechanical ventilationpredictor
相關次數:
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目錄
正文目錄 II
『表』目錄 V
『圖』目錄 VIII
『附錄』目錄 IX
中文摘要 X
英文摘要 XIII

正文目錄
第一章 緒論 1
第一節 研究動機與重要性 1
第二節 研究目的 4
第二章 文獻回顧 5
第一節 顱內出血之相關概念 5
第二節 長期使用呼吸器之相關概念 14
第三節 顱內出血術後病人長期使用呼吸器之相關因素及其預測因子之相關研究 18
第三章 概念架構 43
第一節 研究架構 43
第二節 名詞定義 45
第三節 研究問題 49
第四節 研究假設 50
第四章 研究方法 51
第一節 研究設計 51
第二節 研究對象及場所 51
第三節 研究工具 53
第四節 研究步驟 61
第五節 資料處理與分析 62
第六節 研究倫理考量 63
第五章 研究結果 64
第一節 研究對象基本屬性之分布及比較與長期使用呼吸器之關係 66
第二節 研究對象營養狀態、代謝紊亂、炎症反應、呼吸道保護能力及脫離呼吸器之相關參數之分布及單變項比較分析及與長期使用呼吸器之關係 92
第三節 顱內出血術後病人長期使用呼吸器之預測模型建立 111
第六章 討論 118
第一節 研究對象的基本屬性 118
第二節 顱內出血術後病人長期使用呼吸器與營養狀態之關係 132
第三節 顱內出血術後病人長期使用呼吸器與代謝紊亂之關係 134
第四節 顱內出血術後病人長期使用呼吸器與炎症反應之關係 137
第五節 顱內出血術後病人長期使用呼吸器與呼吸道保護能力之關係 142
第六節 顱內出血術後病人長期使用呼吸器與脫離呼吸器預相關數之關係 145
第七節 顱內出血術後長期使用呼吸器之預測因子 152
第七章 結論與建議 156
第一節 結論 156
第二節 研究限制 158
第三節 建議 158
參考文獻 161
壹、英文部分 161
貳、中文部分 178

『表』目錄
表 5-1 研究對象人口學特性之分布(N=188) 69
表 5-2 研究對象人口學特性之比較:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 70
表 5-3 研究對象人口學特性之比較:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 71
表 5-4 研究對象疾病特性之分布(N=188) 77
表 5-5 研究對象疾病特性之比較:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 79
表 5-6 研究對象人口學特性之比較:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 81
表 5-7 研究對象共病症之分布(N=188) 86
表 5-8 研究對象共病症之比較:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 88
表 5-9 研究對象共病症之比較:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 90
表 5-10 研究對象營養狀態之分布及單變項比較分析:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 94
表 5-11 研究對象營養狀態之分布及單變項比較分析:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 95
表 5-12 研究對象代謝紊亂之分布及單變項比較分析:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 97
表 5-13 研究對象代謝紊亂之分布及單變項比較分析:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 98
表 5-14 研究對象炎症反應之分布及單變項比較分析:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 101
表 5-15 研究對象炎症反應之分布及單變項比較分析:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 102
表 5-16 研究對象呼吸道保護能力之分布及單變項比較分析:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 104
表 5-17 研究對象呼吸道保護能力之分布及單變項比較分析:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 105
表 5-18 研究對象脫離呼吸器之相關參數之分布及單變項比較分析:3-13天脫離呼吸器與14天(含)以上脫離呼吸器(N=188) 109
表 5-19 研究對象脫離呼吸器之相關參數之分布及單變項比較分析:3-20天脫離呼吸器與21天(含)以上脫離呼吸器(N=188) 110
表 5-20 研究對象長期使用呼吸器可能預測因子之多變項邏輯式迴歸:3-13天脫離呼吸器與14天(含)以上脫離呼吸器 114
表 5-21 研究對象長期使用呼吸器可能預測因子之多變項邏輯式迴歸:3-20天脫離呼吸器與21天(含)以上脫離呼吸器 115

『圖』目錄
圖 3-1 概念架構圖 44
圖 5-2 研究對象以14天為長期使用呼吸器預測模型之接收者操作特徵曲線 116
圖 5-3 研究對象以21天為長期使用呼吸器預測模型之接收者操作特徵曲線 117

『附錄』目錄
附錄一 人體試驗計畫同意函
附錄二 受試者同意書
附錄三 個案報告表


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