簡易檢索 / 詳目顯示

研究生: 高致霆
Kao, Chih-Ting
論文名稱: 數位化聽力檢查報告系統開發與驗證
Development and Validation of a Digital Hearing Test Report System
指導教授: 梁勝富
Liang, Sheng-Fu
學位類別: 碩士
Master
系所名稱: 電機資訊學院 - 資訊工程學系
Department of Computer Science and Information Engineering
論文出版年: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 56
中文關鍵詞: 醫院資訊系統電子病歷人機互動聽力師聽力檢查
外文關鍵詞: Hospital Information System, Electronic Medical Records, Human-Computer Interaction, Audiologists, Hearing Tests
相關次數: 點閱:88下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 聽力損失對個人的生活有著廣泛的危害,其影響不僅僅局限在聽覺層面,還可能影響到心理、社交和生活品質。聽力檢查可以早期發現可能存在的聽力問題,包括聽力損失或其他聽覺障礙。成大醫院聽力室使用紙本記錄方式需要聽力師在紙本與電腦上多次抄寫數據,這不僅花費時間還容易出現錯誤。市面上的聽力軟體不符合聽力師的臨床需求。
    我們實作數位化聽力檢查報告系統,目的是幫助聽力師減少檢查、打報告時間,以此減輕聽力師負擔。本系統提供紙本報告所能填寫的內容,讓聽力師填寫聽力檢查報告,並且我們發揮數位化的優勢使用自動化工具減少操作步驟。我們與成大醫院資訊室合作,以符合成大醫院資訊室要求之方法與格式上傳聽力檢查報告讓聽力檢查報告結合於醫院系統中。
    我們收集聽力師使用紙本跟數位化聽力檢查報告系統所花費的檢查及撰寫報告時間。收集純音聽力檢查、純音聽力檢查和聽音電阻檢查檢查時間,總共有4位聽力師收集461次檢查數據。比較紙本跟數位化聽力檢查報告系統所花費的檢查及撰寫報告時間,使用數位化聽力檢查報告系統可以減少純音聽力檢查10%及純音聽力檢查和聽音電阻檢查13%的檢查及撰寫報告時間。

    Hearing loss can have a broad impact on an individual's life, affecting not just hearing but also psychological well-being, social interactions, and overall quality of life. Early detection of potential hearing problems, including hearing loss or other auditory disorders, is crucial and can be achieved through hearing tests.
    Traditionally, audiologists at National Cheng Kung University Hospital (NCKUH) used paper records, requiring audiologists to transcribe data multiple times between paper and computer. This process was not only time-consuming but also prone to errors. Additionally, existing hearing test software in the market did not meet the specific clinical needs of audiologists.
    To address these issues, we developed a digital hearing test report system aimed at reducing the time audiologists spend on testing and report writing, thereby easing their workload. This system replicates the content that can be filled in a paper report, enabling audiologists to complete hearing test reports more efficiently. By leveraging digital advantages and automation tools, we have streamlined operational steps. Our collaboration with the Information Department of NCKUH ensured that the system met the hospital's requirements for method and format, integrating the hearing test reports into the hospital's system.
    We collected data on the time spent by audiologists conducting tests and writing reports using both paper and the digital system. Four audiologists collected data from a total of 461 tests, including Pure Tone Audiometry (PTA) and Pure Tone Audiometry combined with Impedance Audiometry (PTA+IMP). The comparison showed that using the digital system could reduce the time spent on PTA tests by 10% and PTA+IMP tests by 13%, demonstrating its effectiveness in reducing operational time.

    摘要 I Abstract II 誌謝 IV Contents V List of Table VII List of Figures VIII Chapter 1 Introduction 1 1.1 Background 1 1.2 Hearing Test 3 1.3 Related Work 4 1.4 Motivation 4 Chapter 2 Method 6 2.1 Digital Hearing Test Report System 6 2.2 Operating System and Hardware Requirement 7 2.3 Interface and Function Introduction 8 2.3.1 Login Page 8 2.3.2 New Hearing Test Report Page 10 2.3.3 Hearing Test Report Management 18 2.3.4 Report Upload 21 2.4 Comparison of Paper and Digital System Processes 24 2.5 Validate the Functions and Effectiveness of Digital Hearing Test Reporting System 26 2.5.1 Functions Validation 26 2.5.2 Questionnaire 27 2.5.3 Comparative Experiment Design and Process 29 2.5.4 Subjects 30 2.5.5 Statistical analysis 32 Chapter 3 Result 33 3.1 Hardware compacity 33 3.2 Questionnaire 34 3.3 Pure Tone Audiometry 36 3.4 Pure Tone Audiometry with Impedance Audiometry 37 3.5 Relation between Hearing Loss Types and Digital System 37 Chapter 4 Discussion 40 4.1 Digital Hearing Test Report System 40 4.2 Adaptation for Digital Hearing Test Report System 40 4.3 System Corrections and Improvements 43 Chapter 5 Conclusion 44 Reference 45

    Baumann, L. A., Baker, J., & Elshaug, A. G. (2018). The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy, 122(8), 827-836.
    Brännström, K. J., Holm, L., Larsson, J., Lood, S., Notsten, M., & Turunen Taheri, S. (2016). Occupational stress among Swedish audiologists in clinical practice: Reasons for being stressed. International Journal of Audiology, 55(8), 447-453.
    Daniel, E. (2007). Noise and Hearing Loss: A Review. Journal of School Health, 77(5), 225-231.
    Davies, R. A. (2016). Chapter 11 - Audiometry and other hearing tests. In J. M. Furman & T. Lempert (Eds.), Handbook of Clinical Neurology (Vol. 137, pp. 157-176). Elsevier.
    Davis, F. D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3), 319-340.
    Developers, A. (2023). Support different screen sizes. Retrieved December 27 from https://developer.android.com/guide/topics/large-screens/support-different-screen-sizes
    Diao, T., Ma, X., Zhang, J., Duan, M., & Yu, L. (2021). The Correlation Between Hearing Loss, Especially High-Frequency Hearing Loss and Cognitive Decline Among the Elderly. Front Neurosci, 15, 750874.
    Lidén, G. (1980). Impedance Audiometry. Annals of Otology, Rhinology & Laryngology, 89(5_suppl), 53-58.
    Lin, C.-Y., Yang, Y.-C., Leon Guo, Y., Wu, C.-H., Chang, C.-J., & Wu, J.-L. (2007). Prevalence of hearing impairment in an adult population in southern Taiwan. International Journal of Audiology, 46(12), 732-737.
    Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 4(null), 47-55.
    Musiek, F. E., Shinn, J., Chermak, G. D., & Bamiou, D.-E. (2017). Perspectives on the Pure-Tone Audiogram. J Am Acad Audiol, 28(07), 655-671.
    Natus. (2023). Otosuite® - Audiometry Software. Retrieved December 28 from https://natus.com/sensory/otosuite/
    Obradovich, J. H., & Woods, D. D. (1996). SPECIAL SECTION: Users as Designers: How People Cope with Poor HCI Design in Computer-Based Medical Devices. Human Factors, 38(4), 574-592.
    Ravi, R., Gunjawate, D., & Ayas, M. (2015). Audiology occupational stress experienced by audiologists practicing in India. International Journal of Audiology, 54(2), 131-135.
    Su, P., Hsu, C.-C., Lin, H.-C., Huang, W.-S., Yang, T.-L., Hsu, W.-T., Lin, C.-L., Hsu, C.-Y., Chang, K.-H., & Hsu, Y.-C. (2017). Age-related hearing loss and dementia: a 10-year national population-based study. European Archives of Oto-Rhino-Laryngology, 274(5), 2327-2334.
    Wang, H.-F., Zhang, W., Rolls, E. T., Li, Y., Wang, L., Ma, Y.-H., Kang, J., Feng, J., Yu, J.-T., & Cheng, W. (2022). Hearing impairment is associated with cognitive decline, brain atrophy and tau pathology. eBioMedicine, 86.
    Weissman, J. L. (1996). Hearing loss. Radiology, 199(3), 593-611.
    Zahnert, T. (2011). The differential diagnosis of hearing loss. Dtsch Arztebl Int, 108(25), 433-443; quiz 444.

    無法下載圖示 校內:2029-01-31公開
    校外:2029-01-31公開
    電子論文尚未授權公開,紙本請查館藏目錄
    QR CODE