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研究生：	宋習宇 Sung, Shi-Yu
論文名稱：	糖尿病風險因子長期資料監控系統之建構與評估 Implementation and Evaluation of Diabetes Complication Risk Factors Long-term Monitor System
指導教授：	楊宜青 Yang, Yi-Ching 蔣榮先 Chiang, Jung-Hsien
學位類別：	碩士 Master
系所名稱：	電機資訊學院 - 醫學資訊研究所 Institute of Medical Informatics
論文出版年：	2008
畢業學年度：	96
語文別：	中文
論文頁數：	39
中文關鍵詞：	品質照護、糖尿病、醫學資訊
外文關鍵詞：	Quality of care, Diabetes, Medical informatics
相關次數：	點閱：104 下載：6
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糖尿病患需要降低併發症發生的可能性，控制血糖、血壓與血脂成為主要的方法，也因為如此病患需要接受定期進行檢驗檢查，如何利用現有的資訊技術，提供更好的醫療品質，成為重要的議題。本研究建置的糖尿病風險因子長期資料監控系統，以提供醫師更直覺的圖形化資訊，配合風險因子的提示，結合醫療品質的資訊給予醫師，並以結合既有醫院系統為目標發展本系統。
本研究依照國內外最新的臨床指引作為準則，將各項併發症的風險因子分類以方便醫師檢視，並將病患長期以來的檢驗資料以圖形化的介面呈現給醫師，另外結合上目前醫院的功能，提供不同品質分析的工具。由於本系統是利用線上運算的方式，?顧及醫院系統的安全與穩定，並未進行測試本系統的效能實驗，希望未來結合上醫院系統後能發揮應有的功能，以協助醫師提供更好的醫療品質。

Diabetes patient often get trouble in several complications. To reduce the risk or slow the progression of complications, optimize blood sugar, blood pressure, and blood lipid. Patients were asked to receive exams regularly. How can we use information technology to improve diabetes care become an important issue. In this study, we propose a diabetes complication risk factors long-term monitor system to provide physician more information for the purpose of better health care.
We follow the latest practice guideline, calculator risk factor and present long term examinant data for different complications. Moreover, we combine current hospital information system, offer quality assessment tools to physicians. To consider the information safety and system stably, we did not test our system online. We also demonstrate that our system is able to provide necessary functions to physicians

第一章 導論..................................................................................................................7
1 前言.........................................................................................................................7
2 研究動機.................................................................................................................8
3 研究目的.................................................................................................................8
4 論文架構.................................................................................................................9

第二章 文獻探討........................................................................................................10
1 糖尿病簡介...........................................................................................................10
1.1 糖尿病形成的原因與分類........................................................................11
1.2 糖尿病的流行病學....................................................................................12
1.3 糖尿病的併發症........................................................................................12
1.4 糖尿病對經濟的影響............................................................................... 13
2 糖尿病照護指引...................................................................................................14
3 糖尿病品質照護…...............................................................................................15
4 資訊系統在糖尿病照護的應用...........................................................................16

第三章 糖尿病風險因子長期資料監控系統............................................................18
1 系統架構...............................................................................................................18
1.1 系統架構圖................................................................................................19
2 資料庫介紹...........................................................................................................20
2.1 資料來源................................................................................................... 20
2.2 資料擷取................................................................................................... 22
3併發症風險因子分類與計算.................................................................................22
3.1 視網膜病變............................................................................................... 24
3.2 腎臟病變................................................................................................... 24
3.3 足部與神經病變....................................................................................... 25
3.4 大血管病變............................................................................……………26
4 照護品質計算.......................................................................................................26
5 資訊整合...............................................................................................................29

第四章 系統演示........................................................................................................30
1 系統介紹...............................................................................................................30
2 功能比較...............................................................................................................34

第五章 研究限制、結論來展望................................................................................35
1 資料取得問題.......................................................................................................35
2 系統效能驗證.......................................................................................................35
3 結論.......................................................................................................................35
2 未來展望...............................................................................................................36

參考文獻......................................................................................................................38
                                    

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校內：立即公開
校外：2008-08-27公開

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