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E92041
1
010
簡式36健康問卷電腦適性化:與紙筆施測模式之同質性及在臨床醫療照護的實用性之研究
Examining Equivalence and Feasibility of Computerized Adaptive SF-36 Taiwan Version
1.曾旭民
1.Hsu-min Tseng
1.長庚大學醫務管理系
1.Department of Health Care Management, Chang Gung University
001,002,003,004
1.長庚大學醫務管理系
1.Department of Health Care Management, Chang Gung University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2003-08-01
A.14 計畫執行期間(訖):2004-07-31
2004-04-012004-04-30
A.16 收到日期:2004-12-16
4
至醫院看診之頭頸部癌症病人

1

51


51
001,004
01
C.2 聯絡日期:2004-12-16
2
1.長庚大學醫務管理系
1.Department of Health Care Management, Chang Gung University
1
C.7 資料公開日期:2006-08-01
2
008
2
1
1
2
2
2
3
001
1,2
1.同質性
2.電腦化測驗
3.癌症患者生活品質
4.簡式-36
1.Computerized Testing
2.Equivalence
3.Quality of Life of Cancer Patients
4.SF-36
目 的: 癌症的健康照護中定期收集病患的健康生活品質資料對於照護策略的擬定與品質的提升有相當重要的幫助。目前的QoL問卷在臨床實務的使用率並不高,因為其計 分與解釋需要耗費相當多的時間,但這些可以運用資訊科技加以解決。本研究主要檢驗電腦化施測的SF-36系統在臨床的可用性與及其結果與標準紙筆版之間的 同質性。 病人與方法: 共有51位癌症病人同意在看診前後接受電腦與紙筆兩個版本的施測。除了收集SF-36的資料外,病人的電腦焦慮程度也用來檢驗是否會影響到電腦施測的結 果。

結果: 在電腦與紙筆版本所得的SF-36各分量表與及總和分數有著高度顯著的相關 (從0.87 到 0.98,所有 p <0.001)。電腦焦慮的特質與電腦施測的結果沒有顯著的相關。

討論: SF-36的電腦版在臨床實務的應用顯得相當可行而且病人也大部分接受這種工具。本研究提供了電腦版本與標準紙筆版本的同質性,因此對於電腦版本的臨床應用更加可行。

Purpose: Longitudinal health-related quality of life (QoL) data are important for cancer care in routine clinical practice. However, most existing QoL measures were not developed for routine clinical use. Information technology is making the routine measurement of QoL more feasible. In this study, we evaluate the equivalence and feasibility of a computerized SF-36 in comparison with standard paper mode in a specialist radiotherapy clinics. Patients and Methods: A total of 51 adult cancer patients were assigned to complete both paper and computer SF-36 versions before and after clinical consultation. Correlation and paired-t test were applied to examine the equivalence of both administration modes. Personal characteristics such as computer anxiety was also assessed to evaluate its influences upon patients responses under the computerized administration.

Results: There were very significant correlation between the computer and paper version (0.87 to 0.98) for all SF-36 scales and summary scores (all p <0.001). No significant effects were found for the degree of computer anxiety upon responses towards the computerized version.

Discussion: Computerized SF-36 is feasible and acceptable for routine daily clinical use. It provides responses from the computer mode are comparable to those to the paper form, and ensure the use of computerized SF-36 version will not biased by the personal characteristics related to computer anxiety.

D.16 完成檢誤日期:2005-10-27
D.17 預定釋出日期:2006-08-01
D.18 初次釋出日期:2006-08-01
D.19_1 最新版釋出日期:2006-08-01
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1,3
10.6141/TW-SRDA-E92041-1
https://efenci.srda.sinica.edu.tw/webview/index.jsp?object=https://efenci.srda.sinica.edu.tw:80/obj/fStudy/E92041
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