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| Title: | 醫療物聯網與睡眠呼吸中止症患者使用陽壓呼吸器治療使用率之探討
A Study of Medical Internet of Things and the Usage Rate of Continuous Positive Airway Pressure in Patients with Obstructive Sleep Apnea |
| Authors: | 陳俊旭
Chen, Chun-Hsu |
| Contributors: | 宋皇志
陳俊旭
Chen, Chun-Hsu |
| Keywords: | 服務流程創新
醫療物聯網
陽壓呼吸器
順應性
Innovative service process
Medical internet of things
Continuous positive airway pressure
Compliance |
| Date: | 2022 |
| Issue Date: | 2022-08-01 17:39:34 (UTC+8) |
| Abstract: | 睡眠呼吸中止症是一常見的睡眠障礙，一個晚上可發生數十次到數百次不等，每次中止時間由幾秒到超過一分鐘都有可能。配戴陽壓呼吸器來治療睡眠呼吸中止症，是一種非侵入性、安全性高、治療效果佳的常見方式。但根據研究報告指出，有50%的病患，在試用配戴的第一個星期後就會放棄使用；而剩下50%的患者，會在三年內陸續放棄使用遠比期望中的病患還要少。個案公司之陽壓呼吸器內建醫療物聯網，可即時將病患睡眠資料上傳雲端伺服器，透過遠距專業團隊即時提供病患問題解決方案，以提高病患使用陽壓呼吸器的意願。因此，本研究的目的在探討具醫療物聯網科技及服務團隊之公司，如何創新其服務流程以有效提高陽壓呼吸器之使用率。本研究以文獻分析法及個案研究法，持續追蹤同一時間於個案公司購買陽壓呼吸器之69位病患，共計三年。以每晚使用超過4小時以上為符合順應性，分別統計使用1年、2年後、3年後的持續使用率。研究結果發現，研究對象第一年的使用率超過50%以上的共計36位(佔52.17％)，完全放棄使用有1位(1.45%)；第二年使用率超過50%以上的共計35位(50.72％)，完全放棄使用有7位(10.14%)；第三年使用率超過50%以上的共計32位(46.37％)，完全放棄使用有13位(18.84%)。結果顯示，睡眠呼吸中止症病患，經過創新的服務流程，有明顯提高使用陽壓呼吸器的意願及持續使用的動機。
Obstructive Sleep Apnea (OSA) is a common sleep disorder that can occur dozen to hundreds of times a night. Continuous positive airway pressure (CAPA) is an effective, non-invasive and safe treatment. However, previous studies found that the acceptance and compliance of CAPA in patients with OSA are very low. A new CAPA has wireless built-in connectivity, medical Internet of Things, which allows for daily upload the patient`s sleep data to the cloud server. The professional service teams provide real-time feedback on compliance and problem solving so as to improve the patient`s usage of CAPA. Therefore, the purpose of this study is to investigate how company with medical IoT technology and service teams can innovate their service processes to effectively increase the usage rate of CAPA. Sixty-nine OSA patients participated in the study (male 57, female 12). They purchased CAPA at the same period (from Oct. 1, 2018 to Dec. 31, 2018). Using more than 4 hours per night as compliance, the usage rate after one year, two years, and three years were calculated respectively. The results of the study found that in the first year, among the 69 patients, 36 patients (52.17%) have a usage rate of more than 50% and 1 patient (1.45%) gave up treatment completely. In the second year, 35 patients (50.72%) have a usage rate of more than 50% and 7 patients (10.14%) gave up treatment completely. In the third year, 32 patients (46.37%) have usage rate of more than 50% and 13 (18.84%) gave up treatment completely. The study indicates that patients with OSA have significantly increase compliance and usage of CAPA through innovative service processes. |
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| Description: | 碩士
國立政治大學
經營管理碩士學程(EMBA)
109932152 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0109932152 |
| Data Type: | thesis |
| DOI: | 10.6814/NCCU202200989 |
| Appears in Collections: | [經營管理碩士學程EMBA] 學位論文
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