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題名 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
作者 陳俊旭
Chen, Chun-Hsu
貢獻者 宋皇志
陳俊旭
Chen, Chun-Hsu
關鍵詞 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
日期 2022
上傳時間 1-Aug-2022 17:39:34 (UTC+8)
摘要 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.
參考文獻 王淑霞(2004)。組織政治知覺，組織氣侯，角色壓力，組織承諾與工作績效關聯性之研究-以嘉義縣稅捐稽徵處為例。國立臺東大學，區域政策與發展研究所公共事務管理在職專班碩士論文。
林則宇(2015)。領導者風格，組織氣候與管理控制系統對組織績效之影響–以中鋼為例。國立中山大學，企業管理學系研究所。
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湯昇玉(1991)。增進組織績效因素之分析。研考雙月刊，15（4），51-57。
黃春森(2010)。睡眠呼吸中止症患者使用陽壓呼吸器治療意願之影響因素探討。中國醫藥大學，醫務管理學研究所碩士班。
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Antony, J. P., & Bhattacharyya, S. (2010). Measuring organizational performance and organizational excellence of SMEs–Part 2: an empirical study on SMEs in India. Measuring business excellence.
Balk, E. M., Moorthy, D., Obadan, N. O., Patel, K., Ip, S., Chung, M., .Lau, J. (2011). Diagnosis and Treatment of Obstructive Sleep Apnea in Adults. In: Agency for Healthcare Research and Quality (US), Rockville (MD).
Behbehani, K., Yen, F.-C., Burk, J. R., Lucas, E. A., & Axe, J. R. (1995). Automatic control of airway pressure for treatment of obstructive sleep apnea. IEEE transactions on biomedical engineering, 42(10), 1007-1016.
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Engleman, H. M., & Wild, M. R. (2003). Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS). Sleep medicine reviews, 7(1), 81-99.
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描述 碩士
國立政治大學
經營管理碩士學程(EMBA)
109932152
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0109932152
資料類型 thesis
dc.contributor.advisor 宋皇志zh_TW
dc.contributor.author (Authors) 陳俊旭zh_TW
dc.contributor.author (Authors) Chen, Chun-Hsuen_US
dc.creator (作者) 陳俊旭zh_TW
dc.creator (作者) Chen, Chun-Hsuen_US
dc.date (日期) 2022en_US
dc.date.accessioned 1-Aug-2022 17:39:34 (UTC+8)-
dc.date.available 1-Aug-2022 17:39:34 (UTC+8)-
dc.date.issued (上傳時間) 1-Aug-2022 17:39:34 (UTC+8)-
dc.identifier (Other Identifiers) G0109932152en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/141115-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 經營管理碩士學程(EMBA)zh_TW
dc.description (描述) 109932152zh_TW
dc.description.abstract (摘要) 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。zh_TW
dc.description.abstract (摘要) 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.en_US
dc.description.tableofcontents 第一章 緒論 1
第一節 研究背景 1
第二節 研究動機 2
第三節 研究目的 4
第四節 待答問題與假設 5
第五節 研究範圍與限制 5
第六節 操作性名詞解釋 6
第二章 文獻討論 8
第一節 服務創新 8
第二節 產品服務體系創新 12
第三節 組織績效 15
第三章 研究方法 18
第一節 研究對象 18
第二節 研究架構 20
第三節 研究流程 21
第四節 研究方法與步驟 22
第五節 研究設計 23
第六節 研究設備 26
第四章 研究結果 28
第一節 睡眠呼吸中止症 28
第二節 睡眠呼吸中止症診斷方式 30
第三節 睡眠呼吸中止症治療方式 33
第四節 使用陽壓呼吸器治療現況 35
第五節 個案探討 41
第五章 結論與建議 47
第一節 結論 47
第二節 建議 48
參考文獻 50		zh_TW
dc.format.extent 1901117 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0109932152en_US
dc.subject (關鍵詞) 服務流程創新zh_TW
dc.subject (關鍵詞) 醫療物聯網zh_TW
dc.subject (關鍵詞) 陽壓呼吸器zh_TW
dc.subject (關鍵詞) 順應性zh_TW
dc.subject (關鍵詞) Innovative service processen_US
dc.subject (關鍵詞) Medical internet of thingsen_US
dc.subject (關鍵詞) Continuous positive airway pressureen_US
dc.subject (關鍵詞) Complianceen_US
dc.title (題名) 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zh_TW
dc.title (題名) A Study of Medical Internet of Things and the Usage Rate of Continuous Positive Airway Pressure in Patients with Obstructive Sleep Apneaen_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) 王淑霞(2004)。組織政治知覺，組織氣侯，角色壓力，組織承諾與工作績效關聯性之研究-以嘉義縣稅捐稽徵處為例。國立臺東大學，區域政策與發展研究所公共事務管理在職專班碩士論文。
林則宇(2015)。領導者風格，組織氣候與管理控制系統對組織績效之影響–以中鋼為例。國立中山大學，企業管理學系研究所。
林律瑋(2009)。睡眠呼吸中止症成本推估。臺北醫學大學，醫務管理學研究所。
湯昇玉(1991)。增進組織績效因素之分析。研考雙月刊，15（4），51-57。
黃春森(2010)。睡眠呼吸中止症患者使用陽壓呼吸器治療意願之影響因素探討。中國醫藥大學，醫務管理學研究所碩士班。
楊錦洲(2001)。消費者服務創新價值 : 如何做好服務品質。高雄市：中衛發展中心。
劉明德(1993)。管理學-競爭優勢。台北：桂冠圖書公司。
Antic, N. A., Catcheside, P., Buchan, C., Hensley, M., Naughton, M. T., Rowland, S., .McEvoy, R. D. (2011). The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA. Sleep, 34(1), 111-119.
Antony, J. P., & Bhattacharyya, S. (2010). Measuring organizational performance and organizational excellence of SMEs–Part 2: an empirical study on SMEs in India. Measuring business excellence.
Balk, E. M., Moorthy, D., Obadan, N. O., Patel, K., Ip, S., Chung, M., .Lau, J. (2011). Diagnosis and Treatment of Obstructive Sleep Apnea in Adults. In: Agency for Healthcare Research and Quality (US), Rockville (MD).
Behbehani, K., Yen, F.-C., Burk, J. R., Lucas, E. A., & Axe, J. R. (1995). Automatic control of airway pressure for treatment of obstructive sleep apnea. IEEE transactions on biomedical engineering, 42(10), 1007-1016.
Berry, C. M., Carpenter, N. C., & Barratt, C. L. (2012). Do other-reports of counterproductive work behavior provide an incremental contribution over self-reports? A meta-analytic comparison. Journal of applied psychology, 97(3), 613.
Betz, H.-G. (1993). The new politics of resentment: Radical right-wing populist parties in Western Europe. Comparative politics, 413-427.
Betz, N. E., & Fitzgerald, L. F. (1987). The career psychology of women: Academic Press.
Bresnitz, E. A., Goldberg, R., & Kosinski, R. M. (1994). Epidemiology of obstructive sleep apnea. Epidemiologic reviews, 16(2), 210-227.
Chuang, L., Hsu, S., Lin, S., Ko, W., Chen, N., & Tsai, Y. (2008). Prevalence of snoring and witnessed apnea in Taiwanese adults. Chang Gung Medical Journal, 31(2), 175.
Den Hertog, P., & Bilderbeek, R. (1999). Conceptualising service innovation and service innovation patterns. Research Programme on Innovation in Services (SIID) for the Ministry of Economic Affairs, Dialogic, Utrecht.
Drucker, P. F. (1999). Knowledge-worker productivity: The biggest challenge. California management review, 41(2), 79-94.
Engleman, H. M., & Wild, M. R. (2003). Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS). Sleep medicine reviews, 7(1), 81-99.
Epstein, S. S. (2009). Microbial awakenings. Nature, 457(7233), 1083-1083.
Eskandari, D., Zou, D., Grote, L., Hoff, E., & Hedner, J. (2018). Acetazolamide reduces blood pressure and sleep-disordered breathing in patients with hypertension and obstructive sleep apnea: a randomized controlled trial. Journal of Clinical Sleep Medicine, 14(3), 309-317.
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dc.identifier.doi (DOI) 10.6814/NCCU202200989en_US