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博碩士論文 etd-0526114-110623 詳細資訊
Title page for etd-0526114-110623
論文名稱
Title
高雄楠梓區腸胃肝膽疾病市場研究
A Market Research on Digestive and Hepatobiliary Diseases at Nantz Kaohsiung Area
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
38
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2014-05-30
繳交日期
Date of Submission
2014-06-26
關鍵字
Keywords
喝酒文化、夜市文化、生物韻律、楠梓區、豐原區、腸胃肝膽疾病
Fong-Yuan area, antz area, night market, alcoholic culture., peptic & hepatic disease, biorhythm
統計
Statistics
本論文已被瀏覽 5739 次,被下載 720
The thesis/dissertation has been browsed 5739 times, has been downloaded 720 times.
中文摘要
本國地區性的社會地理和疾病病因的研究非常缺乏,高雄市楠梓地區緊鄰三個工業加工區,健保統計資料顯示當地居民的胃疾高於全國平均值(0.69%),另一相似城鎮豐原市也有相類似胃疾偏高的現象,但其實際原因並不清楚。因此本研究將針對楠梓地區腸胃肝膽疾病患者之可能病因進行研究。
本研究選擇和楠梓地區有著相似地理特質、相似人口數目、相似加工區生活型態的豐原地區,並利用全民健康保險(健保)系統的資料針對兩地區之15大癌症與20大疾病進行比對,以找出加工區的生活型態和腸胃肝膽疾病的病因關係,並嘗試找出解決方案,以利相關醫藥市場之服務。另外,依據生物韻律關係模式設計問卷,並針對楠梓地區肝膽疾患蒐集94份有效問卷進行實證分析,希望能找出該地區的特殊病因。
楠梓和豐原兩個地區的腸胃肝膽疾病調查,隱含女性易患胃疾(比全國平均值增加27%)而男性易患肝疾(比全國平均增加25%),推論夜市文化和喝酒文化可能對健康產生衝擊。另外透過問卷調查分析,顯示楠梓地區的居民生物韻律影響因子為34%高於正常值(23%),顯示該地的人民作息規律稍差。工時、勞動和飲食習慣不是影響肝膽腸胃疾患的主要因子(p>0.05),睡眠品質不好是楠梓地區腸胃疾患偏高的原因之一。
Abstract
Relationships studies between local sociology and etiology in Taiwan were rare. There are three industrial parks nearby Nantz district in Kaoshung city, it showed higher peptic diseases in Nantz than others, in domestic (0.69%), similar symptom was found in Fongyuan district either, it surrounded by two industrial parks, the detail etiologies in these two areas remain unknown. Accordingly, this study focus on the exploration of the possible etiologies of the hepatal peptic diseases in Nantz area.
Beside the Nantz area, another area of Fong Yuan, with similar population and livinghood nearby industrial parks, was compared parallel. Moreover, the major fifteen cancers and the major twenty diseases from the annual report of the National Health Insurance Administration Ministry of Health and Welfare (NHW) in Taiwan, was tested simultaneously, in order to find the relationships between etiologies and living hood, result of this relationships study will be very useful for the medicinal service. Another 94 questionnaires, was tested to enforced the accuracy of above studies.
According to above studies, the peptic disease in female was 27% higher than the national average, and the hepatal disease in male was 13% higher than the national average. The interrupted circadian biorhythm in Nantz residents was 34%, which was 47% higher than the normal (23%), Moreover, we found little relationships between digestives diseases and food, or labors(P>0.05), insomniac accounted for the higher digestive diseases in Nantz. Both Fongyuan and Nantz district, showed higher peptic diseases in female and higher hepatic diseases in male, the night market and the alcohol seemed played major roles as etiologies.
目次 Table of Contents
論文審定書 ………………………………………………………………………….i
誌謝…………………………………………………………………………………ii
中文摘要……………………………………………………………………………iii
Abstract.……………………………………………………….….…………………iv
目錄…………………………………………………………………………………v
表目錄………………………………………………………………………………vi
圖目錄………………………………………………………………………………vii
第一章 緒論
第一節 研究背景和動機………………………………………………….….1
第二節 研究目的……………….……………………………………….……1
第三節 研究流程…………………………….……………………….………2
第四節 研究範圍與限制 ……………………………………….………….3
第二章 文獻探討
第一節 楠梓地區簡介………………….…………………………………….4
第二節 豐原地區簡介…………………………………………………..……5
第三節 楠梓區醫療市場現況 .………………………………………..….…6
第四節 肝膽腸胃的病因…….………………………………………..……...7
第三章 研究設計
第一節 研究架構 ………….……………………………………….………..8
第二節 主要腸胃肝膽疾病 ….…………………………………….………..8
第三節 生物韻律關係模式…………………………………………….…….9
第四章 實證分析
第一節 楠梓和豐原區的醫藥服務簡易普查……………………….…….……11
第二節 15大癌症第二位腸胃肝膽癌的比對…………………….….…….…..11
第三節 15大癌症第三位直腸癌的比對……..………………….……….….…13
第四節 15大癌症第六位胃癌的比對………………………….……….….…..15
第五節 15大癌症第八位胰臟癌的比對 ………………….…..………….…...17
第六節 20大疾病第八位肝病的比對 …………….………….…....…….……19
第七節 20大疾病第二十位胃潰瘍疾病的比對.......………….………………..21
第八節 生物韻律分析…..………………………………………….…………...23
第五章 結論與建議………….……………………………………..……………….25
第一節 結論 …………….………………………………………..….…………25
第二節 建議 ……………………….……………………………..….…………26
第三節 管理意涵 ……………………….…………………..……….…………27
參考文獻………………………………………………………….………………….27
參考文獻 References
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