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    A Study on Students in Taichung Municipal Lishin Junior High School Participates in Overnight Camping Activity Satisfaction and Learning Outcome

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    [[abstract]]本論文旨在探討臺中市立新國中學生參與隔宿露營活動滿意度與學習成效之研究。以108學年度臺中市立新國中二年級參與隔宿露營活動學生為研究對象進行施測,共發放128份問卷,有效問卷共計119份,有效回收率為93%,所得資料經描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森相關分析等統計方法,來了解不同性別、學習成績表現、家庭經濟狀況以及是否有露營經驗等各類別變項對於隔宿露營活動滿意度與學習成效的相關性。獲得研究結果如下:一、臺中市立新國中學生參與隔宿露營活動滿意度與學習成效各構面之感受程度 均傾向同意。二、不同背景變項之臺中市立新國中學生在參與隔宿露營活動中滿意度與學習成效均無顯著差異。三、臺中市立新國中學生參與隔宿露營活動之滿意度與學習成效具高度正相關。 最後依據本研究結果,提出相關建議,以作為學校或相關單位舉辦隔宿露營相關教學活動之參考。[[abstract]]The purpose of this paper is to investigate students satisfaction and learning outcome who participated in the overnight camping activity from Taichung Municipal Lishin Junior High School.A simple of students at 2nd year of Taichung Municipal Lishin Junior High School year 108, who participated in overnight camping activity. A total of 128 questionnaires were distributed, and 119 questionnaires were returned, resulting in a return rate of 93%. Data acquired has been analyzed via descriptive statistics, independent t-test, one way ANOVA, Pearson correlation analysis to understand the differences of categorical variables such as genders, academic performances, family financial statuses, and camping experiences relating with overnight camping activity satisfaction and learning outcomes.The research result: Students at Taichung Municipal Lishin Junior High School who joined the project of overnight camping activity satisfaction and learning outcomes have agreed the positive feelings in all sides. Students with different background variables have no difference regarding to the overnight camping activity satisfaction and learning outcomes. Students who joined the project of overnight camping activity satisfaction and learning outcomes showed a high-positive correlation. According to the research result, related suggestions have been put forward for schools and concerned departments to hold overnight camping activities as their references

    Circular Economy–Take Changhua T Farm as an example

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    [[abstract]]隨著地球自然資源的耗盡與氣候異常,自然資源的永續性、環保意識抬頭,而循環經濟即是透過低消耗、低排放、高效率的利用,從搖籃到搖籃的循環方式,指當產品歷經生命週期到尾端時再藉由創新回收或升級的方式為廢棄物重新造價值。本研究以彰化T農場為個案,研究其落實循環經濟作為與方式。業者利用自身資源含魚池、蔬果園、禽類,升級規劃了魚菜共生系統,將魚的排泄物轉化?營養分子供植物水根吸收,同時淨化水質循環至魚池 ; 沼氣發電,將動物糞尿轉化為機械能帶動發電 ; 並將禽糞腐菜經處理製成有機肥料,將農場規劃為循環資源農場。[[abstract]]With the depletion of the earth’s natural resources and climate abnormalities, the sustainability of natural resources and environmental awareness are on the rise, and the circular economy is a cyclical way from cradle to cradle through the use of low consumption, low emissions, and high efficiency. When the product goes through the end of its life cycle, it will recreate the value of waste through innovative recycling or upgrading. This study takes Changhua T Farm as a case to study its practices and methods of implementing circular economy. Using their own resources, including fish ponds, vegetable orchards, and poultry, the industry has upgraded and planned a fish-vegetable symbiosis system, which converts fish excretion into nutrient molecules for plant water root absorption, while purifying water quality and recycling to the fish pond; Mechanical energy drives power generation; and the poultry manure and rotten vegetables are processed into organic fertilizers, and the farm is planned as a recycling resource farm

    Bird Composition For Assesses Ecosystem Services In Yi-Wu Wetland

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    [[abstract]]臺灣西南沿海地區因地層下陷極容易淹水,為此水利署規劃了興建滯洪池的計畫,本研究以已因土壤鹽化廢耕多年的?梧農場進行探究。隨著人類活動的擴張以及土地開發,全球多數濕地面臨消失的威脅。幸而數十年來環境保護意識抬頭,許多國家紛紛制定自然保護區相關法規藉此保護水鳥的棲息地。101年度至109年度之鳥類資料共記錄39科124種,其中優勢種多數為冬候鳥。107年度調查植物資源共記錄19科38種植物,其中優勢種為木麻黃、黃槿及巴西胡椒木。建議景觀工程施作時間若是選在夏季對區域內生物影響會是最小;而在景觀營造的植株選用部份,可以多選用美觀且耐鹽防風的植物,若是能夠提供灌叢鳥漿果類食物來源更為加分。[[abstract]]With the expansion of human activities and land development, most wetlands in the world are facing the threat of disappearance. Fortunately, the awareness of environmental protection has been on the rise for decades, and many countries have formulated relevant laws and regulations in nature reserves to protect the habitat of waterbirds. The southwestern coastal area of Taiwan is prone to flooding due to the subsidence of the stratum. For this reason, the Water Resources Department has planned to build a flood detention pond. After many studies, the Yi-Wu Farm, which has been abandoned for many years due to soil salinization, was selected as the scheduled flood detention pond. It was completed in 2013. A total of 124 species in 39 families were recorded in the bird data from 2012 to 2020, and most of the dominant species are winter migratory birds. A total of 38 plants from 19 families were recorded in the 2018 annual survey of plant resources, among which the dominant species are Casuarina equisetifolia, Hibiscus tiliaceus and Schinus terebinthifolia. It is recommended that if the construction time of the landscape project is selected in summer, the biological impact on the area will be minimal; and for the selection of plants in the landscape construction, more beautiful, salt-tolerant and wind-resistant plants can be used, if it can provide a food source for birds will be more better

    Friendly Agriculture and Cultivation–Take Changhua T Farm as an Example

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    [[abstract]]隨著食品安全觀念之崛起,消費者願意以較高價格取得健康、無毒、安全之食用蔬果肉品,但對於欲轉型於有機農業之農民,有機標章與建材之成本過高,因此友善耕作與養殖逐漸成為轉型中農民的第一步。本研究以彰化T農場為個案,研究其友善耕作與養殖之作為與方式,為後續投入的農民指出轉型方向。友善耕作中,業者先使土壤休息恢復肥沃度,以農場有機肥為輔,提升土壤孕育力與自然環境之培育 ; 友善養殖中,以較粗放、利用永續性資源之方式養殖。以降低環境危害與建立生態循環之理念落實友善農業。[[abstract]]With the rise of the concept of food safety, consumers are willing to obtain healthy, non-toxic and safe edible fruits, vegetables and fruits at higher prices. However, for farmers who want to transition to organic agriculture, the cost of organic labels and building materials is too high, so they transform to friendly farming and breeding. And friendly farming and breeding has gradually become the first step for farmers in transition. In this study, Changhua T farm as a case study of its kind as a way of farming and breeding, for subsequent transformation into farmers pointed out that direction. In friendly farming, the operator first rests the farmland to restore fertility, supplemented by organic fertilizer on the farm to improve the fertility of the farmland and the cultivation of the natural environment; in friendly breeding, it is farmed in a more extensive and sustainable manner. To reduce environmental hazards and establish the concept of eco-friendly agricultural cycle of implementation

    The Study of a Practical Discussion on the Application of Group Relations and Public Relations Media

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    [[abstract]]本研究旨在了解在如何使公關的功能有效地運作,需要積極地把媒體關係和團體關係活動推向職業水準而進。以期能在行銷的保護之下調整團體關係的功能,以確保將團體的銷售量,特殊的活動及商業化的計畫完全地整合。本研究結論:一、 形成團體組織的公關內容:(一)確認您的職責服務的對象與理想的顧客;(二)檢視現有所接觸和發展的關係,所能提供的常態指導原則,這些是你主要的影響核心;(三)決定和影響核心接觸的頻率;(四)決定和影響核心接觸的方式(舉行午餐會報、電話聯絡社交活動、便條留言);(五)抉擇您將提供給影響核心的您自己的事業情報;(六)藉由徵詢您的影響核心,關於事業進展並提供可資助推展的幫助,以增加彼此的互信與尊重;(七)持續地挖掘機會交付影響核心傳遞給他人;(八)為影響核心彼此引薦以形成一個互通的指導網絡;(九)追隨先進者並以之回饋給(影響核心)你的指導策略提供者;(十)每季一次檢視您的影響核心,並使這份名單升級。二、 刊行會員資格或球迷簡訊,藉著收取一點合理的費用以供支出花費,簡訊上出售的廣告版面的利潤會讓你直接獲利。三、 一個專任的計畫者或是團體關係指導者,可以安排幾個活動,例如聯盟,為了填補場地的〝閒置時間〞,或是為不引人的時段增加參與的觀眾人數。[[abstract]]To adjust the function of group relations under the protection of marketing, to ensure the complete integration of group sales, special activities, and commercialization plans. The study was aimed to understand how to make the function of public relations work effectively. It was also aimed to investigate the necessity of actively promote media relations and the possibility of group relations activities toward a professional level. The results showed that the forming group of influence relationships:(1)Identify what you do, who you serve & your ideal client. (2)Review your existing contacts and develop relationships that provide regular referrals. (3)Decide how often to communicate with your groups of influence. (4)Decide what activities will be part of your communications with your groups of influence(lunch, phone calls, social events, notes). (5)Determine what information about your business you will give to your groups of influence. (6)Build mutual trust and respect by asking your groups of influence about their business and how you can help them develop it. (7)Continually look for opportunities to refer your groups of influence to others. (8)Promote your groups of influence to each other to form a referral network. (9)Follow up on all leads and communicate back to your referral source. (10)Review your groups of influence quarterly and upgrade your list. In conclusion, this study was suggested that publish membership or fan newsletters. By charging a reasonable fee to cover expenses, the profit from the advertising pages sold on the newsletter will make you directly profitable. Moreover, a full-time planner or group relationship instructor can arrange several activities, such as alliances, to fill the "idle time" of the venue, or to increase the number of spectators participating in the uninviting time

    The Business Model of Private Brand Internationalization-Case From Taiwan Electronics Company

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    [[abstract]]台灣要以電子產品自創品牌有其難度,大都是單打獨鬥,台灣除了世界品牌的台積電是政府扶植產業外,其他耳熟能詳的企業如聯電、HTC、鴻海、華碩等等,後續雖都有優秀的研發團隊,亦自創自有品牌商品,但在世界品牌中卻只能以企業代工被全世界肯定與生存,那時的台灣企業只能是、也只會是代工的企業稱謂,跟自創世界品牌都搭不著邊,但因應全球化競爭加劇,技術更新,產品生命週期縮短,科技匯流及高研發成本,網路時代的來臨,交通、運輸便利,雖然還是有很多的企業無法突破和有效解決自有品牌國際化帶來的障礙。但國際化的商業模式和發展,正默默地耕植在全球各地的企業。 本研究是以個案研究為途徑,借鑒台灣公司在發展自有品牌國際化之經驗,瞭解企業在國際化經營過程中所會存在和需面對的諸多問題,尋找出最佳商業模式,以供台灣中小企業在獲取自有品牌國際化的環境中維持穩定地發展。 Since the advent of Taiwan's economic miracle, when it came to founding and creating its own brands, Taiwan treaded a lonely path. Other than the world-renowned, government-subsidized TSMC, there were also companies like UMC, HTC, Hon Hai, and Asustek with a fair amount of recognition. The latter companies, despite all possessing exceptional R&D departments, as well as each having their own brands and products, their values were only ever acknowledged through their OEMs, and continued to struggle to find a foothold among the global brands. Over time, with the arrival of the age of the internet, global competition intensified, technology improved and converged, product life cycle shortened, and R&D costs increased, but communications and logistics were streamlined. In a rapidly globalizing world, many companies now find themselves unable to handle the obstacles brought to them by the sudden internationalization of their brands. Thankfully, this globalized market is silently nurturing all of its participants. The purpose of this article is to use individual cases and experiences of Taiwan's domestic brands as research, in an attempt to understand the various issues that may arise during the process of globalization, and find the best-suited modes of operation to ensure a stable and continued growth of smaller companies in this increasingly connected world

    Research on optimizing of SCBA for saving air improvement- first corps of Taichung City as an example

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    [[abstract]]本研究的目的是在探討消防人員如何在困難的情況下,將自給式呼吸器(self-contained breathing apparatus, SCBA)的氣量發揮到最好最久。依現有教材教學,個人尚覺得有些可以增進的部分。故找尋一些相關文獻,加上隊員們的經驗和實地分隊平時的訓練數據,來應證我的假設和方式,期許此方式能將殘壓氣體發揮到最大值。透過兩個部分的雙管齊下,增加消防人員不幸受困時的待救機會:(一)體力的增進及節省。(二)SCBA限流的學習。 研究近10年來消防人員殉職案,佔多數是迷失或是受困後氣量不足殉職的。意外或是外力致死的相對少數,所以氣量若能多延長1分鐘,就能多1分鐘的機會獲救。優化之空氣呼吸器的節氣訓練,有助於延長火場裡面受困待救時間,降低消防救災人員殉職或受傷的情形出現。 透過分隊端對案例的討論,模擬探討當下的處置作為,雖然無法百分之百的原場景重現,但可以讓同仁當做借鏡,不幸發生時才不會手足無措。 研究係採用發放問卷方式,單位包含頭家厝分隊、潭子分隊、豐南分隊及一大隊,將問卷結果依敘述統計將結果量化,強化了研究者優化訓練的決心,期許此研究能被廣泛接受。同心齊力將SCBA的效能提升到最好,將可人為控制的憾事降到最低,強化救災的備援模式。 The purpose of this study is to explore how firefighters can maximize the capacity of self-contained breathing apparatus (SCBA) for the longest time under difficult circumstances. According to the existing teaching materials, I still feel that some parts can be improved. Hence, I want to verify my hypotheses and methods bylooking for some relevant literatures, and the experience of team members and the data obtained from the usual training of the field team., I hope the proposed method can maximize usage of residual gas pressure. Through the two-pronged strategy, it can increase the chances of firefighters to be rescued when they are unfortunately trapped: (1) Increasing and saving physical strength. (2) Learning of SCBA limitation. In the study of firefighters deaths in the past 10 years, most of them were lost or trapped and had insufficient air to die. A few accidents or a relatively small number of deaths caused by external force. Therefore, if the energy can be extended by 1 minute, there will be a 1 minute more chance of being rescued. Through the discussion of the cases on the branches and the simulation of the rescue situation, , although it is impossible to 100% reproduce of the original scene, it can be used as a reference to the colleagues, so that they will not be at a loss when it happens. This research adopts questionnaires to collect data. The units are received the questionnaires, including Toujia cuo Branch, Tanzi Branch, Fengnan Branch and First Emergency and Rescue Corps. The results of the questionnaire are quantified based on description statistics, which strengthens the researcher’s determination to optimize the training and hopes the outcomes of this research will be widely accepted. Working together formaximizing the effectiveness of SCBA and minimizing the regrettable incidents that can be controlled by humans can strengthen the disaster relief of backup model

    Evaluation of Truffle Formula on blood glucose regulation in db/db diabetic mice

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    [[abstract]]糖尿病在全球已是重大危急的情況,隨著人們生活環境的變化,糖尿病已成為一種日趨嚴重的文明病,國際糖尿病聯盟2021年統計每10人即有1人患有糖尿病,每5秒即有1人死於糖尿病,並且患有糖尿病者,獲得癌症的機率也比一般人高出許多,即便使用糖尿病用藥,也會造成許多不良副作用,糖尿病已在個人醫療開銷和醫療保健系統上都構成了嚴重問題,在治療糖尿病上中醫已行之有年,且中醫講究藥食同源,以中草藥作為保健食品已成為糖尿病一種新的輔助治療方案,將傳統中草藥結合中醫數千年的經驗和現代實驗研究提供的科學基礎,將可為患者帶來更高的生活質量。 本文旨在於探討松露複方茶包是否能做為糖尿病的輔助治療,視其對db/db糖尿病小鼠調節血糖的效果,實驗使用15週齡雄性db/db糖尿病小鼠,隨機分成控制組及松露複方茶包萃取物1 g/kg組,為期三週,通過空腹血糖(Fasting Plasma Glucose)和口服葡萄糖耐量試驗(oral glucose tolerance test)評估松露複方效果,結果顯示松露複方具有調節血糖的效果,本研究成果可作為糖尿病保健食品開發的新思路。 Diabetes mellitus has become a major crisis worldwide. As people's living environment changes, diabetes has become an increasingly serious disease of civilization. According to the statistical report by the International Diabetes Federation (IDF) in 2021, 1 in 10 people suffer from diabetes and 1 in 5 seconds will die from diabetes. Furthermore, people with diabetes have a much higher risk of getting cancer than the general population, and even the use of diabetes medication can cause many adverse side effects. Therefore, diabetes has posed a serious problem in terms of individual medical expenses and the healthcare system. Chinese medicine has been adopted for years in the treatment of diabetes, and Chinese medicine emphasizes the importance of the homology of medicine and food. The use of Chinese herbal medicine as a healthy food has become a new complementary treatment option for diabetes. Combining traditional Chinese herbal medicine with thousands of years of experience in Chinese medicine and the scientific basis provided by modern experimental research will bring patients a higher level of lifestyle. This article aims to investigate whether the tea bag of truffle formula can be used as a supplementary treatment for diabetics, depending on its effect on blood glucose regulation in db/db diabetic mice. Experiments were conducted using 15-week-old male db/db diabetic mice, randomly divided into control and the extracts of truffle formula tea bag 1g/kg groups for three weeks. The effect of the truffle formula was evaluated by fasting plasma glucose (FPG) and oral glucose tolerance test (OGTT). The results of this research show that truffle formula has the effect of regulating blood glucose, which can be used as a new way of developing diabetic healthy food

    The Effect of New Board Games on the Cognitive and Daily Living Functions of Elderly People with Mild Cognitive Impairment: Taking Sammy Robot as an Example

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    [[abstract]]中文摘要研究背景:經統計2018年在台灣65歲以上高齡者已達331萬人,已正式邁入「高齡社會」,其中輕度認知障礙(Mild Cognitive Impairment; MCI)者約有60萬人且逐年增加。MCI高齡者認知缺損往往先發生在工具性日常生活功能(instrumental activities of daily living, IADL)如財務管理、使用電話等,且若未及時介入逆轉,很可能轉變成失智症。然而過去卻缺乏有效策略介入IADL,僅期待透過傳統認知訓練如桌上遊戲來提升認知功能的同時也能改善IADL,但IADL是否有所提升仍不確定。再者,這些高齡者即使認知功能提升,仍很可能因IADL下降,使MCI再度復發。因此,若能針對IADL設計創新桌上遊戲課程,將有機會同時提升MCI高齡者之IADL與認知功能。本研究將使用創新桌上遊戲珊米機器人(動態機器人模擬生活情境)完成IADL任務,幫助MCI高齡者將IADL任務類化至真實生活中。研究目的:本研究旨在探討創新桌上遊戲珊米機器人活動介入前後,對於MCI高齡者認知與日常生活功能之成效。研究方法:本研究共招募60位MCI高齡者作為研究對象,採隨機控制實驗研究(randomized controlled trial),並進行塊狀隨機分配法(Blocked Randomization)方式將MCI高齡者分派至兩組,其中30人為實驗組(珊米機器人活動介入組)、30人為控制組(一般健康促進活動介入組),各組MCI高齡者每次介入兩小時,一週一次,共計十二次,並在介入前、後進行評估認知與IADL,評量量表包括:(1)巴氏日常生活量表(The Barthel Index,BADLs);(2)聖路易大學心智狀態測驗(Saint Louis University Mental Status Exam ,SLUMSE);(3)功能性日常生活活動能力量表(Instrumental activities of daily living scale, IADLs);(4)情境式測驗(Contextual Memory Test, CMT);(5)路徑描繪測驗(Trail Making Test, TMT)。結果發現:珊米機器人活動介入在每週2小時,12週的訓練中,是能夠改善MCI高齡者的立即性記憶力、記憶策略、執行功能及功能性日常活動,但在總體認知功能及記憶覺察改善程度上並無差異,反而一般健康促進活動介入在記憶覺察程度改善的趨勢較珊米機器人活動介入來得多。而在延遲性記憶力中,兩組間無論前後測皆沒有顯著的進步及差異性。本研究所選用的珊米機器人活動介入中是有帶領師資限制的,若無加入師資設計之活動內容搭配使用的話,是沒有相同程度的療效,期許未來可將活動內容標準化,並設計成參與者可自行操作學習而無需師資教學,藉以有助於持續改善及維持MCI高齡者的功能性日常活動。[[abstract]]AbstractBackground: According to statistics in 2018, the number of elderly people over the age of 65 in Taiwan has reached 3.31 million, and has officially entered the "age society". There are about 600,000 people with Mild Cognitive Impairment (MCI) increasing year by year. MCI elderly people cognitive predisposition often occurs first in instrumental activities of daily living (IADL) such as financial management, telephone use, etc., and if not promptly involved in reversal, it is likely to turn into dementia. However, in the past, there was no effective strategy to intervent in IADL. It only hopes to improve the cognitive function through traditional cognitive training such as table games, but it can also improve IADL. However, it is still uncertain whether IADL will be improved. Moreover, even if the cognitive function is elevated, these MCI elderly people are likely to relapse due to the decline of IADL. Therefore, if you can design new table games for IADL, you will have the opportunity to simultaneously improve the IADL and cognitive functions of MCI elderly people. This study will use the new table game such as Sammy robot (dynamic robot simulation life situation) to complete the IADL task, helping MCI elderly people to transfer the IADL task into real life.Purposes: This study aims to explore the cognition and daily life of MCI elderly people before and after the intervention of the new table game such as Sammi robot project.Methods:60 MCI elderly people were recruited in this study. Randomized controlled trials were conducted and Blocked Randomization was used to assign MCI elderly people to the two groups, 30 of whom were experimental groups. (Sami robot activity intervention group), 30 people control group (general health promotion activity intervention group), each group of MCI elderly people involved in two hours each time, once a week, 12 weeks, and assessment assessment before and after intervention With IADL, the assessment scale includes: (1) The Barthel Index (BADLs); (2) Saint Louis University Mental Status Exam (SLUMSE); (3) Instrumental activities of daily living scale (IADLs); (4) Contextual Memory Test (CMT); (5) Trail Making Test (TMT).Results: The intervention of Sammy's robot activity in 2 hours per week and 12 weeks of training can improve immediate memory, memory strategy, executive function and functional daily activities of MCI elderly people, but in terms of overall cognitive function and memory awareness improvement is no difference. On the contrary, the trend of general health promotion activity intervention in the improvement of memory awareness is much more than that of Sammi robot activity intervention. In delayed memory, there was no significant improvement and difference between the two groups regardless of the pre- and post-test. The Sammy robot activity intervention selected by this institute has restrictions on leaders. If there is no matching with the content of the teacher-designed activities, there will be no equal degree of curative effect. It is hoped that the content of the activities can be standardized in the future and designed as participants It can operate and learn by itself without teacher teaching, thereby helping to continuously improve and maintain the functional daily activities of MCI elderly people

    Association of oral health-related quality of life and Alzheimer disease: A systematic review

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    [[abstract]]問題敘述: 口腔健康相關的生活品質(OHRQoL)是評估一個人對口腔健康感受的主觀衡量標準。阿茲海默症患者(Alzheimer disease, AD)因疾病的發展造成不等程度的認知功能和日常生活活動能力受損,故需要進一步探討,以釐清AD患者的口腔健康相關的生活品質是否因認知功能障礙與口腔健康狀況而產生的負面影響。目的: 此系統回顧的目的是瞭解AD患者的口腔健康相關的生活品質(OHRQoL)情形,並探討可能影響AD患者OHRQoL的因素。材料和方法: 本系統性回顧針對以英文發表的量性之觀察或實驗性研究,搜尋2018 年 8 月 30 日以前,PubMed、the Cochrane Library database、Medline、EBSCO、ProQuest 和 EMBASE 等資料庫,沒有日期限制。關鍵字包括AD、oral、prosthesis和OHRQoL,由2名研究者獨立進行資料檢閱。以OHRQoL為結果(outcome),測量OHRQoL的工具包括:老人口腔健康評估指標(the Geriatric Oral Health Assessment Index, GOHAI)和口腔健康衝擊量表(Oral Health Impact Profile, OHIP),暴露變數(type of exposure)為AD患者的認知程度和口腔健康情況。本研究遵循系統回顧和統合分析報告專案準則(the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, PRISMA)。結果: 共有六篇符合選入條件。樣本數從30到226個不等,5篇研究使用橫斷面研究設計,1篇是非隨機對照試驗。其中三篇研究報告,與對照組相比,AD參與者的OHRQoL得分較高,但只有1項研究顯示出統計學顯著性差異。針對4篇研究中GOHAI分數的研究進行統計分析,在AD和對照組參與者的GOHAI評分中未達統計上顯著差異[標準平均差(SMD): 0.09; 95%信賴區間(CI):-0.66至0.85]。6 篇研究在OHRQoL的影響因素相關性研究發現,認知障礙、口腔健康情況和OHRQoL之間存在不同的相關性。一篇研究發現,認知障礙與OHRQoL呈負相關。三篇研究發現口腔健康情況(包括牙周炎、牙齦出血、探測深度> 4 mm 和原有牙齒數量)會對 AD 參與者的 OHRQoL有負面的影響。三篇研究報告顯示,假牙類型和品質對AD參與者的OHRQoL有正面的影響。結論: OHRQoL不能完全代表AD患者的實際口腔健康問題。臨床牙醫應評估患者的口腔健康狀況,最好同時使用主觀和客觀的檢查,包括口腔和假牙狀況,以確保AD患者的口腔問題能夠及早發現並及時治療。[[abstract]]Statement of problem. Oral health-related quality of life (OHRQoL) is a subjective measure that assesses a person’s perception of oral health. Patients with Alzheimer disease (AD) suffer from impaired cognitive function and a compromised ability to perform activities of daily living. Further exploration is needed to clarify whether OHRQoL is negatively impacted by cognitive degeneration and oral health conditions among patients with AD.Purpose. The purpose of this systematic review was to increase understanding of OHRQoL among patients with AD and explore factors that may affect OHRQoL.Material and methods. Searches were conducted in PubMed, the Cochrane Library database, Medline, EBSCO, ProQuest, and EMBASE until August 30, 2018, with no date restrictions. The initial search targeted quantitative observational studies published in English that included the keywords AD, oral, prosthesis, and OHRQoL. Data extraction was independently conducted by 2 reviewers. OHRQoL was investigated as the outcome. Cognitive status and oral health conditions were treated as exposures. Tools used to measure OHRQoL included the Geriatric Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile. The research adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Results. Six studies were included. The sample sizes ranged from 30 to 226 participants, 5 studies used cross-sectional designs, and 1 was a nonrandomized controlled trial. Three studies reported higher OHRQoL scores among participants with AD than those among controls, but only 1 study showed a statistically significant difference. A statistical analysis was conducted with 4 studies that reported GOHAI scores, and no significant differences were found in GOHAI scores between participants with AD and controls (standard mean difference 0.09; 95% confidence interval: ?0.66 to 0.85). All studies that explored factors affecting OHRQoL showed different associations between cognitive impairment, oral health conditions, and OHRQoL. One study showed that cognitive impairment was negatively associated with OHRQoL. Three studies found oral health conditions (including, periodontitis, gingival bleeding, probing depth >4 mm, and number of natural teeth) impaired the OHRQoL of participants with AD. Three studies reported that prosthetic type and quality positively affected OHRQoL among participants with AD.Conclusions. OHRQoL may not fully represent actual oral health problems of patients with AD. Clinical dentists should evaluate oral problems in this population, preferably by using both subjective and objective examinations, including oral and dental condition. This will ensure oral problems among patients with AD can be detected early and timely treatment provided

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