曹昭懿2006-08-312018-07-082006-08-312018-07-082001http://ntur.lib.ntu.edu.tw//handle/246246/29881髖部骨折為老人墜落跌倒後引起殘陣的最常見原因。在我國，病患發生髖部骨折大都接受手術治療；而手街住院期問及出院後，卻不一定接受物理治療。是否接受住院期間及出院後之物理治療，對病患日後之功能及生活品質有鉅大影響。本研究之目的為（一）、 發展出髖部骨折病患特定性評估問卷: （二）、探討是否接受住院期間及後續之物理治療對病患日後功能恢復及健康相關生活品質之影響；（三）、以品質調整後存活時間之計量方法估算髖部骨折患者之品質調整後生命年數。目前已完成髖部骨折病息特定性評估問卷並完成340 位病患之生活品質評估，加上衛生署死亡資料檔之比對，已推估出髖部骨折病患之品質調整後生命年數。在住院期間接受物理治療的病患在步態、使用正確助行器、耐力及對禁忌症之瞭解，明顯好於未接受物理治療者；出院後之物理治療是否有效的部分，目前收案有接受治療者20 人，未接受治療者為人，完成l 個月及3 個月追蹤者，接受治療組各有13 及6 人未接受治療組則各有9 及5 人初步分析發現治療組進步較多。Hip fracture from fall is the most important cause of disability of the aged. Most of the victims receive surgery (internal lixation or arthroplasty) as the primary treatment. 1-lowever, during hospitalization ci posI-stLrgefl. not all the patients receive physical therapy (PT). The program of PT affects the functional recovery and the health-related quality of life (E-IRQL) significantly in our knowledge. The aims of this study are: I. To develop [lie disease-specific questionnaire For hip fracture. 2. To find the influences of PT on patients¡¦ ftanction and HRQL. 3. To estimate the quality-adjusted life year (QALY) ci cases ol¡¦ hip fracture with or without PT program by quality-adjusted survival (QA.S) method. Now. we have developed a disease-speeilic questionnaire for hip fracture and finished the QOL survey of 340 cases. After matching with the death files from DOH, the QAS of hip fracture was estimated. More patients in the treatment group walked with correct gait patter. using appropriate walking aids. better enduraee, and had better knowledge about the concraindications. For validate the eftectivenss of home PE. we have 20 patients in treatment group and 15 in control group, there ate 13,6 and9,5caaeafollowedupto 1 and3 months by now. The treatment group got more hnprovantbyourdata.application/pdf561418 bytesapplication/pdfzh-TW國立臺灣大學醫學院物理治療學系暨研究所髖部骨折物理治療生活品質品質調整後存活時間Hip fracturePhysical therapyQuality of lifeQuality-adjusted survival timejournal articlehttp://ntur.lib.ntu.edu.tw/bitstream/246246/29881/1/892314B002540M56.pdf