第五章 討論與結論
第四節 結論
這項研究的目的在評估使用連續性非接觸式生理監測儀對病患的心跳速率、
呼吸速率以及體溫測量之效度，研究結果顯示，在一般病房使用非接觸式連續性
生命徵象監測技術具有潛力，訊息直接回傳護理站，可提供護理人員即時得知病
患生理資訊，具開發病患監測警示系統之價值。個別儀器間可能存在測量差異，
目前的原型設備品質及技術功能需要進一步改善，並可加入個人化參數調整功能，
以提高臨床用途。
68
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附 錄
附表 1、個別病床參考標準與雷達設備原始量測結果平均值、最小值及最大值 病床號 測量
次數 項目 參考標準 mean(min~max)
雷達設備 mean(min~max)
501A 12
HR 75.75 (64~86) 83.25 (55~116)
RR 17.58 (11~24) 22.42 (12~29)
BT 35.9 (35.5~36.2) 38.11 (37.6~38.7)
502A 7
HR 84 (81~87) 82.14 (59~98)
RR 18.71 (17~24) 18.14 (17~21)
BT 36.46 (36.2~36.8) 37.84 (37.3~38.6)
502B 13
HR 67.69 (55~82) 85 (59~98)
RR 16.77 (10~21) 18.62 (11~24)
BT 35.8 (35.2~36.3) 37.08 (36.5~37.7)
502C 9
HR 79.11 (70~93) 84.44 (59~112)
RR 18.22 (13~23) 22.11 (12~29)
BT 36.56 (35.6~37.1) 38 (37.3~38.5)
503A 25
HR 61.72 (49~75) 73.8 (51~97)
RR 14.56 (11~20) 17.92 (14~27)
BT 36.23 (35.8~36.7) 37.81 (37.2~38.6)
503B 28
HR 68.5 (52~93) 82.61 (51~108)
RR 16.04 (12~26) 16.46 (8~26)
BT 36.49 (35.9~37) 37.94 (37.2~39.2)
503C 10
HR 64.8 (53~88) 90.5 (78~99)
RR 15.9 (14~17) 17.2 (11~23)
BT 36.47 (35.9~36.9) 38 (37.4~38.6)
503D 26
HR 67.81 (53~90) 81.88 (53~106)
RR 15.12 (10~21) 17.04 (11~28)
BT 36.57 (35.8~37.4) 37.4 (36.9~38.5)
505A 38
HR 64.95 (59~75) 78.71 (50~116)
RR 18.03 (12~23) 19.24 (11~29)
BT 36.24 (34.2~37.2) 37.56 (36.6~38.8)
505B 14
HR 62 (57~67) 78 (57~109)
RR 15.86 (12~18) 17.43 (12~29)
BT 36.44 (35.5~36.9) 38.13 (37.4~39.1)
505C 20
HR 83.2 (54~122) 75.9 (62~103)
RR 15.8 (10~21) 16.55 (11~23)
BT 36.23 (35.7~37) 37.39 (36.9~38.2)
80
病床號 測量
次數 項目 參考標準 mean(min~max)
雷達設備 mean(min~max)
505D 13
HR 76.54 (64~88) 89.38 (65~118)
RR 14.62 (9~18) 16.23 (12~24)
BT 36.47 (35.8~37.1) 37.67 (37~38.6)
506A 31
HR 75.06 (44~100) 81.94 (52~103)
RR 15.9 (9~27) 16.97 (11~28)
BT 35.81 (35.1~36.5) 37.92 (37~38.9)
506B 27
HR 68.74 (56~85) 81 (56~107)
RR 17.59 (10~25) 18.7 (11~26)
BT 36.39 (35.6~37.1) 34.67 (32.3~43.1)
506C 11
HR 78.73 (62~92) 85.36 (58~106)
RR 15.09 (12~18) 16.27 (11~27)
BT 36.33 (35.2~37.4) 38.17 (37.6~38.8)
506D 35
HR 72.97 (59~85) 81.51 (55~107)
RR 14.4 (10~27) 16.49 (11~28)
BT 36.1 (35.3~36.7) 37.96 (37.1~38.9)
507A 14
HR 73.71 (57~88) 78.71 (62~95)
RR 15.43 (12~20) 18.36 (14~26)
BT 36.35 (35.9~36.6) 36.66 (35.2~37.9)
507B 32
HR 71.94 (50~88) 82.5 (65~105)
RR 15.66 (10~22) 18.16 (10~28)
BT 36.54 (35.5~37.5) 38 (36.5~40)
507C 21
HR 64.62 (48~73) 77.05 (59~99)
RR 13.05 (9~17) 16.95 (9~28)
BT 36.22 (35~36.9) 33.5 (32~35)
附表 2、校正差值後個別病床參考標準與雷達設備量測結果差值範圍分佈表
床號 心跳速率 差值
量測次數 (%)
呼吸速率 差值
量測次數
(%) 體溫差值 量測次數 (%)
501A
±10%# 6 (50) ±3次 4 (33.33) ±0.5 ˚C 0
±10%~±15次 2 (16.67) >±3~±5次 3 (25) >±0.5 ˚C 12 (100)
>±15次 4 (33.33) >±5次 5 (41.67)
502A
±10% 2 (28.57) ±3次 5 (71.43) ±0.5 ˚C 4 (57.14)
±10%~±15次 3 (42.86) >±3~±5次 1 (14.29) >±0.5 ˚C 3 (42.86)
>±15次 2 (28.57) >±5次 1 (14.29)
502B
±10% 3 (23.08) ±3次 10 (76.92) ±0.5 ˚C 8 (61.54)
±10%~±15次 4 (30.77) >±3~±5次 0 >±0.5 ˚C 5 (38.46)
>±15次 6 (46.15) >±5次 3 (23.08)
81 床號 心跳速率
差值
量測次數 (%)
呼吸速率 差值
量測次數
(%) 體溫差值 量測次數 (%)
502C
±10% 5 (55.56) ±3次 1 (11.11) ±0.5 ˚C 7 (77.78)
±10%~±15次 0 >±3~±5次 3 (33.33) >±0.5 ˚C 2 (22.22)
>±15次 4 (44.44) >±5次 5 (55.56)
503A
±10% 3 (12) ±3次 16 (64) ±0.5 ˚C 13 (52)
±10%~±15次 12 (48) >±3~±5次 4 (16) >±0.5 ˚C 12 (48)
>±15次 10 (40) >±5次 5 (20)
503B
±10% 4 (14.29) ±3次 19 (67.86) ±0.5 ˚C 13 (46.43)
±10%~±15次 7 (25) >±3~±5次 5 (17.86) >±0.5 ˚C 15 (53.57)
>±15次 17 (60.71) >±5次 4 (14.29)
503C
±10% 3 (30) ±3次 8 (80) ±0.5 ˚C 6 (60)
±10%~±15次 1 (10) >±3~±5次 1 (10) >±0.5 ˚C 4 (40)
>±15次 6 (60) >±5次 1 (10)
503D
±10% 10 (38.46) ±3次 22 (84.62) ±0.5 ˚C 24 (92.31)
±10%~±15次 7 (26.92) >±3~±5次 2 (7.69) >±0.5 ˚C 2 (7.69)
>±15次 9 (34.62) >±5次 2 (7.69)
505A
±10% 12 (31.58) ±3次 20 (52.63) ±0.5 ˚C 27 (71.05)
±10%~±15次 14 (36.84) >±3~±5次 6 (15.79) >±0.5 ˚C 11 (28.95)
>±15次 12 (31.58) >±5次 12 (31.58)
505B
±10% 0 ±3次 11 (78.57) ±0.5 ˚C 6 (42.86)
±10%~±15次 8 (57.14) >±3~±5次 1 (7.14) >±0.5 ˚C 8 (57.14)
>±15次 6 (42.86) >±5次 2 (14.29)
505C
±10% 7 (35) ±3次 12 (60) ±0.5 ˚C 17 (85)
±10%~±15次 5 (25) >±3~±5次 4 (20) >±0.5 ˚C 3 (15)
>±15次 8 (40) >±5次 4 (20)
505D
±10% 6 (46.15) ±3次 9 (69.23) ±0.5 ˚C 9 (69.23)
±10%~±15次 6 (46.15) >±3~±5次 3 (23.08) >±0.5 ˚C 4 (30.77)
>±15次 1 (7.69) >±5次 1 (7.69)
506A
±10% 10 (32.26) ±3次 24 (77.42) ±0.5 ˚C 0
±10%~±15次 12 (38.71) >±3~±5次 2 (6.45) >±0.5 ˚C 31 (100)
>±15次 9 (29.03) >±5次 5 (16.13)
506B
±10% 11 (40.74) ±3次 14 (51.85) ±0.5 ˚C 2 (7.41)
±10%~±15次 12 (44.44) >±3~±5次 8 (29.63) >±0.5 ˚C 25 (92.59)
>±15次 4 (14.81) >±5次 5 (18.52)
506C
±10% 2 (18.18) ±3次 6 (54.55) ±0.5 ˚C 3 (27.27)
±10%~±15次 4 (36.36) >±3~±5次 3 (27.27) >±0.5 ˚C 8 (72.73)
>±15次 5 (45.45) >±5次 2 (18.18)
506D
±10% 9 (25.71) ±3次 21 (60) ±0.5 ˚C 7 (20)
±10%~±15次 20 (57.14) >±3~±5次 6 (17.14) >±0.5 ˚C 28 (80)
>±15次 6 (17.14) >±5次 8 (22.86)
82 床號 心跳速率
差值
量測次數 (%)
呼吸速率 差值
量測次數
(%) 體溫差值 量測次數 (%)
507A
±10% 4 (28.57) ±3次 11 (78.57) ±0.5 ˚C 12 (85.71)
±10%~±15次 7 (50) >±3~±5次 0 >±0.5 ˚C 2 (14.29)
>±15次 3 (21.43) >±5次 3 (21.43)
507B
±10% 9 (28.13) ±3次 12 (37.5) ±0.5 ˚C 21 (65.63)
±10%~±15次 15 (46.88) >±3~±5次 5 (15.63) >±0.5 ˚C 11 (34.38)
>±15次 8 (25) >±5次 15 (46.88)
507C
±10% 7 (33.33) ±3次 12 (57.14) ±0.5 ˚C 1 (4.76)
±10%~±15次 9 (42.86) >±3~±5次 3 (14.29) >±0.5 ˚C 20 (95.24)
>±15次 5 (23.81) >±5次 6 (28.57)
# ±10%：±10%*參考標準心跳次數
附表 3、調整影響因素下雷達設備與參考標準量測心跳速率≠60~100次/分鐘之 性別分層分析
附表3-A、女性量測結果之簡單及複迴歸分析(量測次數= 56)
項目 參數估計值 標準誤差 標準化
參數估計值 p值
截距 63.223 15.218 0 0.000*
雷達設備 -0.021 0.183 -0.015 0.911
R2 0.0002
aR2 -0.0183
截距 -0.099 72.426 0 0.999
雷達設備 -0.307 0.123 -0.228 0.016* 年齡 (歲) 0.759 0.127 0.536 <.0001**
BMI (kg/m2) -1.627 1.283 -0.195 0.212
慢性病共病史(0:無1:有) -7.120 8.289 -0.152 0.395 入院科別(0:內科1:其他) 8.186 4.792 0.183 0.095 病房溫度(℃) 1.455 1.118 0.173 0.200 病房濕度(%) 0.708 0.346 0.308 0.047* 病床傾角(度) 0.842 0.268 0.269 0.003* 共存人數 -2.341 3.369 -0.069 0.491 無線射頻個數 -4.441 4.446 -0.153 0.323
R2 0.7883
aR2 0.7413
*p <0.05，**p <0.001
附表3-B、男性量測結果之簡單及複迴歸分析(量測次數= 13)
83
項目 參數估計值 標準誤差 標準化
參數估計值 p值
截距 47.070 10.918 0 0.001*
雷達設備 0.069 0.136 0.152 0.621
R2 0.023
aR2 -0.0658
*p <0.05，**p <0.001
附表 4、調整影響因素下雷達設備與參考標準量測呼吸速率≠12~20次/分鐘之性 別分層分析
附表4-A、女性量測結果之簡單及複迴歸分析(量測次數=26)
項目 參數估計值 標準誤差 標準化
參數估計值 p值
截距 4.927 3.918 0 0.221
雷達設備 0.592 0.212 0.495 0.010*
R2 0.245
aR2 0.214
截距 53.435 27.174 0 0.068
雷達設備 0.236 0.204 0.198 0.265 年齡 (歲) -0.434 0.142 -1.070 0.008*
BMI (kg/m2) 0.191 0.206 0.166 0.370
慢性病共病史(0:無1:有) -1.294 3.171 -0.082 0.689 入院科別(0:內科1:其他) 0.079 2.705 0.007 0.977 病房溫度(℃) 0.346 0.502 0.162 0.502 病房濕度(%) -0.457 0.222 -0.664 0.057 病床傾角(度) -0.330 0.169 -0.437 0.071 共存人數 -0.619 2.880 -0.056 0.833 無線射頻個數 0.004 1.810 0.001 0.998
R2 0.7454
aR2 0.5757
*p <0.05
附表4-B、男性量測結果之簡單及複迴歸分析(量測次數= 41)
項目 參數估計值 標準誤差 標準化
參數估計值 p值
截距 1.458 2.320 0 0.533
雷達設備 0.863 0.117 0.763 <.0001**
84
項目 參數估計值 標準誤差 標準化
參數估計值 p值
R2 0.5828
aR2 0.5721
截距 11.832 21.815 0 0.592
雷達設備 0.922 0.145 0.815 <.0001**
年齡 (歲) -0.078 0.048 -0.204 0.114
BMI (kg/m2) 0.359 0.212 0.260 0.102
慢性病共病史(0:無1:有) 1.338 1.728 0.104 0.445 入院科別(0:內科1:其他) -1.503 1.875 -0.116 0.429 病房溫度(℃) -0.685 0.586 -0.148 0.252 病房濕度(%) -0.062 0.088 -0.092 0.488 病床傾角(度) 0.060 0.096 0.105 0.534 共存人數 1.483 1.377 0.183 0.290 無線射頻個數 0.387 0.871 0.064 0.660
R2 0.5304
aR2 0.2957
**p <0.001
附表 5、調整影響因素下雷達設備與參考標準量測體溫≠35.7~38℃之性別分層 分析
附表5-A、女性量測結果之簡單及複迴歸分析(量測次數=9)
項目 參數估計值 標準誤差 標準化
參數估計值 p值
截距 35.587 2.993 0 <.0001**
雷達設備 -0.013 -0.16 0.875 -0.061
R2 0.0038
aR2 -0.1385
**p <0.001
附表5-B、男性量測結果之簡單及複迴歸分析(量測次數= 28)
項目 參數估計值 標準誤差 標準化
參數估計值 p值
截距 36.904 0.914 0 <.0001**
雷達設備 -0.039 0.024 -2.299
R2 0.0897
aR2 0.0547