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題名：QEESI問診表作為臺灣病態建築診斷篩檢工具適用性之初探
書刊名：建築學報
作者：黃琳琳／江哲銘／池田耕一／北條祥子／柳宇／鍵直樹
作者(外文)：Huang, Lin-lin／Chiang, Che-ming／Ikeda, Koichi／Hojo, Sachiko／Yanagi, U／Kagi, Naoki
出版日期：2011
卷期：77
頁次：頁63-88
主題關鍵詞：QEESI問診表；病態建築診斷；篩檢工具；有效判別決斷點；QEESI questionnaire；Sick building diagnosis；Screening tool；Cut-off point
原始連結：連回原系統網址new window
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  • 共同引用共同引用:16
  • 點閱點閱:78
釐清室內空氣環境與人體健康影響之關聯，需實施之IAQ檢測必須相當精確；因此，美日等國皆傾向先以QEESI問診表篩檢建築物內使用者的健康影響狀况，判斷主要影響因子後，再選定最適之檢測方法，以大幅省下時間及資源成本。QEESI問診表又可應用於全國性普查使用，作爲建築相關研究領域或國民健康保險相關政策訂定時之重要參考。國內至今尚無研究針對「主訴及自體定檢步驟」所使用之問卷內容進行驗證確立；本研究擬引進在美、日等國已推行十數年之QEESI問診表，加上「個人、居住環境相關因子」詢問表，檢証其作爲台灣病態建築診斷篩檢工具之適用性。結論整理如下：1.「QEESI問診表」內容設計相當穩定，繁體中文版之信度及效度已通過驗證，對於病態建築相關問題的發 掘極爲有效，適合作爲台灣病態建築診斷篩檢工具使用。2.本研究求得現階段適合篩檢台灣民衆是否罹患SBS及MCS之有效判別決斷點(Cut-off point)，分別爲「Q2.其他物質無法忍受尺度」：25分，「Q3.症狀」：21分，「Q5.日常生活影響尺度」：13分。3.「性別」、「年齡」、「是否了解SBS發病之機制」、「是否有過敏症病史」、「住宅形式」、「換氣方式」、「是否使用芳香劑」、「本人是否抽菸」等8項因子可顯著預測使用者之「QEESI問診表（繁體中文版）」得分。
Accuracy of IAQ measurement is strictly required in order to clarify the connection between the quality of indoor air and the health of inhabitants. Therefore, some developed countries such as the USA and Japan prefer using QEESI to screen the health status of the occupants of the buildings to determine the prime factors that cause the syndromes, and then decide the best measuring methods in order to save the cost of time and resources significantly. In addition, QEESI can be used in the National General Survey, and the results of QEESI also can be the important references to the studies relevant to architecture and to the national health insurance policy. However, there is not yet a research aiming at the verification of the contents of the questionnaires used on "the procedure of self judgment of physical discomfort." This study plans to introduce QEESI which has been implemented for over a decade in the developed countries mentioned above and combine it with the questionnaires of "the relevant factors between the residential environment and the health status of the inhabitants" for the purpose of verifying the applicability of QEESI questionnaire as the screening tool of Taiwan Sick Building Syndrome. The followings are concluded:1. The content design of QEESI questionnaire is sophisticated and stable. The reliability and validity of its Chinese version has been verified to be very effective in exploring the issues relevant to SBS. It is suitable for the use as the screening tool of Taiwan Sick Building Syndrome.2. At present stage, this study has procured the effective cut-off points for screening the patients of SBS and MCS in Taiwan as the scale of "Q2-the intolerance of other substances: 25", "Q3-the scale of 'syndrome: 21", and the scale of "Q5-the impact on daily life: 13."3. Eight of the subscales: gender, age, qualification of sick-house diagnostician, the history of allergy, the type of the building, air ventilation, the use of deodorant and fragrance, and the use of tobacco, can significantly and correctly pre-diagnose the scores of "QEESI (Traditional Chinese Version)" of the users.
期刊論文
1.黃世孟、江立偉、李姿葶、賴玉恩(20100300)。建築屋主觀點對於建築物健康診斷與定期檢查共識之研究。建築學報，71，233-253。new window  延伸查詢new window
2.張智元、蕭文雄、黃世孟、郭斯傑(20070300)。建築物專業健診機制之供給與需求探討。建築學報，59，93-112。new window  延伸查詢new window
3.蕭文雄、黃世孟、郭斯傑、王順治(20070600)。臺灣當前建築使用階段之修繕法律課題研究--以探討公寓大廈修繕行為與建築法之關係為主軸。建築學報，60，153-176。new window  延伸查詢new window
4.羅時麒、陳伯勳(2008)。生命週期方法應用於室內環境政策之優先度評估。建築學報，64期增刊，91-107。new window  延伸查詢new window
5.劉光盛(2010)。以生命週期成本探討台灣既有建築物環境效率模型--室內健康因子為例。建築學報，73，125-141。  延伸查詢new window
6.羅時麒(2007)。因應病態建築之各國施行室內空氣品質管制機制簡介。建築研究簡訊，55。  延伸查詢new window
7.羅時麒(2007)。健康建築診斷評估機制之規劃與展望。建築研究簡訊，58。  延伸查詢new window
8.吉野博(2009)。シックハウスにおける室内環境と居住者の健康に関する調査研究―その1 宮城県内の62軒の住宅にける調査結果。日本建築学会環境系論文集，74(641)，803-809。  延伸查詢new window
9.北條祥子(2008)。QEESI□を用いた日本の化学物質過敏症のスクリーニング用カットオフ値の設定および常時曝露化学物質の影響の検討。臨床環境医学，17(2)，118-132。  延伸查詢new window
10.池田耕一(2005)。化学物質のガイドラインについての問題点。建築設備＆昇降機，54。  延伸查詢new window
11.北條祥子(2004)。日本人に対するQEESI応用の試み－QEESIのMCS及びシックハウス症候群患者のスクリーニング用問診票としての使用事例。臨床環境医学，13(2)，110-119。  延伸查詢new window
12.石川哲、宮田幹夫(1999)。化学物質過敏症--診断基準‧診断に必要な検査法─。アレルギー，6，990-998。  延伸查詢new window
13.Chang, C. Y.(2007)。Supply and Demand for Building Health Check。Journal of Architecture，59，93-112。  new window
14.Liu, K. S.(2010)。A Study on the Module of Built Environment Efficiency (BEE) Adapted Life Cycle Cost (LCC) for Existing Buildings in Taiwan- Taking the Factors of Indoor Health as an Example。Journal of Architecture，73，125-141。  new window
15.Hsiao, W. H.(2007)。The Laws Issue Research on Current Building Usage Management in Taiwan-focus on the Relation of Repair Actions in Condominium and the Building Code。Journal of Architecture，60，153-176。  new window
16.Lo, S. C.(2007)。In response to the national implementation of sick building indoor air quality control mechanism About。Building Research newsletter，55。  new window
17.Lo, S. C.(2007)。Health Diagnostic Evaluation Mechanism Building Plans and Prospects。Building Research newsletter，58。  new window
18.Lo, S. C.(2008)。Priority Assessment of Indoor Environment Policy Using Life-Cycle Approach。Journal of Architecture，64, Special Issue on Technology，91-107。  new window
19.Ishikawa, T.(1999)。Multiple chemical sensitivity - Diagnostic criteria．Required for diagnostic assay。Allergy，6，990-998。  new window
20.Hojo, S.(2004)。A case study on use of QEESI as a questionnaire for screening MCS and/or sick building syndrome patients。Jpn J Clin Ecol，13(2)，110-119。  new window
21.Hojo, S.(2008)。Analysis of cut off-point and ongoing exposure to chemicals on the onset for Japanese multiple chemical sensitivity patients using QEESI□。Jpn J Clin Ecol，17(2)，118-132。  new window
22.IKEDA, Koichi(2005)。Issues guidelines on chemical substances。Building Equipment & Lift，54。  new window
23.Yoshino, H.(2009)。Field survey on IAQ and occupants' health in sick houses: Field survey on 62 houses in Miyagi prefecture。J. Environ. Eng., AIJ，74(641)，803-809。  new window
24.Hojo, S.(2003)。Application of quick environment exposure sensitivity inventory (QEESI□) for Japanese population: A study of reliability and validity of the questionnaire。Toxicology and Industrial Health，19，41-49。  new window
25.Hojo, S.(2005)。Use of QEESI□ questionnaire for a screening study in Japan。Toxicology and Industrial Health，21，113-124。  new window
26.Miller, C. S.、Prihoda, T. J.(1999)。The environmental exposure and sensitivity Inventory (EESI). A standardized approach for measuring chemical intolerances, for research and clinical applications。Toxicology and Industrial Health，15，373-385。  new window
27.Shinohara, N.(2008)。Passive emission colorimetric sensor (PECS) for measuring emission rates of formaldehyde based on an enzymatic reaction and reflectance photometry。Environ. Sci. Technol，42，4472-4477。  new window
28.Wu, P. C.(2003)。Rick assessment of formaldehyde in typical office buildings in Taiwan。Indoor Air 2003，13，1-5。  new window
29.Cullen, Mark R., MD.(1987)。THE WORKER WITH MULTIPULE CHEMICAL SENSEITIVITIES: AN OVERVIEW。Occupational Medicine: State of the Art Reviews，2(4)。  new window
30.Huang, S. M.(2010)。Research on the Common Consensus of Building Health Diagnosis and Regular Check Based on Building Owner Viewpoint。Journal of Architecture，71，233-253。  new window
會議論文
1.張智元、黃世孟(2004)。類人化建築物健康管理績效指標之研究。台北。  延伸查詢new window
2.張智元、黃世孟(2006)。建築物健康診斷機制之研究。台北。  延伸查詢new window
3.黃世孟(2008)。建築業主對設施健診認知與實施建築強制檢查辦法之分析。中華民國建築學會第二十屆第二次建築研究成果發表會。台北：中華民國建築學會。  延伸查詢new window
4.黃世孟(2009)。初探建築物強制健康檢查診斷機制。台北。  延伸查詢new window
5.羅時麒、陳伯勳(2007)。我國與日本室內環境品質管理制度之比較研究。台北。  延伸查詢new window
6.吉野博(2006)。シックハウスにおける室内空気質と居住者の健康状況に関する調査研究その11 長期追跡調査の結果とまとめ。  延伸查詢new window
7.吉田真理子(2006)。シックハウスにおける室内空気質と居住者の健康状況に関する調査研究その12 シックハウス対策の効果に関する検証。東京，日本。  延伸查詢new window
8.Chang, C. Y.(2004)。Anthropopathic Health Efficiency Indicators of Building Management24-28。  new window
9.Chang, C.Y.(2006)。Mechanism Design of Building Health Check。  new window
10.Huang, S. M.(2008)。The analysis of the building owner's acknowledgement of facilities' healthy examinations and methods of executing forcible examination。  new window
11.Yoshida, M.(2006)。Field survey on patient's symptom and indoor air quality in sick house, Part 12: An effect of an anti-sickhouse measure and a change of the healthy situation of a resident。  new window
12.Lo, S. C.(2007)。Comparing the Management of Indoor Environment Quality between Taiwan and Japan。  new window
13.Yoshino, H.(2006)。Field survey on patient's symptom and indoor air quality in sick house, Part 11: A summary of long-term survey of six years。  new window
14.Fisk, W. J.(2000)。Revien of Health and Productivity Gains from Better IAQ。Espoo, Finland。  new window
15.Lee, C. M.(2006)。Decision support system for the housing diagnosis and restoration using the dynamic programming method。  new window
16.Huang, S. M.(2009)。The Preliminary of Building Enforcement Health Check and Diagnosis Mechanism。  new window
研究報告
1.蘇慧貞、江哲銘(2000)。室內空氣品質標準於不同建築物之試行評估及管制策略研定。  延伸查詢new window
2.熊野宏昭(2009)。QEESI問診表を用いた日本人のライフスタイル‧住環境と健康に関する全国調査。  延伸查詢new window
3.Kumano, H.(2009)。National survey on health and living conditions for the Japanese lifestyle by QEESI questionnaires。  new window
4.Su, Jenny H. J.、Chiang, C. M.(2000)。Indoor air quality standards in different buildings assessment and control strategy pilot study determined。  new window
學位論文
1.李彥頤(2004)。辦公空間室內空氣品質管制策略之研究(博士論文)。國立成功大學。  延伸查詢new window
圖書
1.Cohen, J.(1988)。Statistical power and analysis for the behavioral sciences。Hillsdale, NJ：Lawrence Erlbaum Associates。  new window
2.DeVellis, Robert F.(1998)。Scale Development: Theory and Applications。Sage。  new window
3.池田耕一(2010)。アセトアルデヒドによる室内空気汚染防止に関する濃度等規準‧同解説。東京，日本。  延伸查詢new window
4.村上周三(2005)。シックハウスを防ぐ最新知識—健康な住まいづくりのために。東京，日本。  延伸查詢new window
5.Ikeda, K. et al.(2010)。Standards and levels of indoor air pollution due to acetaldehyde．And commentaries。Tokyo, Japan。  new window
6.Murakami, S.(2005)。The current knowledge for prevent sick-house - for making Healthy Housing。Tokyo, Japan。  new window
7.Ashford, N. A.、Miller, C. S.(1998)。Appendix C. environmental exposure and sensitivity inventory. chemical exposure。Low levels and high stakes。New York。  new window
其他
1.日本国土交通省(2004)。新築住宅調査の平均濃度と超過住宅割合の推移。  延伸查詢new window
2.WHO. Regional Office for Europe(1987)。Air quality guidelines for Europe。  new window
3.Infrastructure and Transport Japan(2004)。The average concentration and percentage change in excess housing of New House Survey。  new window
 
 
 
 
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