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| ???org.dspace.app.webui.jsptag.ItemTag.dcfield??? | Value | Language |
|---|---|---|
| dc.contributor.advisor | 潘璦琬(Ay-Woan Pan) | |
| dc.contributor.author | I-Ting Wang | en |
| dc.contributor.author | 王怡婷 | zh_TW |
| dc.date.accessioned | 2021-05-20T20:58:57Z | - |
| dc.date.available | 2013-10-07 | |
| dc.date.available | 2021-05-20T20:58:57Z | - |
| dc.date.copyright | 2011-10-07 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-07-26 | |
| dc.identifier.citation | AmericanOccupationalTherapyAssociation. (2008). Occupational therapy practice framework: Domain and process(2nd ed.). American Journal of Occupational Therapy, 62, 625-683.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/10058 | - |
| dc.description.abstract | 前言：職能治療可幫助乳癌患者面對心理社會的挑戰，並協助患者隨疾病歷程調適、回復均衡生活型態、增進生活品質。本研究目的為探討乳癌患者生活品質之變化及預測因子。本研究之預測因子包含五種領域：疾病、社會、物理及社會環境、心理及職能表現形態等五種領域，依變項為世界衛生組織生活品質問卷簡明版之四個範疇及單題（World Health Organization Quality of Life-brief version, WHOQOL-BREF)。
方法：本研究個案來自於北部某醫學中心之乳醫中心，隨機取樣100位乳癌患者。本縱向型研究於基準期後三個月後進行一次追蹤。個案平均年齡為49.6歲；77%已婚；55%為大學畢業程度或以上。本研究使用的量表包括: 職能自我評估、掌控感量表、貝式憂鬱量表、貝式焦慮量表、職能活動問卷、角色量表、日常生活滿意度問卷、社會支持問卷、負向社會互動感受量表、疾病衝擊量表、世界衛生組織生活品質問卷簡明版。所有量表分數由羅序測量模式(Rasch measurement model)轉為等距分數後，進行混合模式分析，找出可預測生活品質之顯著因子。 結果：本研究平均追蹤期約為3.5月，追蹤率76%。流失原因包含失聯、身體不適、沒有時間、無興趣、距離太遠等。研究結果顯示乳癌患者的生活品質與世界衛生組織所建立的健康族群常模相似。社會範疇之原始分數隨時間顯著下降，負向感受及參與休閒活動機會隨時間增加。各預測因子對生活品質的影響如下，憂鬱傾向主要對心理範疇生活品質產生負面影響；職能勝任感可提升社會範疇生活品質，環境支持度有益於環境範疇生活品質，職能表現形態面向因子對整體生活品質影響最劇，日常生活滿意度及心理領域預測因子對生活品質影響最為廣泛。 結論： 根據本研究結果，建議臨床治療師可提供乳癌患者(1)日常生活規劃個別化諮詢，增進職能參與。(2)培養娛樂興趣，增加職能勝任感。(3)情緒調適技巧教導。（4）提供家屬及社區民眾衛教增加環境資源。(5)鼓勵患者參加志工或自助團體，增加社會支持資源。 | zh_TW |
| dc.description.abstract | Background：Occupational therapy can help breast cancer patients to face psychosocial challenges, restore balance lifestyle and improve quality of life. The aims of this study are to examine the change in quality of life and predictors of quality of life in persons with breast cancer from longitudinal perspective. The predictors in this study contain five areas: disease-related, psychological, social, physical & social environment, and contextual areas. The dependent variables are items and domains from World Health Organization Quality of Life-brief version, WHOQOL-BREF)。
Methods：The subjects were 100 outpatients with breast cancer recruited from the chemotherapy treatment room of the medical center in the northern Taiwan. The data collected twice at baseline(T1) and three months later(T2). The mean age of the subjects was 49.6；77% patients were married；55% patients were graduated from colleges。The subjects were tested on the WHOQOL-BREF Taiwan version, occupational self assessment, mastery, Beck Anxiety Inventory , Beck Depression Inventory II, social support and social impact scale, unsupported social interactions, role checklist, occupational questionnaire, and satisfaction with daily occupations. The raw data was transformed for Rasch analysis, then the data were analyzed by mixed effect model using SAS computer program. Results：The average length of involvement in this study was 3.5 months, and the follow up rate was 76%. The reasons of drop out in this study contain: cannot contact, physical issues, busy, no interests, and far from the hospital. The results showed that the quality of life in persons with breast cancer was similar with healthy populations. The raw score of the social domain decreased from T1to T2. The negative feelings and the opportunities to participate leisure activities increased with time. Depression was the most significant predictors to the psychological domain; occupational competences can improve the social domain of quality of life; environmental affordances have the benefits for environmental domain of quality of life; the predictors in Occupational Patterns domain have the influence on overall quality of life; satisfaction with daily occupations and the predictors of psychological area have the wide influence on quality of life. Conclusions: According to the study, occupational therapists can provide treatments for persons with breast cancers in the following domains: (1) individual consulting for lifestyle redesign to increase occupational competences (2) providing leisure activities for enhancing occupational competence (3)improving emotional coping skills（4）providing psycho educations for family and communities (5) relocating environmental resources such as attending volunteer works. | en |
| dc.description.provenance | Made available in DSpace on 2021-05-20T20:58:57Z (GMT). No. of bitstreams: 1 ntu-100-R98429002-1.pdf: 2786123 bytes, checksum: 17f0fb9e579470724dad5dedca3e5a3c (MD5) Previous issue date: 2011 | en |
| dc.description.tableofcontents | 學位考試審查表 I
誌謝 II 中文摘要 III 英文摘要 V 目錄 VII 附錄目錄 XIII 第壹章、緒論 1 第貳章、文獻回顧 3 第一節、乳癌患者 3 1. 乳癌的盛行率 3 2. 乳癌的定義及分期 3 3. 乳癌對患者的影響 4 第二節、職能治療之價值 5 第三節、生活品質 6 第四節、乳癌患者生活品質的長期追蹤研究 7 第五節、人口學面向與生活品質的關係 8 第六節、生物心理面向與生活品質的關係 9 1. 疾病領域 9 2. 心理領域 10 第七節、情境與環境面向與生活品質的關係 12 1. 社會領域 12 2. 物理及社會環境領域 14 第八節、職能表現形態面向與生活品質的關係 14 第參章、研究假說 17 第肆章、研究方法 19 第一節、研究對象 19 第二節、研究過程 19 第三節、研究工具 20 1. 自我掌控信念量表(Mastery Scale) 20 2. 職能自我評估量表（The Occupational Self Assessment, OSA） 21 3. 貝氏憂鬱量表第二版（Beck Depression Inventory II, BDI-II） 21 4. 貝氏焦慮量表（Beck Anxiety Inventory , BAI） 22 5. 職能活動問卷 (Occupational Questionnaire, OQ) 22 6. 角色量表 (Role Checklist) 23 7. 日常活動滿意度測驗 (Satisfication with Daily Occupation, SDO) 23 8. 中文版社會支持量表－簡短版 (Social Support Questionnaire Short Form -Chinese version, SSQSF-C) 24 9. 負向社會互動感受量表 (Unsupportive Social Interactions Inventory, USII) 25 10. 疾病衝擊量表 ( Social Impact Scale, SIS) 25 11. 臺灣簡明版世界衛生組織生活品質問卷(World Health Organization Quality of Life-Brief-Taiwan version, WHOQOL-BREF-TW) 25 第四節、資料分析 26 1. 羅序測量模式(Rasch measurement model) 26 2. 混合效應模式（Mixed-effect model） 27 第伍章、結果 31 第一節、研究對象基本人口學及臨床特質 31 第二節、追蹤期及流失率 32 第三節、追蹤者與流失者間差異 32 第四節 乳癌患者的生活品質 32 第五節、預測因子在基準期對各範疇生活品質之解釋力 33 第六節、混和效應模式之結果 33 第陸章、討論 39 第一節、乳癌患者的生活品質 39 第二節、生活品質的預測因子 40 第三節、乳癌患者追蹤率及流失之原因 42 第四節、臨床應用 42 第五節、研究限制 43 第六節、未來研究建議 44 第柒章、結論 45 參考文獻 46 表目錄 表 一、乳癌患者的描述性統計結果 54 表 二：所有量表之T1及T2原始分數 55 表 三：兩次追蹤天數間隔之頻率分佈 56 表 四：追蹤者與流失者之人口學差異 57 表 五、預測因子在各範疇生活品質的預測力 58 表 六：生活品質各範疇及整體生活品質及整體健康之預測因子 60 表 七：身體健康範疇各題之生活品質之預測因子 62 表 八：心理健康範疇各題之生活品質之預測因子 64 表 九：社會關係範疇各題之生活品質之預測因子 66 表 十：環境範疇各題之生活品質之預測因子 68 圖目錄 圖 一、健康相關生活品質範疇預測模式 70 圖 二、研究收案流程圖 71 圖 三、追蹤結果圖 72 圖 四、各範疇生活品質及整體生活品質及整體健康預測圖 75 附錄目錄 附錄 一、乳癌患者自然追蹤之生活品質研究整理 76 附錄 二、健康相關生活品質預測模式之變項結構及評估工具 80 附錄 三、個案資料之描述性統計分析方法 81 附錄 四、分析回覆者及流失者人口學差異之統計方法 82 附錄 五、個案基本資料表 83 附錄 六、自我掌控信念量表 84 附錄 七、中文版職能自我評估 85 附錄 八、貝氏憂鬱量表第二版 87 附錄 九、貝氏焦慮量表 89 附錄 十 、電腦化之職能活動問卷 90 附錄 十一 、角色量表 91 附錄 十二、日常活動滿意度測驗 92 附錄 十三、中文版社會支持問卷 93 附錄 十四、負向社會互動感受量表 95 附錄 十五、疾病衝擊量表 97 附錄 十六、台灣簡明版世界衛生組織生活品質問卷 98 | |
| dc.language.iso | zh-TW | |
| dc.title | 乳癌患者的生活品質:生物心理情境觀點 | zh_TW |
| dc.title | The Quality of Life in Persons with Breast Cancer: Biological, Psychological, and Contextual Perspectives | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 季瑋珠,熊秉荃 | |
| dc.subject.keyword | 生活品質,乳癌患者,職能勝任感,職能環境狀況, | zh_TW |
| dc.subject.keyword | quality of life,breast cancer,occupational competence,environmental affordance, | en |
| dc.relation.page | 101 | |
| dc.rights.note | 同意授權(全球公開) | |
| dc.date.accepted | 2011-07-26 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 職能治療研究所 | zh_TW |
| Appears in Collections: | 職能治療學系 | |
Files in This Item:
| File | Size | Format | |
|---|---|---|---|
| ntu-100-1.pdf | 2.72 MB | Adobe PDF | View/Open |
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