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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 賴裕和 | |
dc.contributor.author | Ya-Ting Li | en |
dc.contributor.author | 李雅婷 | zh_TW |
dc.date.accessioned | 2021-06-07T18:17:51Z | - |
dc.date.copyright | 2012-03-02 | |
dc.date.issued | 2012 | |
dc.date.submitted | 2012-02-08 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16501 | - |
dc.description.abstract | 台灣地區頭頸部癌症發生率已佔所有癌症發生率的第四位,頭頸部癌症主要以手術為治療方式,因治療造成的身體症狀如外觀毀損、語言溝通障礙及肩頸部功能、肌耐力、體力受損等會造成與他人互動或重回職場困難度增加,亦會造成日常生活的混亂,包括經濟危機等,此顯示出頭頸部癌症在國內所造成的嚴重社會與經濟問題。故本研究主要目的為探討頭頸部癌症病患手術治療後之存活者基本屬性、身體功能狀態、症狀嚴重度和職業現況之相關性。
本研究為橫斷式描述性相關研究,以北部地區一醫學中心腫瘤科門診和耳鼻喉外科門診之頭頸部癌症且接受外科手術治療後之存活者為可及母群體,共取得183名個案資料,以結構式問卷評估個案功能狀態,分析基本資料、疾病治療特性、症狀嚴重度、身體功能狀態、肩部功能不良之生活影響和職業現況情形,並搭配實際體適能測量,包括肌力、身體組成、柔軟度及張口程度,收集資料以描述性統計及推論式統計(邏輯式迴歸、皮爾森相關係數、獨立樣本T檢定)檢測變項間之差異及相關性。 結果發現人口學及疾病治療特性中以教育程度、年齡、治療方法影響就業機率最多;身體功能狀況及體適能測驗(肌力、頸部柔軟度及張口程度)與就業現況皆呈顯著相關,而肩部功能不良中以拿高處物品最為影響就業現況,但研究結果中,身體運動與肩頸復健運動與就業現況不達顯著,可見病患復健或運動頻率與方法、強度等正確性未達標準,故臨床照護應在治療過程中教導並監測病患復健運動執行率,維持肌力與柔軟度之狀態,以減少就業危機;在症狀嚴重度中以「講話困難」可預測就業現況,由此可知語言訓練對於就業危機之影響,藉由了解頭頸部癌症存活者就業情形與身體功能狀態、症狀嚴重度之相關性和其實質意義,根據就業問題給予症狀緩解的根本原因解決,未來研究可依據此結果,設計相關的介入措施,藉由改善生活品質提升整體臨床照護。 | zh_TW |
dc.description.abstract | The major treatment of head and neck cancer (HNC) is surgery, including neck dissection and total laryngectomy. However surgery may result in physical dysfunction that patients have potential barriers to return to work. The purpose of the study is to investigate associations between employment status, sociodemographic and disease related factors, physical function, and symptom severity in HNC patients.
This is a cross-sectional descriptive research by consecutive sampling. The eligible 183 patients after surgical operation were recruited from inpatient and outpatient otolarygology department at a medical center in Taipei. A set of structure questionnaires were used to assess patients’ status including basic information, disease and treatment characteristics, symptoms severity, physical functional, shoulder dysfunction, mouth opening, and physical fitness, including strength, body composition, and flexibility. The results show: (1) there was significantly associated with age, education level and treatment modality between the employment. (2) the actual measurement of mouth opening, physical fitness(including strength, body composition, and flexibility)and employment status were highly significantly correlated; moreover shoulder dysfunction in the height of items to get is the most impact on employment status. (3) oral dysfunction as speech difficulties were significantly associated with employment. The clinical care should be focus both in the treatment and rehabilitation to monitor patients exercise adherence to reduce the employment crisis; furthermore, language training will be helpful to employment. The result of this study will contribute to better insight into employment in HNC patients and potential barriers to return to work after treatment. Further physical intervention study will be helpful to improve occupational health services and patients outcome. | en |
dc.description.provenance | Made available in DSpace on 2021-06-07T18:17:51Z (GMT). No. of bitstreams: 1 ntu-101-R98426021-1.pdf: 486606 bytes, checksum: d40db9175dc4d55c0ed953affecab23d (MD5) Previous issue date: 2012 | en |
dc.description.tableofcontents | 致謝i
中文摘要ii 英文摘要iii 第一章 緒論1 第一節 研究動機及重要性 1 第二節 研究目的3 第二章 文獻查證4 第一節 頭頸部癌症4 第二節 頭頸部癌症主要治療 5 第三節 頭頸部癌症手術治療後身體功能狀態與症狀 8 第四節 癌症存活者之就業因素狀況12 第五節 研究之概念架構16 第三章 研究方法17 第一節 研究設計17 第二節 研究場所與收案對象18 第三節 研究假設19 第四節 名詞解釋與操作形定義20 第五節 研究工具21 第六節 資料收集過程25 第七節 資料分析26 第八節 研究倫理28 第四章 研究結果29 第一節 人口學及疾病治療特質29 第二節 就業現況與人口學特性及疾病治療特質的相關性31 第三節 就業現況與身體活動功能測驗、身體功能狀況之相關性33 第四節 體適能測驗結果、身體功能狀態於失業勝算比之影響34 第五節 就業現況與症狀嚴重度之相關性36 第六節就業現況與人口學和疾病治療特質、身體功能、症狀嚴重度之相關37 第五章 討論38 第一節 就業現況探討38 第二節 身體功能狀況與就業現況相關性探討41 第三節 症狀嚴重度與就業現況之關係43 第六章 結論與建議45 第一節 結論45 第二節 護理的應用與建議46 第三節 研究限制48 參考文獻49 表目錄 表一、 資料分析一欗表27 表二、 不同就業現況於人口學特質59 表三、 不同就業現況於疾病治療特質61 表四、 不同就業現況於工作類型和經濟狀況62 表五、 人口學性質、疾病治療特質與就業現況之相關性63 表六、 不同變相於失業、仍在職工作者間二元迴歸分析結果65 表七、 不同就業現況於體適能測驗、KPS及巴氏量表之比較67 表八、 不同就業現況於頸部或肩部不適之生活影響程度之比較68 表九、 體適能測驗於於失業、仍在職工作者間二元迴歸分析結果69 表十、 肩痛及無力量表指數於失業、仍在職工作者間二元迴歸分析結果70 表十一 不同就業現況於症狀嚴重度之比較71 表十二 症狀嚴重度於失業、仍在職工作者間二元迴歸分析結果72 表十三 身體功能測量與症狀嚴重度相關性73 表十四 全部變相於失業、仍在職工作者間多因子邏輯式迴歸分析結果74 圖目錄 圖一 研究架構16 | |
dc.language.iso | zh-TW | |
dc.title | 頭頸部癌症術後存活者身體功能、症狀嚴重度與就業現況相關性之探討 | zh_TW |
dc.title | Physical Function , Symptom Severity and Employment Status in Head and Neck Cancer Survivors | en |
dc.type | Thesis | |
dc.date.schoolyear | 100-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 婁培人,孫秀卿 | |
dc.subject.keyword | 頭頸部癌症,身體功能,症狀嚴重度,就業現況, | zh_TW |
dc.subject.keyword | Head and Neck Cancer,Physical Function,Symptom Severity,Employment, | en |
dc.relation.page | 74 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2012-02-08 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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