請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23622
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 孫秀卿(Shiow - Ching Shun) | |
dc.contributor.author | Yu-Hsuan Chang | en |
dc.contributor.author | 張祐瑄 | zh_TW |
dc.date.accessioned | 2021-06-08T05:06:27Z | - |
dc.date.copyright | 2011-10-07 | |
dc.date.issued | 2011 | |
dc.date.submitted | 2011-07-07 | |
dc.identifier.citation | 中央健康保險局(2009年4月22日)•1997-2007年全民健保器官移植存活率統計•2010年5月7取自http://www.nhi.gov.tw/webdata/webdata.asp?menu=1&menu_id=&webdata_ID=615
王守玠、吳明儒(2004)•腎臟移植病患之惡性腫瘤概論•腎臟與透析,16(2),81-90。 王碧華、林青蓉、陳玉婷、賴佑銘(2006)•焦慮性疾患•於蔡芸芳總校閱,精神護理學(194頁)•台北:藝軒。 王世楨、許忠源、高嘉鴻、林萬鈺、連榮達、徐國雄(1993)•移植腎臟產生排斥時之有效腎血流量測定•高雄醫學科學雜誌,9(3),162-168。 王蔚芸、王桂芸、湯玉英(2007)•焦慮之概念分析•長庚護理,18(1),59-67。 孔繁鐘(2007)•DSM-IV-TR精神疾病診斷準則手冊(四版)•台北:合記。 台大醫院器官移植團隊(2007)•衛教園地•2010年5月8日取自http://www.ntuhtx.org.tw/ch/field/field_List.asp?Volumn_ID=444 台大醫院器官移植團隊(2010)•重要里程碑•2011年6月1日取自http://www.ntuhtx.org.tw/ch/about/about_List.asp?Volumn_ID=436 行政院衛生署(2007)•96年報表分析•2010年9月15取自http://www.doh.gov.tw/CHT2006/DM/SEARCH_RESULT.aspx 行政院衛生署(2009)•98年度死因統計完整統計表•2010年9月13日取自http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now_fod_list_no=11397&level_no=4&doc_no=76512 何明志(2003)•認識肝臟移植•健康世界,211,13-16。 何明志、李伯皇(2000)•肝臟移植•台灣醫學,4(3),286-293。 余美靜、陳建克(2003)•腎臟移植後之惡性腫瘤•腎臟與透析,15(3),126-129。 李伯璋(2010)•台灣腎臟移植現況之困境及其解決方法•台灣醫界,53(6),36-38。 李志元、蔡孟昆(2007)•免疫抑制劑•台灣醫學,11(1),35-41。 李明濱、廖士程(2009)•憂鬱症高風險危險群自我檢測•醫療品質雜誌,3(2),32-36。 吳佳蓁、翁麗雀、張綺芬、鄭隆賓(2002)•肝移植手術後病人生活品質之初探•長庚護理,13(3),193-204。 周幸生、歐嘉美、蔡素華、康白淑、葉明珍、張秉宜、白司麥等(2005)•新臨床護理診斷(2版)•台北:華杏。 林品瑄(2006)•接受肝臟移植病患身心社會調適及其相關因素之研究•未發表之碩士論文,台北:國立台灣大學醫學院護理學研究所。 林素月(2009)•腎移植病人健康行為執行現況之探討•未發表之碩士論文,台南:國立成功大學醫學院護理學研究所。 林育玲、尤英覽(2009)•腎臟移植後高血糖•內科學誌,20,417-424。 林岳增、呂昭林(2009)•憂鬱症預防之心理介入•台灣醫界,52(11),14-17。 林婉婷、林志六(2009)•新藥簡介:Curosurf, Certican與Dimersu•台灣醫界,52(1),41-42。 林文綾、顧乃平、徐國雄、李文宗(2002)•腎臟移植病人生活品質及其相關因素•榮總護理,19(3),326-337。 林慧玲、柯文哲、黃甄彥、蘇錦玲、蔡孟昆、李伯皇(2001)•移植術後免疫抑制劑相關問題與病患用藥教育•台灣醫學,5(1),87-95。 胡瑞恆(2000)•新型免疫抑制劑•台灣醫學,4(3),303-308。 胡瑞恆(2007)•肝臟移植•台灣醫學,11(1),56-61。 徐莞雲、陳筱瑀(2008)•焦慮的概念分析•志為護理-慈濟護理雜誌,7(3),65-70。 翁麗雀(2008)•腎臟移植手術後病人自我管理、身心壓力及健康成果之關係探討•未發表之博士論文,台北:國立台灣大學醫學院護理學研究所。 翁麗雀、戴玉慈(2005)•腎臟移植手術後病人的生理、心理、社會與靈性議題•護理雜誌,52(4),65-70。 陳冠興、尤俊成(2003)•腎移植後的心血管疾病•腎臟與透析,15(3),109-114。 陳佩英、史麗珠、王正旭、賴裕和、張獻崑、陳美伶(1999)•疼痛對癌症病患焦慮與憂鬱之影響•台灣醫學,3(4),373-382。 陳滋茨、林艷君、戴玉慈(1999)•出院病患居家首月所面臨健康照護問題之探討•護理研究,7(5),423-434。 陳佩英、郭素青、張惠甄、劉亞君、徐子英(2007)•血液透析病患其控握信念、心理困擾與健康促進行為之初探•台灣腎臟護理學會雜誌,6(2),27-41。 彭美姿(1997)•腎臟移植病人的護理•護理雜誌,44(1),85-91。 游淑貞(2008)•台灣境內與境外腎臟移植之成本效性分析•未發表之碩士論文,台中:亞洲大學。 黃惟新、陳國書(2003)•腎移植病人術後的長期照顧•腎臟與透析,15(2),89-93。 黃鈺琴、彭聖曾(2002)•腎移植病人免疫抑制劑之選擇•腎臟與透析,14(1),32-37。 黃紀諺、沈瑞玲、林玉如(2007)•肝臟移植前後之重症護理•榮總護理,24(3),313-319。 蔡孟昆(2003)•腎臟移植:談移植腎的使用壽命•健康世界,209,23-26。 賴裕和(1998)•門診接受化學治療病人之症狀困擾及居家護理需求探討•護理研究,6(4),279-289。 盧淑君(2005)•腎臟移植後人類白血球抗原抗體與移植腎臟功能之關係•未發表之碩士論文,台南:國立成功大學醫學院微生物暨免疫學研究所。 謝明憲(2008)•焦慮疾患的診斷與治療•中華民國內膜異位症婦女協會會刊,15(9),12-14。 American Psychological Association. (n. d.) Anxiety. Retrieved August 20, 2010, From http://search.apa.org/search?query=anxiety American Psychological Association. (n. d.) Depression. Retrieved August 28, 2010, From http://search.apa.org/search?query=depression Alavi, N. M., Aliakbarzadeh, Z., & Sharifi, K. (2009). Depression, anxiety, activities of daily living, and quality of life scores in patients undergoing renal replacement therapies. Transplantation Proceeding, 41(9), 3693-3696. Aadahl, M., Hansen, B. A., Kirkegaard, P., & Groenvold, M. (2002). Fatigue and physical function after orthotopic liver transplantation. Liver Transplantation, 8(3), 251-259. Aberg, F., Jula, A., Hockerstedt, K., & Isoniemi, H. (2010). Cardiovascular risk profile of patients with acute liver failure after liver transplantation when compared with the general population. Clinical and Translational Research, 89(1), 61-68. Abbott, K. C., Kimmel, P. L., Dharnidharka, V., Oglesby, R. J., Agodoa, L. Y., &Caillard, S. (2005). New-onset gout after kidney transplantation: Incidence, risk factors and implications. Transplantation, 80(10), 1383-1391. Akman, B., Ozdemir, F. N., Sezer, S., Micozkadioglu, H., & Haberal, M. (2004). Depression levels before and after renal transplantation. Transplantation Proceedings, 36(1), 111-113. Bradshaw, J. R. (1972). The concept of social need. New Society, 30, 640-643. Boyes, A., Girgis, A., & Lecathelinais, C. (2009). Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item Supportive Care Needs Survey. Journal of Evaluation in Clinical Practice, 15(4), 602-606. Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S., & MacCarthy, B. (1987). Principles and practice of measuring needs in the long-term mentally ill: The MRC needs for care assessment. Psychological Medicine, 17(4), 971-981. Bubela, N., & Galloway, S. (1990). Factors influencing patients’ informational needs at time of hospital discharge. Patient Education and Counseling, 16, 21-28. Bubela, N., Galloway, S., McCay, E., McKibbon, A., Nagle, L., Pringle, D., Ross, E., et al. (1990). The patients learning needs scale: reliability and validity. Journal of Advanced Nursing, 15, 1181-1187. Bownik, H., & Saab, S. (2009). Health-related quality of life after liver transplantation for adult recipients. Liver Transplantation, 15, S42-S49. Blanch, J., Sureda, B., Flavia, M., Marcos, V., de Pablo, J., De Lazzari, E., Rimola, A., et al. (2004). Psychosocial adjustment to orthotopic liver transplantation in 266 recipients. Liver Transplantation, 10(2), 228-234. Burroughs, T. E., Swindle, J., Takemoto, S., Lentine, K. L., Machnicki, G., Irish, W. D., Brennan, D. C., et al. (2007). Diabetic complications associated with new-onset diabetes mellitus in renal transplant recipients. Clinical Transplantation, 8(83), 1027-1034. Cohen, J., & Cohen, P. (1983). Applied multiple regression/ correlation analysis for the behavioral sciences (2nd ed.). HillSDale, N J: Lawrence Erlbaum Associates. Chappell, S. M., & Case, P. (1997). Anxiety in liver transplant patients. MedSurg Nursing, 6(2), 98-103. Cheung, C. Y., Chan, H. W., Liu, Y. L., Chau, K. F., & Li, C. S. (2009). Long-term graft function with tacrolimus and cyclosporine in renal transplantation: Paired kidney analysis. Nephrology, 14, 758-763. Cleemput, I., & Dobbels, F. (2007). Measuring patient-reported outcomes in solid organ transplant recipients. Pharmacoeconomics, 25(4), 269-286. Christensen, A. J., Ehlers, S. L., Raichle, K. A., Bertolatus, J. A., & Lawton, W. J.(2000). Predicting change in depression following renal transplantation: Effect of patient coping preferences. Health Psychology, 19(4), 348-353. Chueh, S. C. & Kahan, B. D. (2000). New approaches to clinical transplantation immunosuppression:Immunosuppressive agents of the new millennium. Acta Nephrologica, 14(2), 53-59. Drent.G., De Geest, S., Dobbels, F., Kleibeuker, J. H., & Haagsma, E. B. (2009). Symptom experience, nonadherence and quality of life in adult liver transplant recipients. Netherlands Journal of Medicine, 67(5), 161-168. De Geest, S., & Moons, P. (2000). The patient’s appraisal of side-effects: The blind spot in quality-of-life assessments in transplant recipients. Nephrology Dialysis Transplantation, 15, 457-459. Dobbel, F., Moons, P., Abraham, I., Larsen, C. P., Dupont, L., & De Geest, S. (2008) Measuring symptom experience of side-effects of immunosuppressive drugs: the modified transplant symptom occurrence and distress scale. Transplant International, 21(8), 764-773. Drent, G., Moons, P., De Geest, S., Kleibeuker, J. H., & Haagsma, E. B. (2008). Symptom experience associated with immunosuppressive drugs after liver transplantation in adults: Possible relationship with medication non-compliance? Clinical Transplantation, 22(6), 700-709. Ersoy, A., Baran, B., Ersoy, C., Kahvecioglu, S., & Akdag, I. (2008). Calcineurin inhibitors and post-transplant weight gain. Nephrology, 13, 433-439. Fukunishi, I., Hasegawa, A., Ohara, T., Aikawa, A., Hatanaka, A., Suzuki, J., Kikuchi, M., et al. (1997). Kidney transplantation and liaison psychiatry, part I: Anxiety before, and the prevalence rate of psychiatric disorders before and after, transplantation. Psychiatry and Clinical Neurosciences, 51(5), 301-304. Forsberg, A., Lorenzon, U., Nilsson, F., & Backman, L. (1999). Pain and health related quality of life after heart, kidney, and liver transplantation. Clinical Transplantation, 13, 453-460. Fukunishi, I., Sugawara, Y., Takayama, T., Makuuchi, M., Kawarasaki, H., & Surman, O. S. (2001). Psychiatric disorders before and after living-related transplantation. Psychosomatics, 42(4), 337-343. Gonwa, T. A. (2001). Hypertension and renal dysfunction in long-term liver transplant recipients. Liver Transplantation, 7(11), S22-S26. Guckelberger, O., Byram, A., Klupp, J., Neumann, U. P., Glanemann, M., Stockmann, M., Neuhaus, R., et al. (2005). Coronary event rates in liver transplant recipients reflect the increased prevalence of cardiovascular risk-factors. Transplant International, 18, 967–974. Galliford, J., & Game, D. S. (2009). Modern renal transplantation: Present challenges and future prospects. Postgraduate Medical Journal, 85(1000), 91-101. Goetzmann, L., Ruegg, L., Stamm, M., Ambuhl, P., Boehler, A., Halter, J., Muellhaupt, B., et al. (2008). Psychosocial profiles after transplantation: A 24-month follow-up of heart, lung, kidney and allogeneic bone-marrow patients. Transplantation, 86(5), 662-668. Goetzmann, L., Sarac, N., Ambuhl, P., Boehler, A., Irani, S., Muellhaupt, B., Noll, G., et al. (2008). Psychological response and quality of life after transplantation: A comparison between heart, lung, liver and kidney recipients. Swiss Medical Weekly, 138(33-34), 477-483. Grimm, P. M., Zawacki, K. L., Mock, V., Krumm, S., & Frink, B. B. (2000).Caregiver responses and needs. An ambulatory bone marrow transplant model. Cancer Practice, 8(3), 120-128. Herderson, V. (1964). The nature of nursing: A definiti on and its implications for practice, research, and education. New York: Macmillan. Health Resources and Services Administration. (2008). 2008 Annual Report. Retrieved October 9, 2010, From http://www.ustransplant.org/annual_reports/current/survival_rates.htm Hellgren, A., Berglund, B., Gunnarsson, U., Hansson, K., Norberg, U., & Backman, L. (1998). Health related quality of life after liver transplantation. Liver Transplantation and Surgery, 4(3), 215-221. Higginson, I. J., Hart, S., Koffman, J., Selman, L., & Harding, R. (2007). Needs assessments in palliative care: An appraisal of defitions and approaches used. Journal of Pain and Symptom Management, 33(5), 500-505. Hillebrand, U., Suwelack, B. M., Loley, K., Lang, D., Reuter, S., Amler, S., Pavenstadt, H., et al. (2009). Blood pressure, antihypertensive treatment, and graft survival in kidney transplant patients. Transplantation, 22, 1073-1080. Klouche, K., Amigues, L., Massanet, P., Garrigue, V., Delmas, S., Szwarc, i., Beraud, J. J., et al. (2009). Outcome of renal transplant recipients admitted to an intensive care unit: A 10-year cohort study. Transplantation, 87(6), 889-895. Kim, Y., Kashy, D. A., Spillers, R. L., & Evans, T. V. (2010). Needs assessment of family caregivers of cancer survivors: Three cohorts comparison. Psycho-Oncology, 19(6), 573-582. Knoll, G., Muirhead, N., Trpeski, L., Zhu, N., & Badovinac, K.(2005) Patient survival following renal transplant and failure in Canada. American Journal of Transplantation, 5(7), 1719-1724. Kasiske, B. L., Snyder, J., Gilbertson, D., & Matas, A. J. (2003). Diabetes mellitus after kidney transplantation in the United States. American Journal of Transplantation, 3(2), 178-185. Karaminia, R., Tavallaii, S. A., Lorgard-Dezfuli-Nejad, M., Lankaran, M. M., Mirzaie, H. H., Einollahi, B., & Firoozan, A., (2007). Anxiety and depression: A comparison between renal transplant recipients hemodialysis patients. Transplantation Proceedings, 39(4), 1082-1084. Littlefield, C., Abbey, S., Fiducia, D., Cardella, C., Greig, P., Levy, G., Maurer, J., et al. (1996). Quality of life following transplantation of the heart, liver, and lungs. General Hospital Psychiatry, 18, 36S-47S. Li, J., & Girgis, A. (2006). Supportive care needs: Are patients with lung cancer a neglected population? Psycho-Oncology, 15, 509-516. Levy, G., Grazi, G. L., sanjuan, F., Wu, Y., Muhlbacher, F., Samuel, D., Friman, S., et al. (2006). 12-Month follow-up analysis of a multicenter, randomized, prospective trial in de novo liver transplant recipients (LIS2T) comparing cyclosporine microemulsion (C2 monitoring) and tacrolimus. Liver Transplantation, 12, 1464-1472. Luan, F. L., Langewisch, E., Ojo, A. (2010). Metabolic syndrome and new onset diabetes after transplantation in kidney transplant recipients. Clinical Transplantation, 24, 778–783. Lough, M. E., Lindsey, A. M., Shinn, J. A., & Stotts, N. A. (1987).Impact of symptom frequency and symptom distress on self-reported quality of life in heart transplant recipients. Heart & Lung, 16(2), 193-200. Luker, K., & Orr, J. (1985). Health visiting. Oxford, UK: Blackwell. Lin, Y. H., & Yang, M. S. (2007). A cross-sectional survey of the symptom experience kidney transplant recipients. International Journal of Nursing Studies, 44, 953-960. Maslow, A. H. (1954). Motivation and personality. New York: Harper. McKillip, Jack.(1987). Need analysis : Tools for the human services and education . Newbury Park, CA: Sage. Merriam-webster Dictionary. (n. d.) Need. Retrieved August 16, 2010, From http://www.merriam-webster.com/dictionary/need Moons, P., Geest, S. D., Abraham, I., Cleemput, J. V., & Vanhaecke, J. (1998). Symptom experience associated with maintenance immunosuppression after heart transplantation: Patients’ appraisal of side effects. Heart & Lung, 27(5), 315-325. McDowell, M. E., Occhipinti, S., Ferguson, M., Dunn, J., & Chambers, S. K. (2010). Predictors of change in unmet supportive care needs in cancer. Psycho-Oncology, 19, 508-516. Myers, J., & Pellino, T. A. (2009). Developing new ways to address learning needs of adult abdominal organ transplant recipients. Progress in Transplantation, 19(2), 160-166. McGuire, B. M., Rosenthal, P., Brown, C. C., Busch, A. M., Calcatera, S. M., Claria, R. S. Hunt, N. K., et al. (2009). Long-term management of the liver transplant patient: Recommendations for the primary care doctor. American Journal of Transplantation, 9(9), 1988-2003. Maikranz, J. M., Steele, R. G., Dreyer, M. L., Stratman, A. C., & Bovaird, J. A. (2007). The relationship of hope and illness-related uncertainty to emotional adjustment and adherence among pediatric renal and liver transplant recipients. Journal of Pediatric Psychology, 32(5), 571-581. Mcneil, D. W., Turk, C. L., & Ries, B. I. (1994). Anxiety and fear. Human Behavior, 14(1), 151-163. Moons, P., Vanrenterghem, Y., Van Hooff, J. P., Squifflet, J. P., Margodt, D., Mullens, M., Thevissen, I., et al. (2003). Health-related quality of life and symptom experience in tacrolimus-based regimens after renal transplantation: A multicentre study. Transplant International, 16(9), 653-664. Navasa, M., Bustamante, J., Marroni, C., Gonzales, E., Andreu, H., & Esmatjes, E., Garcia-Valdecasas, J. C., et al. (1996). Diabetes mellitus after liver transplantation: prevalence and predictive factors. Journal of Hepatology, 25(1), 64-71. Neal, D. A. J., Tom, B. D. M., Gimson, A. E. S., Gibbs, P., & Alexander, G. M. (2001). Hyperuricemia, gout, and renal function after liver transplantation. Transplantation, 72(10), 1689-1691. Nickel, R., Wunsch, A., Egle, U. T., Lohse, A. W., & Otto, G. (2002). The relevance of anxiety, depression, and coping in patients after liver transplantation. Liver Transplantation, 8(1), 63-71. Oxford English Dictionary. (n. d.) Need. Retrieved August 16, 2010, From http://dictionary.oed.com/cgi/findword?query_type=word&queryword=need&find.x=19&find.y=11 Pelgur, H., Atak, N., & Kose, K. (2009). Anxiety and depression levels of patients undergoing liver transplantation and their need for training. Transplantation Proceedings, 41, 1743-1748. Pinson, C.W., Feurer, I. D., Payne, J. L., Wise, P. E., Shockley, S., & Speroff, T. (2000). Health-related quality of life after different types of solid organ transplantation. Annals of Surgery, 232(4), 597-607. Reuben, A. (2001). Long-term management of the liver transplant patient: Diabetes, hyperlipidemia, and obesity. Liver Transplantation, 7(11), S13-S21. Rudow, D. L, & Goldstein, M. J. (2008). Critical care management of the liver transplant recipient. Critical Care Nursing Quarterly, 31(3), 232-243. Rocha, G., Poli de Figueiredo, C. E., d'Avila, D., & Saitovitch, D. (2001). Depressive symptoms and kidney transplant outcome. Transplantation Proceedings, 33(7-8), 3424. Riether, A. M., Smith, S. L., Lewison, B. J., Cotsonis, G. A., & Epstein, C. H. (1992). Quality of life changes and psychiatric and neurocognitive outcome after heart and liver transplantation. Trasnplantation, 54(3), 444-450. Sanders, S. L., Bantum, E. O., Owen, J. E., Thornton, A. A., & Stanton, A. L. (2010). Supportive care needs in patients with lung cancer. Psycho-Oncology, 19, 480-489. Sanson-Fisher, R., Girgis, A., Boyes, A., Bonevski, B., Burton, L., & Cook, P. (2000). The unmet supportive care needs of patients with cancer. Cancer, 88(1), 226-237. Schlairet, M., Heddon, M. A., & Griffis, M. (2010). Piloting a needs assessment to guide development of a survivorship program for a community cancer center. Oncology Nursing Forum, 37(4), 501-508. Stamp, L., Ha, L., Searle, M., O’Donnell, J., Frampton, C., & Chapman, P. (2006). Gout in renal transplant recipients. Nephrology, 11, 367-371. Steinmuller, T. H., Stockmann, M., Bechstein, W. O., Settmacher, U., Jonas, S., & Neuhaus, P. (2000). Liver transplantation and diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes, 108(6), 401-405. Sui, W., Zou, H., Zou, G., Yan, Q., Chen, H., Che, W., & Xie, S. (2008). Clinical study of the risk factors of insulin resistance and metabolic syndrome after kidney transplantation. Transplant Immunology, 20, 95-98. Taylor, R. M., Franck, L. S., Gibson, F., Donaldson, N., & Dhawan, A. (2009). Study of the factors affecting health-related quality of life in adolescents after liver transplantation. American Journal of Transplantation, 9(5), 1179-1188. Vanrenterghem, Y. F. C., Claes, K., Montagnino, G., Fieuws, S., Maes, B., Villa, M., Ponticelli, C. (2008). Risk factors for cardiovascular events after successful renal transplantation. Transplantation, 85(2), 209-216. Virzi, A., Signorelli, M. S., Veroux, M., Giammarresi, G., Maugeri, S., Nicoletti, A., & Veroux, P. (2007). Depression and quality of life in living related renal transplantation. Transplantation Proceedings, 39(6), 1791-1793. World Health Organization. (n. d.) Depression. Retrieved September 8, 2010, From http://www.who.int/topics/depression/en/ World Health Organization. (2004). Global burden disease. Retrieved September 10, 2010, From http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf Wolfe, R. A., Ashby, V. B., Milford, E. L., Ojo, A. O., Ettenger, R. E., Agodoa, L. Y., Held, P. J., et al. (1999). Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. The New England Journal of Medicine, 341(23), 1725-1730. Weng, L. C., Dai, Y. T., Wang, Y. W., Huang, H. L., & Chiang, Y. J. (2008). Effects of self-efficacy, self-care behaviors on depressive symptom of Taiwanese kidney transplant recipients. Journal of Clinical Nursing, 17(13), 1786-1794. Zarifian, A. (2006). Symptom occurrence, symptom distress, and quality of life in renal transplant recipients. Nephrology Nursing Journal, 33(6), 609-618. Zuluaga, B. H. (2000). Implementation of the Zuluaga-Raysmith (Z-R) model for assessment of perceived basic human needs in home health clients and caregivers. Public Health Nursing, 17(5), 317-324. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23622 | - |
dc.description.abstract | 肝、腎移植為目前治療末期肝病及腎臟病變的主要治療方式之ㄧ,可讓患者免除術前急重症狀的威脅,但隨之而來的可能是患者在術後面臨手術產生的合併症以及長期服用免疫抑制劑所帶來的副作用,進而在居家生活中仍有許多照護上的需求。因此本研究目的為瞭解肝、腎移植術後患者之居家照護需求,並探討影響患者需求的重要因素。採橫斷式之相關性研究,立意取樣於台北市某醫學中心肝、腎移植外科門診,自民國99年12月至100年3月止,共收集有效問卷289份。研究工具以結構式問卷進行資料收集,包含個案基本屬性資料表、疾病特性資料表、移植症狀頻率與症狀困擾量表、醫院焦慮與憂鬱量表及移植居家照護需求量表。資料以SPSS 17.0進行描述性統計、相關分析及逐步多元迴歸分析。研究結果發現(1)移植術後罹患糖尿病、高血脂、痛風的比率顯著增加。(2)整體的症狀經驗為偶爾發生及輕度困擾;視力模糊不清、專注力或記憶力不足、睡眠困擾、累,為症狀頻率及症狀困擾共同最常出現的症狀。(3)整體的焦慮與憂鬱程度屬輕度,研究病患中含4.8%的焦慮個案、3.1%的憂鬱個案。(4)居家照護需求以醫療體系與訊息層面最未被滿足。居家照護需求之未被滿足程度的重要預測因子為症狀困擾、焦慮、移植後時間與教育年數,共可解釋36.8%的變異量。研究成果可讓臨床護理人員了解肝、腎移植術後患者的身體症狀、心理困擾與居家照護需求的現況及相關因素;加強醫療體系與訊息的宣導及提供緊急狀況時的諮詢窗口。期盼能讓患者出院後獲得持續性的照護與追蹤,提升居家自我照護能力及降低其未滿足需求的程度。 | zh_TW |
dc.description.abstract | Liver / renal transplantation is one of the important treatments for end-stage liver / renal disease and acute liver / renal failure. Although transplantation can prevent recipients from suffering with critical and fatal symptoms, patients may experience the complications with surgery and immunosuppressive drugs. Furthermore, they might have many unmet needs in daily life. The aims of this study were to explore the level of home care needs among the post liver or renal transplant recipients, and identify the significant factors for unmet care needs. Totally, 289 patients were recruited by purposive sampling with a cross-sectional correlated design from organ transplant outpatient departments at a medical center in northern Taiwan. Data were collected from December, 2010 to March, 2011. A set of structured questionnaires were used to collect data including patients’ demographic and disease characteristics, the Transplant Symptom Frequency and Symptom Distress Scale, the Hospital Anxiety and Depression Scale, and the Transplant Home Care Needs Scale. Data were analyzed with descriptive statistics, Spearman’s correlation and stepwise multiple regressions by SPSS 17.0 software. The main results included (1) The prevalence rate of diabetes mellitus, hyperlipidemia and gout significantly increased after transplantation. (2) The overall symptom experience occasionally occured with mild level of distress. Difficulty seeing well, concentration or memory problems, sleep difficulties, and tiredness were the most symptoms experienced by patients both in frequency and distress domains. (3) The level of anxiety and depression were mild. There were 4.8% of the patients identified as clinically anxious cases in our study, and 3.1% were clinically depressive cases. (4)The most unmet of home care needs was health system and information domain. Through stepwise multiple regression analysis, the significant predicting variables included symptom distress, anxiety, time after transplantation and education in years, and they could explain 36.8% of variances for unmet home care needs. The results of this study can help clinical nurses to understand more about liver or renal transplant recipients’ physical and mental distress, and the high risk population with unmet needs. Therefore, in order to increase the patients’ ability of self-care, health provider can offer the sufficient health system and information with the available health resources, and provide consultation when patients are in emergency. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T05:06:27Z (GMT). No. of bitstreams: 1 ntu-100-R98426009-1.pdf: 5858995 bytes, checksum: 10144443600dab94e732b34367033bb1 (MD5) Previous issue date: 2011 | en |
dc.description.tableofcontents | 誌謝………………………………………………………………………i
中文摘要…………………………………………………………………ii 英文摘要………………………………………………………………iii 第一章 緒論………………………………………………………………1 第一節 前言………………………………………………………………1 第二節 研究目的…………………………………………………………3 第二章 文獻查證…………………………………………………………4 第一節 肝臟移植…………………………………………………………4 第二節 腎臟移植…………………………………………………………7 第三節 肝、腎移植術後患者之身體症狀經驗…………………………10 第四節 肝、腎移植術後患者之心理困擾………………………………17 第五節 肝、腎移植術後患者之居家照護需求…………………………21 第三章 研究方法…………………………………………………………25 第一節 概念架構…………………………………………………………25 第二節 研究設計…………………………………………………………26 第三節 名詞界定…………………………………………………………27 第四節 研究對象…………………………………………………………29 第五節 研究工具…………………………………………………………30 第六節 資料分析及處理…………………………………………………34 第七節 研究倫理…………………………………………………………35 第四章 研究結果…………………………………………………………36 第一節 肝、腎移植術後患者之基本屬性與疾病特性…………………37 第二節 肝、腎移植術後患者之身體症狀經驗…………………………44 第三節 肝、腎移植術後患者之心理困擾………………………………50 第四節 肝、腎移植術後患者之居家照護需求…………………………57 第五節 境內與境外移植患者之症狀經驗、心理困擾與居家照護需求之差異………………………………………………………64 第六節 症狀經驗、心理困擾與居家照護需求之相關性………………66 第七節 影響居家照護需求之重要因素…………………………………68 第五章 討論…………………………………………………………………70 第一節 肝、腎移植術後患者身體症狀經驗與術後慢性病之探討……70 第二節 肝、腎移植術後患者之心理困擾………………………………76 第三節 肝、腎移植術後患者之居家照護需求…………………………78 第六章 結論與建議…………………………………………………………91 第一節 結論………………………………………………………………91 第二節 研究限制………………………………………………………93 第三節 建議……………………………………………………………95 參考文獻…………………………………………………………………98 附錄……………………………………………………………………111 附錄一 量表專家效度名單表……………………………………………111 附錄二 台大醫院倫理委員會審核研究通過公文………………………112 附錄三 移植症狀頻率與症狀困擾量表授權同意書……………………113 | |
dc.language.iso | zh-TW | |
dc.title | 肝、腎移植術後患者之居家照護需求探討 | zh_TW |
dc.title | Home Care Needs in Liver or Renal Transplantation Recipients | en |
dc.type | Thesis | |
dc.date.schoolyear | 99-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 賴裕和,李伯皇,蔡孟昆 | |
dc.subject.keyword | 肝臟移植,腎臟移植,照護需求,症狀經驗,焦慮,憂鬱, | zh_TW |
dc.subject.keyword | liver transplant,renal transplant,care needs,symptom experience,anxiety,depression, | en |
dc.relation.page | 113 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2011-07-07 | |
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 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-100-1.pdf 目前未授權公開取用 | 5.72 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。