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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 | Yo-Ning Chen | en |
dc.contributor.author | 陳又寧 | zh_TW |
dc.date.accessioned | 2021-06-08T07:05:33Z | - |
dc.date.copyright | 2008-12-18 | |
dc.date.issued | 2008 | |
dc.date.submitted | 2008-11-13 | |
dc.identifier.citation | 中文部份
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Chang in health-related quality of life after cataract surgery in a population-based sample. Eye , 22(4), 479-484. Datta, S., Foss, A. J., Grainge, M. J., Gregson, R. M., Zaman, A., Masud, T., Osbron, F., & Harwood, R. H. (2008). The importance of acuity, stereopsis, and contrast sensitivity for health-related quality of life in elderly women with cataracts. Investigative Ophthalomology Science, 49(1), 1-6. Daniel S. (2004). Hierarchical multiple regression. A-priori Sample Size Calculator, http://danielsoper.com/statcalc/calc16.aspx (Accessed 2007 August 12). Espindle, D., Crawford, B., Maxwell, A., Rajagopalan K., Bames, R., Harris, B., & Hileman, K. (2005). Quality of life improvements in cataract patients with bilateral blue light-filtering intraocular lenses: clinical trial. Journal of Cataract & Refractive Surgery, 31(10), 1952-1959. Fayers, P. M., & Machin, D. (2000). Quality of life: assessment, analysis and interpretation (1st ed.) .New York: Wiley. http://www3.interscience.wiley.com/cgi-bin/bookhome/1014951 Foggitt, P. S. (2001). Anxiety in cataract surgery: pilot study. Journal of Cataract & Refractive Surgery, 27(10), 1651-1655. Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of internal Medicine, 118(8), 622-629. Hazal, C. A ., Petre, K. L., Armstrong, R. A., Benson, M. T., & Frost, N. A. (2000). Visual function and subjects with acquired macular disease. Investigative Ophthalmology & Visual Science, 41 (6), 1309-1315. Hinds, A., Sinclair, A., Park, J., Suttie, A., Paterson, H., & Macdonald, M. (2003). Impact of an interdisciplinary low vision service on the quality of life of low vision patients. British Journal of Ophthamoiogy, 87(11), 1391-1396. Holladay, J. T. (2004). Visual acuity measurements. Journal of Cataract & Refractive surgery, 30(2), 287-290. 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National Eye Institute Visual Function Questionnaire field test investigators: development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of ophthalmology, 119(7), 1050-1058. Mitsonis, C. I., Mitropoulo, P. A., Dimopoulos, N. P., Mitsonis, M. I., Andriotis, N. M., Gitsa, O. E., & Mitsonis, I. M. (2006). Anxiety and depression in cataract surgery: a pilot study in the elderly. Psychological Reports, 99(1), 257-265. Oleson, M. (1990). Subjectively perceived quality of life. Journal of Nursing scholarship, 22(3), 187-190. Owsley, C., & McGwin, G. Jr. (2004). Depression and the 25-item National Eye institute Visual Function Questionnaire in older adults. American Academy of ophthalmology, 111(12), 2259-2264. Pesudovs, K., Caudle, L. E., Rees, G., & Lamoureux, E. L. (2008). Validity of a visual impairment questionnaire in measuring cataract surgery outcome. Journal of Cataract & Refractive surgery, 34(6), 925-933. Rosen, P. N., Kaplam, R. M., & David, K. (2005). Measuring of cataract surgery using the quality of well-being scale and VF-14 visual function index. Journal of Cataract & Refractive surgery, 31(2), 369-378. Resnikoff, S., Pascolini, D., Etyaale, D., Kocur, I., Pararajasegaram, R., Pokharel, G. P., & Mariotti, S. P. (2004). Global data on visual impairment in the year 2002. Bulletion of the World Health Organization, 82(11), 844-851. Tsai, S. Y., Chi, L. Y., Cheng, C. Y., Hsu, W. M., Liu, J. H., & Chou, P. (2004). The impact of visual impairment and use services on health-related quality of life among the elderly in Taiwan. Quality of Life Research, 13(8), 1415 -1424. Tsai, C. Y., Woung, L. C., Chou, P., Yang, C. S., Sheu, M. M., Wu, J. R., Chuang, T. L., & Tung, T. H. (2005). The current status of visual disability in the elderly populationof Taiwan. Japanese Journal of Ophthalmology, 49(2), 166-172. Ware, J. E., Kosinski, M., Turner-Bowker, D., & Gandeck, B. (2007). User’s manual for the SF-12v2TM health survey: with a supplement documenting the SF-12 health survey, Lincoln: Quality Metric Incorparated. Wilson, I.B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcome. The Journal of the American Medical Association, 273(1), 59-65. Ware, Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item Short-From survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220-233. Zigmond, A. S., & Snaith, P. R. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavic, 67(6), 361-370. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/26299 | - |
dc.description.abstract | 白內障 (Cataract) 是隨著老化過程所產生的眼科疾病之一,其主要治療方式為手術,本研究之目的為探討白內障病患接受手術治療前後的視覺相關生活品質探討、病患焦慮及憂鬱與疲憊之相關性。研究採橫斷性描述相關性設計,以立意取樣 (purposive sampling) 使用結構式問卷進行資料收集,包括:「視覺功能生活品質量表」、「SF-12一般生活品質量表」、「醫院焦慮及憂鬱量表」、「簡易疲憊中文量表疲憊程度」、「基本資料表」,收案場所於台北某醫學中心之眼科病房及眼科門診,於97年5月至97年10月共收案78人,研究結果顯示一般生活品質、視覺功能生活品質、焦慮、憂鬱及疲憊於白內障手術後皆有顯著差異 (p<0.01);在視覺品質次項目中,與一般生理生活品質 (PCS) 相關的為心理健康、依賴、遠距離視力、整體健康、整體視力、角色限制 (p<0.01);與一般心理生活品質 (MCS) 相關的為心理健康、整體視力、依賴、整體健康 (p<0.01);接受手術後視覺生活品質的改變,與手術後焦慮、憂鬱及疲憊的改變呈正相關 (p<0.01);本研究有助於臨床護理人員對於白內障手術前後生活品質改變、情緒症狀監測(焦慮憂鬱)及疲憊相關問題更深入瞭解,並早期提供病患諮詢與衛教,可提供學術及臨床照護上具體參考依據。 | zh_TW |
dc.description.abstract | Cataract is one of the most common age-related ophthalmic diseases. The main treatment is surgery. The purposes of this study were to examine the changes of visual quality of life (QOL) and its relationship with the changes of general quality of life (physical and psychological function), depression, anxiety and fatigue status in cataract patients before and after surgery. A cross-sectional correlational study was applied to recruit subjects from a medical center in Northern Taiwan. We used a set of questionnaires: National Eye Institute Visual Functioning Questionnaire (NEI VFQ- 25), the Short-Form Health Survey (SF-12), the Hospital Anxiety and Depression Scale (HADS), the Brief Fatigue Inventory (BFI) and the general information, to assess variables listed in this study. A total of 78 subjects were recruited by purposive sampling. The results show a significant improvement in the general QOL, visual functioning QOL and a reduction in the degree of anxiety, depression and fatigue after the surgery (p<0.01). Within the subcategories of visual quality (NEI VFQ-25), general health, general vision, role limitation, distance vision, mental health, and dependency are associated with the Physical Component Summary (PCS) (p<0.01). In addition, general health, general vision, mental health and dependency are associated with the Mental Component Summary (MCS) (p<0.01). The change of the visual function before and after surgery are positively correlated with the changes of that of levels of anxiety, depression and fatigue (p<0.01). In conclusion, patients with cataract surgery have major improvement in their vision, visual related QOL and the general QOL. It also has positive improvement in fatigue, depression and anxiety. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T07:05:33Z (GMT). No. of bitstreams: 1 ntu-97-R94426019-1.pdf: 513054 bytes, checksum: 5af926cdc0a7704a2b9c7a8d54ef738d (MD5) Previous issue date: 2008 | en |
dc.description.tableofcontents | 口試委員會審定書 i
致謝 ii 中文摘要 iii 英文摘要 iv 目錄 v 圖表目錄 vii 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 4 第二章 文獻查證 5 第一節 白內障及其治療 5 第二節 視覺功能生活品質與一般生活品質相關研究 7 第三節 視覺功能與焦慮憂鬱相關研究 10 第三章 研究方法 14 第一節 研究設計 14 第二節 研究場所及對象 14 第三節 研究假設 15 第四節 名詞解釋及操作型定義 16 第五節 研究工具 17 第六節 資料收集 22 第七節 資料處理與分析 23 第八節 研究倫理考量 24 第四章 研究結果 25 第一節 白內障病患之基本資料分析 25 第二節 視覺功能生活品質得分及其相關因素 27 第三節 白內障患者一般生活品質得分情形及程度 33 第四節 白內障患者手術前後焦慮得分情形及程度 37 第五節 白內障患者手術前後憂鬱得分情形及程度 38 第六節 白內障患者手術前後疲憊得分情形及程度 39 第七節 視力與視覺生活品質、焦慮、憂鬱、疲憊及兩大整體相關性 41 第八節 視覺生活品質改變與焦慮、憂鬱、疲憊及兩大整體相關性 43 第五章 討 論 47 第一節 影響白內障病患手術前後的視覺生活品質因素 47 第二節 影響白內障病患手術前後一般生活品質因素 49 第三節 影響白內障患者手術前後焦慮、憂鬱、疲憊因素 50 第六章 結論與建議 45 第一節 結論 52 第二節 研究限制與建議 53 第三節 護理上應用 54 參考資料 55 中文部份 55 英文部分 56 圖表目錄 圖 一 研究架構圖…………………………………………………….……..…..13 表 一 白內障病患基本屬性分析…………………………………….................26 表 二 手術前後視覺功能相關生活品質得分分析 ……………………..….....32 表 三 手術前後一般生活品質八大向度與兩大整體得分分析 ………….......36 表 四 白內障手術前後焦慮改變之分析…………………..…………………...37 表 五 白內障手術前後憂鬱改變之分析………………..….…………………..38 表 六 白內障手術前後疲憊程度得分分析………………………....………….40 表 七 視力與視覺功能生活品質、疲憊、焦慮、憂鬱、兩大整體生活品質相關性………………………...………………………………..…...............42 表 八 視覺功能改變量與整體生理、心理、焦慮、憂鬱、疲憊改變量之相關性………………………………………………………………………….45 表 九 整體生理、心理改變量與焦慮、憂鬱、疲憊改變量之相關性 ………………………………………………………………………...46 | |
dc.language.iso | zh-TW | |
dc.title | 接受白內障手術之病患生活品質及其相關因子探討 | zh_TW |
dc.title | Changes of Quality of Life and Its Related Factors In Patients Receiving Cataract Surgery | en |
dc.type | Thesis | |
dc.date.schoolyear | 97-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王一中,鄭成國 | |
dc.subject.keyword | 白內障,視覺生活品質,生活品質,焦慮,憂鬱,疲憊, | zh_TW |
dc.subject.keyword | Cataract,Vision quality life,Quality life,Anxiety,Depression,Fatigue, | en |
dc.relation.page | 59 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2008-11-13 | |
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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