請用此 Handle URI 來引用此文件：
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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 賴裕和(Yeur-Hur Lai) | |
| dc.contributor.author | I-Chin Huang | en |
| dc.contributor.author | 黃怡靜 | zh_TW |
| dc.date.accessioned | 2021-06-13T04:24:26Z | - |
| dc.date.available | 2013-10-07 | |
| dc.date.copyright | 2011-10-07 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-07-27 | |
| dc.identifier.citation | 中文文獻
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/33085 | - |
| dc.description.abstract | 肺癌是所有癌症中最具生命威脅性的一種，幸運地是，由於現今癌症篩檢的醫療發展，使得患者能被早期診斷出肺癌並接受手術；然而，早期肺癌患者的困擾與需求情況卻少見於相關學術研究中，因此，本研究目的為：(1) 探討早期肺癌患者之症狀嚴重度、心理困擾 (焦慮、憂鬱與不確定感) 與照護需求之現況，(2) 並進一步探討照護需求的相關性；並以橫斷式設計，以台灣北部某醫學中心中選取符合收案條件 (術後三個月至五年內) 的可開刀的肺癌患者，由經過訓練的護理人員採結構式問卷進行資料收集，包括中文版的癌症生活品質核心問卷、肺癌生活品質問卷、醫院焦慮憂鬱量表、Mishel疾病不確定感量表、中文版的支持性照護需求調查簡表與基本資料表。
總共有150位受試者參與，研究結果為： (1) 一般而言，患者呈現為輕度的症狀嚴重度，但前五大症狀困擾為呼吸困難、睡眠困擾、其他部位痛、咳嗽與疲倦；(2) 有16至20%的受試者有焦慮與憂鬱的傾向；(3) 有中度至高度的不確定感；(4) 有低至中度照護需求，以中位數排序則為「健康系統與資訊需求層面」、「心理需求層面」、「病患照護與支持需求層面」、「整體照護需求層面」、「生理與日常生活需求層面」與「性需求層面」；(5) 整體照護需求是高症狀嚴重度、焦慮得分高、低收支情況、已婚與組織型態有顯著的相關，此五項預測變項共可解釋整體照護需求49.4%的變異量。此研究結果可提供早期肺癌術後患者的照護需求資訊，以期增加患者之生活品質。 | zh_TW |
| dc.description.abstract | Lung cancer is one of the most life-threatening cancers. Fortunately, due to the current medical advancement in cancer screening, patients are able to be diagnosed in early stage of lung cancer and receive operation. However, limited information has known about the distress and needs of these patients. The purposes of this study are to (1) examine the levels of symptom severity, psychological distress (anxiety, depression, and uncertainty), and care needs; and (2) factors related to care needs in operable lung cancer patients. A cross-sectional study was conducted to recruit operable lung cancer patients (3 month to 5 year after their surgery) in a medical center in Northern Taiwan. Patients were assessed by trained nurses with structured interview by several instruments, including EORTC Core Quality of Life Questionnaire (QLQ-C30) with 13-item Lung Cancer-Specific Questionnaire Module (LC-13), Hospital Anxiety and Depression Scale (HADS), Mishel’s Uncertainty in Illness Scale Chinese Version (MUIS), 34-item Short-form SCNS in Chinese version (SCNS-SF34-C), and Background Information Form (BIF).
A total of 150 subjects were recruited. The results showed that (1) in general, patients experienced mild symptom severity with the top five symptoms as dyspnea, sleep disorder, pain of other places, cough, and fatigue; (2) there are about 16 to 20% of subjects were identified as anxiety or suspected as anxiety and depression or suspected as depression, respectively; (3) patients had moderate to high levels of uncertainty; (4) patients had relatively low to moderate levels of care needs, ranking as their mean scores as health system and information needs, psychological needs, patients care and support needs, physical and daily living needs, and sexual needs; and (5) Patients’ overall care needs were associated to higher symptom severity, higher anxiety level, lower income, having married, diagnosis as non-small cell lung cancer which explained 49.4% variance. The results provide the information to develop evidence based services to meet operable lung cancer patients’ care needs and further to facilitate their life quality. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T04:24:26Z (GMT). No. of bitstreams: 1 ntu-100-R98426020-1.pdf: 1490543 bytes, checksum: 605ee979e55275473fb9d94148547839 (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 第一節 研究動機與重要性 1 第二節 研究目的 2 第二章 文獻查證 第一節 肺癌之簡介 3 第二節 肺癌的治療方式 4 第三節 肺癌的衝擊 8 第四節 肺癌術後患者之照護需求 12 第三章 研究方法 第一節 研究架構 15 第二節 研究假設 16 第三節 名詞解釋與操作型定義 17 第四節 研究設計 18 第五節 研究對象與場所 19 第六節 研究工具 20 第七節 資料收集 24 第八節 資料處理與分析 26 第九節 研究倫理考量 28 第四章 研究結果 第一節 早期肺癌術後患者之人口學特性與疾病治療特性 29 第二節 早期肺癌術後患者之症狀嚴重度與心理困擾現況 31 第三節 早期肺癌術後患者之照護需求現況 33 第四節 早期肺癌術後患者之人口學特性、疾病治療特性、症 狀嚴重度、心理困擾與照護需求間的相關性 34 第五章 討論 第一節 早期肺癌術後患者之症狀嚴重度與病人特質及疾病治 療特性的關係 38 第二節 早期肺癌術後患者之心理困擾與病人特質及疾病治療 特性的關係 40 第三節 早期肺癌術後患者之照護需求 43 第六章 結論與建議 第一節 結論 47 第二節 研究限制 48 第三節 建議 49 參考文獻 中文部分 50 英文部分 53 附錄 附錄一 臨床試驗倫理委員會審核通過證明 | |
| dc.language.iso | zh-TW | |
| dc.subject | 症狀嚴重度 | zh_TW |
| dc.subject | 早期肺癌 | zh_TW |
| dc.subject | 手術 | zh_TW |
| dc.subject | 心理困擾 | zh_TW |
| dc.subject | 照護需求 | zh_TW |
| dc.subject | Depression | en |
| dc.subject | Anxiety | en |
| dc.subject | Distress | en |
| dc.subject | Symptom severity | en |
| dc.subject | Lung Cancer | en |
| dc.subject | Care needs | en |
| dc.subject | Uncertainty | en |
| dc.title | 早期肺癌術後患者的症狀嚴重度、心理困擾與照護需求之探討 | zh_TW |
| dc.title | Symptom Severity, Psychological Distress and Care Needs in Early Stage Lung Cancer Patients After Surgery | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳晉興(Jin- Ching Chen),孫秀卿(Shiow-Ching Shun) | |
| dc.subject.keyword | 早期肺癌,手術,症狀嚴重度,心理困擾,照護需求, | zh_TW |
| dc.subject.keyword | Lung Cancer,Symptom severity,Distress,Anxiety,Depression,Uncertainty,Care needs, | en |
| dc.relation.page | 76 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2011-07-27 | |
| 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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| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-100-1.pdf 未授權公開取用 | 1.46 MB | Adobe PDF |
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