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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 羅美芳 | |
dc.contributor.author | Hsiu-San Yu | en |
dc.contributor.author | 余秀珊 | zh_TW |
dc.date.accessioned | 2021-06-13T06:44:40Z | - |
dc.date.available | 2005-09-01 | |
dc.date.copyright | 2005-08-04 | |
dc.date.issued | 2005 | |
dc.date.submitted | 2005-07-28 | |
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(2004). Needs assessment for cancer patients and their families. Retrieved October 11, 2004 from http://www.hqlo.com/content/2/1/11 Westlake, C., & Dracup, K. I. (2001). Role of spirituality in adjustment of patients with advanced heart failure. Progress in Cardiovascular Nursing, 16(3), 119-125. Wilkin, D., Hallam, L., & Doggett, M.A. (1992). Measures of need and outcome for primary health care. Oxford, MA: Oxford University Press. Wright, K. B. (1998). Professional, ethical, and legal implications for spiritual care in nursing.. Image - the Journal of Nursing Scholarship, 30(1), 81-83. Yam, B. M., Rossiter, J. C., & Cheung, K. Y. (2001). Caring for dying infants: Experiences of neonatal intensive care nurses in Hong Kong. Journal of Clinical Nursing, 10(5), 651-659. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/35225 | - |
dc.description.abstract | 本研究目的為瞭解護理人員與心臟衰竭病患對病患健康照護需求及需求滿足程度,進一步比較兩者間差異及相關因素,研究方法為橫斷式調查法,以北部某醫學中心及某區域醫院心臟衰竭病患與護理人員為研究母群體,共收得72名病患及49名護理人員,研究工具包括個案及護理人員基本資料表、心臟衰竭病患症狀經驗量表、巴氏量表、心臟衰竭健康照護需求及需求滿足量表,結果如下:
ㄧ、護理人員與心臟衰竭病患對病患健康照護需求的評估為中度偏高度重要,需求獲得滿足程度為中度滿足,整體健康照護需求與需求滿足程度呈現顯著正相關(r =0.48, 0.56; p < 0.01)。 二、護理人員辨認病患整體健康照護需求、訊息及心理社會需求顯著高於病患(t = 2.03, 4.37, 2.54; p < 0.05),對靈性需求的評估顯著低於病患(t =-2.40; p < 0.05);護理人員辨認病患整體健康照護需求、心理社會層面、生理層面及靈性層面需求獲得滿足程度顯著低於病患自覺滿足程度(t = -2.08, -2.71, -2.27, -3.03; p < 0.01, 0.01, 0.05, 0.05)。 三、心臟衰竭病患健康照護需求之相關因素,包括年齡、性別、NYHA分級、抽煙習慣、症狀困擾及日常活動能力。護理人員辨認病患健康照護需求之相關因素,包括年齡、工作年資及心臟科照護經驗。 依研究結果提出以下建議: ㄧ、加強護理人員對病患整體需求之評估能力,並適時提供介入措施。 二、對於心臟衰竭病患高需求、低滿足的項目(例如:促進睡眠及休息的照護),安排在職教育課程,增強護理人員問題之處理能力。 三、設置心臟衰竭個案管理師,並與護理人員密切合作,將病患納入個案管理照護模式,以提供更符合病患需求的護理照護。 | zh_TW |
dc.description.abstract | The purposes of this study were (1) to explore the health care needs and levels of needs satisfaction perceived by heart failure patients and their primary nurses, (2) to compare the differences between patients' and nurses' perceptions, (3) to identify the factors related to the health care needs.
This was a descriptive and cross-sectional study, using a purposive sampling method. The subjects were 72 heart failure patients and 49 nurses from a medical center and a regional teaching hospital in northern Taiwan. Four instruments were used in this study including Background Information, The Congestive Heart Failure Symptom Distress Experience Scale, Barthel’s Scale and The Heart Failure Patients’ Health Care Needs and Satisfaction Inventory. The findings were summarized as following: 1. The levels of health care needs perceived by nurses and heart failure patients were between “important” to “very important”, and the levels of needs satisfaction were “moderate”. Health care needs were significantly related to the levels of needs satisfaction (r = 0.56, 0.48, respectively; p < 0.01). 2. Nurses overestimated patients’ needs including overall health care needs, information needs, psychosocial needs (t = 2.03, 4.37, 2.54, respectively; p < 0.05)and underestimated patients’ spiritual needs(t = -2.40; p < 0.05). On the other hand, nurses identified the levels of needs satisfaction significantly lower than patients themselves in overall health care needs, psychosocial needs(t = -2.08, -2.71, respectively; p < 0.01), physical needs and spiritual needs(t = -2.27, -3.03, respectively; p <0.05). 3. Factors related to the health care needs of heart failure patients were age, gender, NYHA classification, smoking, level of symptom distress and activities of daily living. Nurses’ age, career seniority and experiences of caring for cardiovascular patients were factors that related to the findings of needs assessment. Based on these findings, we suggested that: 1. Nurses’ ability to assess patients’ health care needs should be improved to provide appropriate intervention. 2. Hospital in-service training programs which focused on patients’ high-important, low-satisfaction needs (e.g. management of sleep problems) should be arranged. 3. The case management program should be introduced, collaborated with nurses, to provide proper care for patients | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T06:44:40Z (GMT). No. of bitstreams: 1 ntu-94-R92426012-1.pdf: 991695 bytes, checksum: f293746fb9b8a454d9d35ea4ff2215bd (MD5) Previous issue date: 2005 | en |
dc.description.tableofcontents | 致謝 i
中文摘要 ii 英文摘要 iv 內容目錄 vi 圖表目錄 viii 第一章 緒論 第一節 研究動機及重要性...............1 第二節 研究目的...................4 第三節 名詞定義...................5 第二章 文獻查證 第一節 心臟衰竭...................6 第二節 心臟衰竭對病患之影響.............10 第三節 健康照護需求及需求滿足程度..........12 第四節 護理人員與病患對病患健康照護需求及需求獲得滿 足程度之差異.................23 第五節 病患健康照護需求之相關因素..........28 第六節 護理人員辨認病患健康照護需求之相關因素....33 第七節 研究架構...................35 第三章 研究方法 第一節 研究對象...................36 第二節 研究工具...................37 第三節 資料收集過程.................42 第四節 資料分析...................43 第五節 研究倫理考量.................44 第四章 研究結果 第一節 研究對象之基本屬性..............45 第二節 心臟衰竭病患健康照護需求、需求獲得滿足程度及 其相關性...................52 第三節 護理人員辨認心臟衰竭病患之健康照護需求、需求 獲得滿足程度及其相關性............60 第四節 護理人員與心臟衰竭病患對病患健康照護需求及需 求獲得滿足程度之比較.............67 第五節 心臟衰竭病患健康照護需求之相關因素......78 頁碼 第六節 護理人員辨認心臟衰竭病患健康照護需求之相關因 素......................84 第五章 討論 第一節 心臟衰竭病患健康照護需求、需求獲得滿足程度及 其相關性...................87 第二節 護理人員辨認心臟衰竭病患之健康照護需求、需求 獲得滿足程度及其相關性............93 第三節 護理人員與心臟衰竭病患對病患健康照護需求及需 求滿足程度之比較...............98 第四節 心臟衰竭病患健康照護需求之相關因素......103 第五節 護理人員辨認心臟衰竭病患健康照護需求之相關因 素......................107 第六章 結論與建議 第一節 結論.....................109 第二節 限制.....................111 第三節 建議.....................113 參考文獻 中文部分.......................116 英文部分.......................118 附件 附件一 個案及護理人員基本資料表............126 附件二 心臟衰竭病患症狀經驗量表............128 附件三 巴氏量表....................129 附件四 心臟衰竭病患健康照護需求及需求滿足量表.....131 附件五 心臟衰竭病患健康照護需求及需求滿足量表之專家 效度名單....................136 附件六 研究/訪談同意書................ 137 附件七 心臟衰竭病患症狀經驗量表作者同意函...... 139 附件八 冠狀動脈繞道手術術後健康照護需求量表作者同意 函...................... 140 附件九 臺灣大學醫學院附設醫院臨床試驗計劃同意函... 141 頁碼 圖2–1 護理人員與心臟衰竭病患對病患健康照護需求、需求 滿足程度之差異及其相關因素之研究架構......35 表2–1 美國紐約心臟學會(NYHA)1994年心臟衰竭分類系統 .8 表2–2 比較護理人員與病患間需求一致性之國內外文獻...25 表3–1 心臟衰竭病患健康照護需求及需求滿足量表CVI值及 Cronbach’s α值................ 41 表4–1 心臟衰竭病患社會人口學特性分佈情形.......46 表4–2 心臟衰竭病患疾病特性分佈情形..........47 表4–3 心臟衰竭病患症狀困擾分佈情形..........49 表4–4 心臟衰竭病患日常活動能力分佈情形........49 表4–5 護理人員社會人口學特性分佈情形.........51 表4–6 心臟衰竭病患整體及次層面健康照護需求分佈情形..53 表4–7 心臟衰竭病患各項健康照護需求分佈情形......54 表4–8 心臟衰竭病患整體及次層面健康照護需求獲得滿足程 度分佈情形...................55 表4–9 心臟衰竭病患各項健康照護需求獲得滿足程度分佈情 形.......................58 表4–10 心臟衰竭病患健康照護需求、需求獲得滿足程度之相關 分析......................59 表4–11 護理人員辨認心臟衰竭病患整體及次層面健康照護需 求分佈情形...................61 表4–12 護理人員辨認心臟衰竭病患之各項健康照護需求分佈 情形......................61 表4–13 護理人員辨認心臟衰竭病患整體及次層面健康照護需 求獲得滿足程度分佈情形.............65 表4–14 護理人員辨認心臟衰竭病患之各項健康照護需求獲得 滿足程度分佈情形................65 表4–15 護理人員辨認心臟衰竭病患健康照護需求、需求獲得滿 足程度之相關分析................66 表4–16 護理人員與心臟衰竭病患對病患整體及次層面健康照 護需求之比較..................68 表4–17 護理人員與心臟衰竭病患對病患各項健康照護需求之 比較......................71 表4–18 護理人員與心臟衰竭病患對病患整體及次層面健康照 護需求獲得滿足程度之比較............73 表4–19 護理人員與心臟衰竭病患對病患各項健康照護需求獲 得滿足程度之比較................76 表4–20 心臟衰竭病患社會人口學特性與整體及次層面健康照 護需求之相關分析................78 表4–21 心臟衰竭病患社會人口學特性與整體及次層面健康照 護需求之差異性分析...............81 表4–22 心臟衰竭病患疾病特性與整體及次層面健康照護需求 之相關分析...................82 表4–23 心臟衰竭病患疾病特性與整體及次層面健康照護需求 之差異性分析..................82 表4–24 心臟衰竭病患症狀困擾、日常活動能力與整體及次層面 健康照護需求之相關分析.............83 表4–25 護理人員社會人口學特性與其辨認心臟衰竭病患整體 及次層面健康照護需求之相關分析.........85 表4–26 護理人員社會人口學特性與其辨認心臟衰竭病患整體 及次層面健康照護需求之差異性分析........86 表5–1 心臟衰竭病患次層面健康照護需求、需求獲得滿足程 度排序情形...................87 表5–2 護理人員辨認心臟衰竭病患次層面健康照護需求、需求 獲得滿足程度排序情形..............93 表5–3 護理人員與心臟衰竭病患對病患次層面健康照護需求、 需求獲得滿足程度排序情形............98 | |
dc.language.iso | zh-TW | |
dc.title | 護理人員與心臟衰竭病患對病患健康照護需求及需求滿足程度之差異及其相關因素 | zh_TW |
dc.title | Comparison of health care needs and levels of needs satisfaction perceived by heart failure patients and their primary nurses | en |
dc.type | Thesis | |
dc.date.schoolyear | 93-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 李啟明,朱景祺 | |
dc.subject.keyword | 心臟衰竭,健康照護需求,需求滿足程度, | zh_TW |
dc.subject.keyword | heart failure,health care needs,levels of needs satisfaction, | en |
dc.relation.page | 141 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2005-07-29 | |
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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