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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 賴裕和(Yeur-Hur Lai) | |
dc.contributor.author | Chia-I Lee | en |
dc.contributor.author | 李家儀 | zh_TW |
dc.date.accessioned | 2021-06-14T16:56:28Z | - |
dc.date.available | 2011-08-14 | |
dc.date.copyright | 2008-08-14 | |
dc.date.issued | 2008 | |
dc.date.submitted | 2008-07-29 | |
dc.identifier.citation | 中文部分:
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/40699 | - |
dc.description.abstract | 疼痛是癌症病人相當常見的症狀,面對病人的疼痛,照顧者更是感同身受,且因為疼痛對病人日常生活的影響,將造成照顧者需花費更多的心力來提供照顧工作,將對照顧者的生活造成影響。本研究以橫斷式研究法,探討台北某二醫學中心之癌症疼痛之主要照顧者之疲倦程度、睡眠品質及照顧負荷之影響。共收集128對病人及其主要照顧者,資料包括病人及照顧者部分,病人方面有病人之人口學資料、病人身體功能狀態、病人接受的治療、病人疼痛強度及疼痛干擾,照顧者方面有照顧者人口學資料、照顧型態、收入狀況、照顧者焦慮及憂鬱狀況,再分別評估照顧者之疲倦程度、睡眠品質及照顧者負荷程度。資料分析以描述性統計、獨立t檢定、單因子變異數分析、皮爾森積差相關分析及逐步迴歸分析。結果發現:(1)主要照顧者最嚴重之疲倦程度為3.51分,睡眠品質指標為11.53分,照顧者負荷的嚴重程度依序為時間安排負荷、經濟負荷、健康負荷及家人支持負荷。(2)病人疼痛強度與照顧者疲倦程度、睡眠品質及照顧負荷無相關,而病人整體疼痛干擾與照顧者疲倦程度及照顧者家人支持負荷呈正相關,與照顧者睡眠品質呈負相關。(3)照顧者疲倦程度方面之重要預測因子為病人教育年數及照顧者焦慮程度,可解釋的變異量為30.8%(p<.000);睡眠品質方面之重要預測因子為病人整體疼痛干擾、照顧者焦慮及憂鬱程度,可解釋的變異量為25.8%(p<.000);健康負荷之重要預測因子為照顧型態--家人及陪病員共同照顧、照顧者焦慮及憂鬱程度,可解釋的變異量為44.8%(p<.000);時間安排負荷之重要預測因子為照顧者憂鬱程度,可解釋的變異量為11.3%(p<.000);經濟負荷之重要預測因子為照顧後收入—高於支出、照顧者焦慮及憂鬱程度,可解釋的變異量為32.7%(p<.000);家人支持負荷之重要預測因子為照顧者年齡、照顧前收入—高於支出、照顧有輪替、照顧者憂鬱程度,可解釋的變異量為28.8%(p<.000)。本研究結果可見照顧者的角色與病人的疼痛症狀將對照顧者產生不同層面生活的影響,建議適時評估照顧者的狀況,提供照顧者支持,以緩解其生活的衝擊,減輕照顧者疲倦程度、改善照顧者睡眠品質及照顧者負荷程度,進而提供良好的照顧品質。 | zh_TW |
dc.description.abstract | Pain is a common symptom of cancer and has an impact on both patients and caregivers. The purpose of this cross-sectional study was to explore the impacts of cancer pain on caregivers’ fatigue、sleep quality and burden in taking care of cancer patients with pain. A total of 128 cancer pain patients and their primary caregiver dyads were recruited from 2 medical centers in Taiwan. The major variables assessed in patients were their pain experiences (pain intensity and pain interference); the major variables assessed in their caregivers were caregivers’ fatigue, sleep, depression and anxiety, caregiver’s burdens, and types of caregiving. The major results showed that(1)Caregivers reported to have mild to moderate levels of fatigue and sleep quality. The caregivers’ burdens were ranked from heavy to low were (1) burden from time arrangement, (2) economics situation, (3) health status, and (4) family’s support respectively. The levels of patients’ pain interference were positively correlated with caregivers’ fatigue and burden and negatively correlated with caregivers’ sleep quality. The results of the analysis of the factors to predict caregivers’ distress (fatigue, sleep quality, and 4 kinds of burdens) showed, in general, that patients’ pain interferences, caregivers’ anxiety and depression, caregivers’ income, and care-giving types) are the major factors. Overall, the findings suggest that pain interference on patients’ daily life would impact on caregivers’ distress. Caregivers’ depression, anxiety and care-giving pattern should be assessed to ensure better care for cancer pain patients and their caregivers. | en |
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dc.description.tableofcontents | 頁數
第一章 緒論 第一節 前言……………………………………………… 1 第二節 研究目的………………………………………… 3 第二章 文獻查證 第一節 癌症疼痛………………………………………… 4 第二節 主要照顧者……………………………………… 8 第三節 主要照顧者的疲倦程度、睡眠品質及照顧 負荷…10 第四節 研究架構及研究假設……………………………15 第五節 名詞操作型定義…………………………………17 第三章 研究方法 第一節 研究設計…………………………………………18 第二節 研究對象…………………………………………18 第三節 研究工具…………………………………………19 第四節 研究步驟…………………………………………23 第五節 資料處理與分析…………………………………24 第六節 研究倫理…………………………………………26 第四章 結果分析 第一節 病人之人口學特質、疾病相關資料與疼痛特 質…………………………………………………28 第二節 照顧者人口學特質、照顧型態與心理狀態……32 第三節 照顧者的疲倦程度、睡眠品質及照顧負荷……36 第四節 病人及主要照顧者之人口學特質、照顧者 心理狀況、病人治療相關特質與照顧者的 疲倦程度、睡眠品質及照顧負荷的相關………39 第五節 照顧者之相關照顧情形與照顧者的疲倦程 度、睡眠品質及照顧負荷的相關………………43 第六節 病人疼痛強度與疼痛干擾的相關………………47 第七節 病人疼痛強度、疼痛干擾與照顧者的疲倦 程度、睡眠品質及照顧負荷的相關分析………49 第八節 照顧者的疲倦程度、睡眠品質及照顧負荷 的預測因素………………………………………52 第五章 討論 第一節 癌症病人疼痛現況………………………………55 第二節 主要照顧者的疲倦程度、睡眠品質及照顧 負荷程度…………………………………………57 第三節 照顧者的疲倦程度、睡眠品質及照顧負荷 程度之相關因素…………………………………60 第六章 結論與建議 第一節 結論………………………………………………66 第二節 研究限制…………………………………………68 第三節 建議…………………………………………… 69 參考資料 中文部分……………………………………………………71 英文部分……………………………………………………72 附錄 附錄一 病人基本資料表…………………………………… 79 附錄二 簡明疼痛量表……………………………………… 80 附錄三 照顧者基本資料表………………………………… 82 附錄四 照顧者反應評估量表……………………………… 83 附錄五 疲憊程度數字評估量表…………………………… 84 附錄六 睡眠評估量表(KSD)…………………………… 84 附錄七 醫院焦慮憂鬱量表………………………………… 85 圖表目次 頁數 圖一 研究架構…………………………………………………… 15 表一 推論統計的方法…………………………………………… 25 表二 癌痛病人之人口學特質…………………………………… 29 表三 癌痛病人治療相關特質…………………………………… 30 表四 癌痛病人疼痛特質………………………………………… 31 表五 癌痛病人之照顧者人口學特質與照顧型態……………… 33 表六 癌痛病人之照顧者相關照顧情形………………………… 34 表七 癌痛病人之照顧者心理狀態……………………………… 35 表八 照顧者的疲倦程度、睡眠品質及照顧負荷……………… 37 表九 病人及主要照顧者之人口學特質和照顧者心理狀況與照 顧者的疲倦程度、睡眠品質及照顧負荷相關分析……… 41 表十 病人治療相關特質與照顧者的疲倦程度、睡眠品質及照 顧負荷差異分析…………………………………………… 42 表十一 照顧者相關照顧情形與照顧者的疲倦程度、睡眠品質及 照顧負荷差異分析………………………………………… 44 表十二 癌痛病人疼痛強度與疼痛干擾的相關分析……………… 48 表十三 癌痛病人疼痛強度、疼痛干擾與照顧者的疲倦程度、睡 眠品質及照顧負荷的相關分析…………………………… 50 表十四 癌痛病人疼痛干擾種類與照顧者的疲倦程度、睡眠品質 及照顧負荷的相關分析…………………………………… 51 表十五 預測照顧者的疲倦程度、睡眠品質及照顧負荷相關變項 之逐步迴歸分析…………………………………………… 54 | |
dc.language.iso | zh-TW | |
dc.title | 癌痛病患主要照顧者之疲倦、睡眠、照顧負荷及其相關因素 | zh_TW |
dc.title | Fatigue、Sleep Quality and Care Burden in Primary Caregivers of Cancer Patients with Pain | en |
dc.type | Thesis | |
dc.date.schoolyear | 96-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 蕭妃秀(Fei-Hsiu Hsiao),孫秀卿(Shiow-Ching Shun) | |
dc.subject.keyword | 癌症疼痛,疼痛干擾,照顧者,疲倦,睡眠,負荷, | zh_TW |
dc.subject.keyword | cancer pain,pain interference,caregiver,fatigue,sleep,burden, | en |
dc.relation.page | 85 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2008-07-30 | |
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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