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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-Jyun You | en |
dc.contributor.author | 游宇君 | zh_TW |
dc.date.accessioned | 2021-05-14T17:49:46Z | - |
dc.date.available | 2016-09-25 | |
dc.date.available | 2021-05-14T17:49:46Z | - |
dc.date.copyright | 2015-09-25 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-08-26 | |
dc.identifier.citation | 中華民國衛生福利部.(11:12).統計處[公告].取自http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=1717
中華民國衛生福利部. (2013, June 6).統計處[公告] .取自http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=2747 吳名珠、陳美伶、陳淑卿、劉會平(2003).肺部手術病患術後疼痛、疲倦及希望之相關性探討.新臺北護理期刊,5(1),25–36。[ Wu, M.J., Chen, M.L.,S Chen, S.C., & Liu, H.P. (2003) Pain, Fatigue and Hope in Patients Receiving Lung Surgery, The Journal of New Taipei Nursing, 5(1), 25–36.] 明金蓮、吳貞慧、陶春蘭、趙瑩惠(2009).手術後病人使用自控式止痛之效果與護理人員照護之認知.榮總護理,26(2),127–135。[Min, J.L., Wu, C.H., Tau, C.L., & Chao, Y.H. (2009) The Effectiveness of Patient Controlled Analgesia on Surgical Patient and the Related Nurses' Perceptions, The Journal of VGH Nursing, 26(2), 127–135.] 李秀枝、吳聖良(2010).病人主訴術後疼痛強度與護理人員評估結果差異之比較.護理雜誌,57(3), 60–68。[Lin, S.C., & Wu, S.L. (2010) Postoperative Pain: Comparative Differences between That Reported by Patients and Nurses, The Journal of Nursing, 57(3), 60–68.] 蔣立琦、鄭綺、王桂芸、江惠英、李亭亭、林碧珠、蕭雅竹 (2009).手術後疼痛臨床照護指引.取自http://ebpg.nhri.org.tw/%28A%281CGPRA3OzgEkAAAAODFjMDg2MWEtODFkOC00ZmQ2LWFmNTctNmI1MGI5NmRiNDQwlmu0pmj3vuTL8DXFIRRyuGW7buVIyJFaftY77VKk-Xc1%29%29/check/check13.aspx 蘇輕感、鍾玉珠、曾秋蘭、汪志雄(2006).手術後患者使用病患自控式止痛之認知、止痛成效滿意度及影響因素.臺灣醫學,10(5),557–565. 邱曉彥、邱艷芬(2010).睡眠品質之概念分析.護理雜誌,57(4), 106–111。[Chiu, S.Y. & Chiu, Y.F. (2010) Concept Analysis: Sleep Quality. The Journal of Nursing, 10(5), 557–565.] 陳春帆、陳建志、郭冠良、林光洋(2011).大腸癌篩檢方式及後續追蹤的建議.家庭醫學與基層醫療,26(6),236–239。 黃莉媛、蔡芸芳、簡秀娟、莊夙鈴、張晉賢、昝文清、鍾蕙如(2010).提昇頸椎術後病患肩頸疼痛處置滿意度. 中西醫結合護理雜誌,1(1),65–76。 Ahn, K.-Y., Hur, H., Kim, D.-H., Min, J., Jeong, D. H., Chu, S. H., … Kim, N. K. (2013). The effects of inpatient exercise therapy on the length of hospital stay in stages I–III colon cancer patients: randomized controlled trial. International Journal of Colorectal Disease. http://doi.org/10.1007/s00384-013-1665-1 Andersen, H. K., Lewis, S. J., & Thomas, S. (1996). Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications. In Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd. Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004080.pub2/abstract André, T., Boni, C., Navarro, M., Tabernero, J., Hickish, T., Topham, C., … Gramont, A. de. (2009). Improved Overall Survival With Oxaliplatin, Fluorouracil, and Leucovorin As Adjuvant Treatment in Stage II or III Colon Cancer in the MOSAIC Trial. Journal of Clinical Oncology, 27(19), 3109–3116. http://doi.org/10.1200/JCO.2008.20.6771 Artinyan, A., Nunoo-Mensah, J. W., Balasubramaniam, S., Gauderman, J., Essani, R., Gonzalez-Ruiz, C., … Beart, R. W. (2008). Prolonged Postoperative Ileus—Definition, Risk Factors, and Predictors after Surgery. World Journal of Surgery, 32(7), 1495–1500. http://doi.org/10.1007/s00268-008-9491-2 Asgeirsson, T., El-Badawi, K. I., Mahmood, A., Barletta, J., Luchtefeld, M., & Senagore, A. J. (2010). Postoperative Ileus: It Costs More Than You Expect. Journal of the American College of Surgeons, 210(2), 228–231. http://doi.org/10.1016/j.jamcollsurg.2009.09.028 Ay, A. A., Kutun, S., Ulucanlar, H., Tarcan, O., Demir, A., & Cetin, A. (2011). Risk factors for postoperative ileus. Journal of the Korean Surgical Society, 81(4), 242. http://doi.org/10.4174/jkss.2011.81.4.242 Badgwell, B., Stanley, J., Chang, G. J., Katz, M. H. G., Lin, H. Y., Ning, J., … Cormier, J. N. (2013). Comprehensive geriatric assessment of risk factors associated with adverse outcomes and resource utilization in cancer patients undergoing abdominal surgery. Journal of Surgical Oncology, 108(3), 182–186. http://doi.org/10.1002/jso.23369 Bassett, D. R., Cureton, A. L., & Ainsworth, B. E. (2000). Measurement of daily walking distance-questionnaire versus pedometer. Medicine and Science in Sports and Exercise, 32(5), 1018–1023. Benson, A. B., Schrag, D., Somerfield, M. R., Cohen, A. M., Figueredo, A. T., Flynn, P. J., … Haller, D. G. (2004). American Society of Clinical Oncology Recommendations on Adjuvant Chemotherapy for Stage II Colon Cancer. Journal of Clinical Oncology, 22(16), 3408–3419. http://doi.org/10.1200/JCO.2004.05.063 Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77. http://doi.org/10.1016/S0022-3999(01)00296-3 Boeckxstaens, G. E., & de Jonge, W. J. (2009). Neuroimmune mechanisms in postoperative ileus. Gut, 58(9), 1300–1311. http://doi.org/10.1136/gut.2008.169250 Buunen, M., Veldkamp, R., Hop, W. C., Kuhry, E., Jeekel, J., Haglind, E., … Morino, M. (2009). Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet , 10(1), 44–52. Carr, E. C. J., Nicky Thomas, V., & Wilson-Barnet, J. (2005). Patient experiences of anxiety, depression and acute pain after surgery: a longitudinal perspective. International Journal of Nursing Studies, 42(5), 521–530. http://doi.org/10.1016/j.ijnurstu.2004.09.014 Chamberlain, Ronald S. (2008, January). Evidence-based Management of Postoperative Ileus. Retrieved May 22, 2013, from http://www.esng-meded.com/surgerynews/e-supplement_002.pdf Chouchou, F., Khoury, S., Chauny, J.-M., Denis, R., & Lavigne, G. J. (2013). Postoperative sleep disruptions: A potential catalyst of acute pain? Sleep Medicine Reviews. http://doi.org/10.1016/j.smrv.2013.07.002 Cook, A. D., & McCahill, L. E. (2005). Surgical resection of primary tumors in patients who present with stage IV colorectal cancer: an analysis of surveillance, epidemiology, and end results data, 1988 to 2000. Annals of Surgical Oncology, 12(8), 637–645. Corman, M., & Nicholls, R. J. (2012). Corman’s Colon and Rectal Surgery. Wolters Kluwer Health. Craft, L. L., VanIterson, E. H., Helenowski, I. B., Rademaker, A. W., & Courneya, K. S. (2012). Exercise Effects on Depressive Symptoms in Cancer Survivors: A Systematic Review and Meta-analysis. Cancer Epidemiology Biomarkers & Prevention, 21(1), 3–19. http://doi.org/10.1158/1055-9965.EPI-11-0634 Cronin, A. J., Keifer, J. C., Davies, M. F., King, T. S., & Bixler, E. O. (2001). Postoperative sleep disturbance: influences of opioids and pain in humans. Sleep, 24(1), 39–44. Delaney, C. P., Fazio, V. W., Senagore, A. J., Robinson, B., Halverson, A. L., & Remzi, F. H. (2001). “Fast track” postoperative management protocol for patients with high co-morbidity undergoing complex abdominal and pelvic colorectal surgery. British Journal of Surgery, 88(11), 1533–1538. http://doi.org/10.1046/j.0007-1323.2001.01905.x Delgado, S., Lacy, A. M., Valdecasas, J. G., Balague, C., Pera, M., Salvador, L., … Visa, J. (2000). Could age be an indication for laparoscopic colectomy in colorectal cancer? Surgical Endoscopy, 14(1), 22–26. Derogatis, L. R., Morrow, G. R., Fetting, J., Penman, D., Piasetsky, S., Schmale, A. M., … Carnicke Jr, C. L. (1983). The prevalence of psychiatric disorders among cancer patients. JAMA: The Journal of the American Medical Association, 249(6), 751–757. Elkins, G., Staniunas, R., Rajab, M. H., Marcus, J., & Snyder, T. (2004). Use of a Numeric Visual Analog Anxiety Scale Among Patients Undergoing Colorectal Surgery. Clinical Nursing Research, 13(3), 237–244. http://doi.org/10.1177/1054773803262222 Ferraz, A. A., Cowles, V. E., Condon, R. E., Carilli, S., Ezberci, F., Frantzides, C. T., & Schulte, W. J. (1995). Nonopioid analgesics shorten the duration of postoperative ileus. The American Surgeon, 61(12), 1079–1083. Galloway, S. C., & Graydon, J. E. (1996a). Uncertainty, symptom distress, and information needs after surgery for cancer of the colon. Cancer Nursing, 19(2), 112–117. Galloway, S. C., & Graydon, J. E. (1996b). Uncertainty, symptom distress, and information needs after surgery for cancer of the colon. Cancer Nursing, 19(2), 112–117. Gerber, M., Brand, S., Holsboer-Trachsler, E., & PüHse, U. (2010). Fitness and Exercise as Correlates of Sleep Complaints: Is It All in Our Minds? Medicine & Science in Sports & Exercise, 42(5), 893–901. http://doi.org/10.1249/MSS.0b013e3181c0ea8c Gill, S., Brown, C., Miller, R., & Bathe, O. (2011). Colon Cancer. In C. D. Blanke, C. Rödel, & M. S. Talamonti (Eds.), Gastrointestinal Oncology (pp. 325–377). Springer Berlin Heidelberg. Retrieved from http://link.springer.com/chapter/10.1007/978-3-642-13306-0_12 Gill, S., Loprinzi, C. L., Sargent, D. J., Thomé, S. D., Alberts, S. R., Haller, D. G., … Goldberg, R. M. (2004). Pooled Analysis of Fluorouracil-Based Adjuvant Therapy for Stage II and III Colon Cancer: Who Benefits and by How Much? Journal of Clinical Oncology, 22(10), 1797–1806. http://doi.org/10.1200/JCO.2004.09.059 GLOBOCAN Cancer Fact Sheets: Colorectal Cancer. (n.d.). Retrieved August 9, 2013, from http://globocan.iarc.fr/factsheets/cancers/colorectal.asp Goerling, U., Foerg, A., Sander, S., Schramm, N., & Schlag, P. M. (2011). The Impact of Short-Term Psycho-Oncological Interventions on the Psychological Outcome of Cancer Patients of a Surgical-Oncology Department – a Randomised Controlled Study. European Journal of Cancer, 47(13), 2009–2014. http://doi.org/10.1016/j.ejca.2011.04.031 Gögenur, I., Wildschi?tz, G., & Rosenberg, J. (2008). Circadian distribution of sleep phases after major abdominal surgery. British Journal of Anaesthesia, 100(1), 45–49. http://doi.org/10.1093/bja/aem340 Gouvas, N., Tan, E., Windsor, A., Xynos, E., & Tekkis, P. P. (2009). Fast-track vs standard care in colorectal surgery: a meta-analysis update. International Journal of Colorectal Disease, 24(10), 1119–1131. http://doi.org/10.1007/s00384-009-0703-5 Gray, Nicola M, Hall, Susan J, Browne, Susan, Johnston, Marie, Lee, Amanda J, Macleod, Una, . . . Campbell, Neil C. (2014). Predictors of anxiety and depression in people with colorectal cancer. Supportive Care in Cancer, 22(2), 307-314. Greene, F. L., Page, D. L., Fleming, I. D., Balch, C. M., & Fritz, A. G. (2002). Ajcc Cancer Staging Handbook Plus Eztnm. Springer. Hasegawa, H., Kabeshima, Y., Watanabe, M., Yamamoto, S., & Kitajima, M. (2003). Randomized controlled trial of laparoscopic versus open colectomy for advanced colorectal cancer. Surgical Endoscopy And Other Interventional Techniques, 17(4), 636–640. http://doi.org/10.1007/s00464-002-8516-4 Hida, J., Kiyotaka, Yasutomi, M., Yoshifuji, T., M.d, T. U., Tokoro, T., & Shiozaki, H. (2005). Optimal Ligation Level of the Primary Feeding Artery and Bowel Resection Margin in Colon Cancer Surgery: The Influence of the Site of the Primary Feeding Artery. Diseases of the Colon & Rectum, 48(12), 2232–2237. http://doi.org/10.1007/s10350-005-0161-2 Honea, N., Brant, J., & Beck, S. L. (2007). Treatment-Related Symptom Clusters. Seminars in Oncology Nursing, 23(2), 142–151. http://doi.org/10.1016/j.soncn.2007.01.002 Houborg, K. B., Jensen, M. B., Rasmussen, P., Gandrup, P., Schroll, M., & Laurberg, S. (2006). Postoperative physical training following colorectal surgery: a randomised, placebo-controlled study. Scandinavian Journal of Surgery: SJS: Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 95(1), 17–22. Humpel, N., & Iverson, D. c. (2010). Sleep quality, fatigue and physical activity following a cancer diagnosis. European Journal of Cancer Care, 19(6), 761–768. http://doi.org/10.1111/j.1365-2354.2009.01126.x Jack, S., West, M., & Grocott, M. P. W. (2011). Perioperative exercise training in elderly subjects. Best Practice & Research Clinical Anaesthesiology, 25(3), 461–472. http://doi.org/10.1016/j.bpa.2011.07.003 Jensen, M. B., Houborg, K. B., N?rager, C. B., Henriksen, M. G., & Laurberg, S. (2011). Postoperative changes in fatigue, physical function and body composition: an analysis of the amalgamated data from five randomized trials on patients undergoing colorectal surgery. Colorectal Disease, 13(5), 588–593. http://doi.org/10.1111/j.1463-1318.2010.02232.x Jonsson, C. a., Stenberg, A., & Frisman, G. h. (2011). The lived experience of the early postoperative period after colorectal cancer surgery. European Journal of Cancer Care, 20(2), 248–256. http://doi.org/10.1111/j.1365-2354.2009.01168.x Joshi, G. P., Bonnet, F., Kehlet, H., & Collaboration, on behalf of the P. (2013). Evidence-based postoperative pain management after laparoscopic colorectal surgery. Colorectal Disease, 15(2), 146–155. http://doi.org/10.1111/j.1463-1318.2012.03062.x Karoui, M., Roudot-Thoraval, F., Mesli, F., Mitry, E., Aparicio, T., DesGuetz, G., … Sobhani, I. (2011). Primary colectomy in patients with stage IV colon cancer and unresectable distant metastases improves overall survival: results of a multicentric study. Diseases of the Colon & Rectum, 54(8), 930–938. Kehlet, H., & Wilmore, D. W. (2008a). Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery: Annals of Surgery, 248(2), 189–198. http://doi.org/10.1097/SLA.0b013e31817f2c1a Kehlet, H., & Wilmore, D. W. (2008b). Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery: Annals of Surgery, 248(2), 189–198. http://doi.org/10.1097/SLA.0b013e31817f2c1a Kibler, V. A., Hayes, R. M., Johnson, D. E., Anderson, L. W., Just, S. L., & Wells, N. L. (2012). Cultivating Quality: Early Postoperative Ambulation. AJN, American Journal of Nursing, 112(4), 63. http://doi.org/10.1097/01.NAJ.0000413460.45487.ea Kirchhoff, P., Clavien, P.-A., & Hahnloser, D. (2010). Complications in colorectal surgery: risk factors and preventive strategies. Patient Safety in Surgery, 4(1), 5. http://doi.org/10.1186/1754-9493-4-5 Kohno, Y., Maruyama, M., Matsuoka, Y., Matsushita, T., Koeda, M., & Matsushima, E. (2010). Relationship of psychological characteristics and self-efficacy in gastrointestinal cancer survivors. Psycho-Oncology, 19(1), 71–76. http://doi.org/10.1002/pon.1531 Kokkinos, P. (2012). Physical Activity, Health Benefits, and Mortality Risk. ISRN Cardiology, 2012, 1–14. http://doi.org/10.5402/2012/718789 Krenk, L., Jennum, P., & Kehlet, H. (2012). Sleep disturbances after fast-track hip and knee arthroplasty. British Journal of Anaesthesia, 109(5), 769–775. http://doi.org/10.1093/bja/aes252 Kumar, S. S. (2011). Clinical Practice and Surgery of the Colon, Rectum and Anus. JP Medical Ltd. Labianca, R., & Merelli, B. (2010). Screening and diagnosis for colorectal cancer: present and future. Tumori, 96(6), 889–901. Lassen K, Soop M, Nygren J, & et al. (2009). Consensus review of optimal perioperative care in colorectal surgery: Enhanced recovery after surgery (eras) group recommendations. Archives of Surgery, 144(10), 961–969. http://doi.org/10.1001/archsurg.2009.170 Levy, B. F., Tilney, H. S., Dowson, H. M. P., & Rockall, T. A. (2010). A systematic review of postoperative analgesia following laparoscopic colorectal surgery. Colorectal Disease, 12(1), 5–15. http://doi.org/10.1111/j.1463-1318.2009.01799.x Linden, W., Vodermaier, A., MacKenzie, R., & Greig, D. (2012). Anxiety and depression after cancer diagnosis: Prevalence rates by cancer type, gender, and age. Journal of Affective Disorders, 141(2), 343–351. Li, S.-Y., Wang, T.-J., Vivienne Wu, S. F., Liang, S.-Y., & Tung, H.-H. (2011). Efficacy of controlling night-time noise and activities to improve patients’ sleep quality in a surgical intensive care unit. Journal of Clinical Nursing, 20(3-4), 396–407. http://doi.org/10.1111/j.1365-2702.2010.03507.x Low-fiber (low-residue) diet. (2011, March 28). Retrieved August 10, 2013, from http://www.cancer.org/treatment/survivorshipduringandaftertreatment/nutritionforpeoplewithcancer/low-fiber-foods Massie, M. J., Lloyd-Williams, M., Irving, G., Miller, K., Kissane, D., Maj, M., & Sartorius, N. (2010). The prevalence of depression in people with cancer. Depression and Cancer, 1–36. Matsushita, T., Matsushima, E., & Maruyama, M. (2005). Psychological state, quality of life, and coping style in patients with digestive cancer. General Hospital Psychiatry, 27(2), 125–132. http://doi.org/10.1016/j.genhosppsych.2004.10.006 Mattei, P., & Rombeau, J. L. (2006). Review of the pathophysiology and management of postoperative ileus. World Journal of Surgery, 30(8), 1382–1391. Mayo, N. E., Feldman, L., Scott, S., Zavorsky, G., Kim, D. J., Charlebois, P., … Carli, F. (2011). Impact of preoperative change in physical function on postoperative recovery: Argument supporting prehabilitation for colorectal surgery. Surgery, 150(3), 505–514. http://doi.org/10.1016/j.surg.2011.07.045 Mccorkle, R., & Young, K. (1978). Development of a symptom distress scale. : Cancer Nursing., Journal of Clinical Nursing 1(5), 373–378. Meghani, S. H., Polomano, R. C., Tait, R. C., Vallerand, A. H., Anderson, K. O., & Gallagher, R. M. (2012). Advancing a national agenda to eliminate disparities in pain care: directions for health policy, education, practice, and research. Pain Medicine, 13(1), 5-28. Merckaert, I., Libert, Y., Messin, S., Milani, M., Slachmuylder, J.-L., & Razavi, D. (2010). Cancer patients’ desire for psychological support: prevalence and implications for screening patients’ psychological needs. Psycho-Oncology, 19(2), 141–149. http://doi.org/10.1002/pon.1568 Miedema, B. W., & Johnson, J. O. (2003). Methods for decreasing postoperative gut dysmotility. The Lancet Oncology, 4(6), 365–372. http://doi.org/10.1016/S1470-2045(03)01118-5 NCCN Guidelines Version 3.2013 Colon Cancer. (2012, November 26). Retrieved August 8, 2013, from http://www.nccn.org/professionals/physician_gls/f_guidelines.asp#site Nelson, H., Petrelli, N., Carlin, A., Couture, J., Fleshman, J., Guillem, J., … Sargent, D. (2001). Guidelines 2000 for Colon and Rectal Cancer Surgery. Journal of the National Cancer Institute, 93(8), 583–596. http://doi.org/10.1093/jnci/93.8.583 Norton, K., Norton, L., & Sadgrove, D. (2010). Position statement on physical activity and exercise intensity terminology. Journal of Science and Medicine in Sport, 13(5), 496–502. http://doi.org/10.1016/j.jsams.2009.09.008 O’Connell, J. B., Maggard, M. A., & Ko, C. Y. (2004). Colon Cancer Survival Rates With the New American Joint Committee on Cancer Sixth Edition Staging. Journal of the National Cancer Institute, 96(19), 1420–1425. http://doi.org/10.1093/jnci/djh275 Oldmeadow, L. B., Edwards, E. R., Kimmel, L. A., Kipen, E., Robertson, V. J., & Bailey, M. J. (2006). No Rest for the Wounded: Early Ambulation After Hip Surgery Accelerates Recovery. Surgery, 76(7), 607–611. http://doi.org/10.1111/j.1445-2197.2006.03786.x Onen, S. H., Onen, F., Courpron, P., & Dubray, C. (2005). How pain and analgesics disturb sleep. The Clinical Journal of Pain, 21(5), 422–431. Poultsides, G. A., Servais, E. L., Saltz, L. B., Patil, S., Kemeny, N. E., Guillem, J. G., … Paty, P. B. (2009). Outcome of Primary Tumor in Patients With Synchronous Stage IV Colorectal Cancer Receiving Combination Chemotherapy Without Surgery As Initial Treatment. Journal of Clinical Oncology, 27(20), 3379–3384. http://doi.org/10.1200/JCO.2008.20.9817 Price, D. D., Bush, F. M., Long, S., & Harkins, S. W. (1994). A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain, 56(2), 217–226. http://doi.org/10.1016/0304-3959(94)90097-3 Rosenberg-Adamsen, S., Kehlet, H., Dodds, C., & Rosenberg, J. (1996). Postoperative sleep disturbances: mechanisms and clinical implications. British Journal of Anaesthesia, 76(4), 552–559. Rosen, S. A., Buell, J. F., Yoshida, A., Kazsuba, S., Hurst, R., Michelassi, F., … Posner, M. C. (2000). Initial presentation with stage IV colorectal cancer: how aggressive should we be? Archives of Surgery, 135(5), 530. Rotonda, C., Guillemin, F., Bonnetain, F., Velten, M., & Conroy, T. (2013). Factors Associated With Fatigue After Surgery in Women With Early-Stage Invasive Breast Cancer. The Oncologist. Ruo, L., Gougoutas, C., Paty, P. B., Guillem, J. G., Cohen, A. M., & Wong, W. D. (2003). Elective bowel resection for incurable stage IV colorectal cancer: prognostic variables for asymptomatic patients. Journal of the American College of Surgeons, 196(5), 722–728. Scharfenberg, M., Raue, W., Junghans, T., & Schwenk, W. (2007). “Fast-track” rehabilitation after colonic surgery in elderly patients—is it feasible? International Journal of Colorectal Disease, 22(12), 1469–1474. Shephard, R. J., & Aoyagi, Y. (2011). Measurement of human energy expenditure, with particular reference to field studies: an historical perspective. European Journal of Applied Physiology, 112(8), 2785–2815. http://doi.org/10.1007/s00421-011-2268-6 Siew Hoon,Lim, Wai Chi Sally,Chan, & Hong-Gu, H. (2013). Effect of psychosocial interventions on outcomes of patients with colorectal cancer: A review of the literature. European Journal of Oncology Nursing. http://doi.org/10.1016/j.ejon.2013.05.001 Sim, R., Cheong, D. M., Wong, K. S., Lee, B. M. K., & Liew, Q. Y. (2007). Prospective randomized, double-blind, placebo-controlled study of pre- and postoperative administration of a COX-2-specific inhibitor as opioid-sparing analgesia in major colorectal surgery. Colorectal Disease, 9(1), 52–60. http://doi.org/10.1111/j.1463-1318.2006.00998.x Sindell, S., Causey, M. W., Bradley, T., Poss, M., Moonka, R., & Thirlby, R. (2012). Expediting return of bowel function after colorectal surgery. The American Journal of Surgery, 203(5), 644–648. http://doi.org/10.1016/j.amjsurg.2011.12.007 Singer, S., Das-Munshi, J., & Brähler, E. (2010). Prevalence of mental health conditions in cancer patients in acute care—a meta-analysis. Annals of Oncology, 21(5), 925–930. http://doi.org/10.1093/annonc/mdp515 Siu AL, Penrod JD, Boockvar KS, Koval K, Strauss E, & Morrison R. (2006). Early ambulation after hip fracture: Effects on function and mortality. Archives of Internal Medicine, 166(7), 766–771. http://doi.org/10.1001/archinte.166.7.766 Speck, R. M., Courneya, K. S., Mâsse, L. C., Duval, S., & Schmitz, K. H. (2010). An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Journal of Cancer Survivorship, 4(2), 87–100. http://doi.org/10.1007/s11764-009-0110-5 Stitz, R., Stevenson, A., Fielding, G., & Luck, A. (2002). Laparoscopic Colorectal Surgery for Cancer. Diseases of the Colon & Rectum, 45(7), 867–872. http://doi.org/10.1007/s10350-004-6318-6 Stocchi, L., Nelson, D. H., Young-Fadok, T. M., Larson, D. R., & Ilstrup, D. M. (2000). Safety and advantages of laparoscopicvs. open colectomy in the elderly. Diseases of the Colon & Rectum, 43(3), 326–332. http://doi.org/10.1007/BF02258297 Stollman, N., & Behmand, B. (2002). Postoperative ileus. Pract Gastroenterol, 13–23. Swartz, A. M., Jr, D. R. B., Moore, J. B., Thompson, D. L., & Strath, S. J. (2003). Effects of Body Mass Index on the Accuracy of an Electronic Pedometer. International Journal of Sports Medicine, 24(8), 588–592. http://doi.org/10.1055/s-2003-43272 Taylor, C., Richardson, A., & Cowley, S. (2011). Surviving cancer treatment: An investigation of the experience of fear about, and monitoring for, recurrence in patients following treatment for colorectal cancer. European Journal of Oncology Nursing, 15(3), 243–249. http://doi.org/10.1016/j.ejon.2011.03.010 Thompson, W. R., Gordon, N. F., & Pescatello, L. S. (2009). ACSM’s guidelines for exercise testing and prescription. Hubsta Ltd. Tudor-Locke, C., Williams, J. E., Reis, J. P., & Pluto, D. (2002). Utility of Pedometers for Assessing Physical Activity. Sports Medicine, 32(12), 795–808. http://doi.org/10.2165/00007256-200232120-00004 Tytherleigh, M. G., & Mortensen, N. J. M. (2003). Options for sphincter preservation in surgery for low rectal cancer. British Journal of Surgery, 90(8), 922–933. http://doi.org/10.1002/bjs.4296 Vather, R., Trivedi, S., & Bissett, I. (2013). Defining Postoperative Ileus: Results of a Systematic Review and Global Survey. Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract. http://doi.org/10.1007/s11605-013-2148-y Walker, J., Postma, K., McHugh, G. S., Rush, R., Coyle, B., Strong, V., & Sharpe, M. (2007). Performance of the Hospital Anxiety and Depression Scale as a screening tool for major depressive disorder in cancer patients. Journal of Psychosomatic Research, 63(1), 83–91. Wennström, B., Stomberg, M. W., Modin, M., & Skullman, S. (2010). Patient symptoms after colonic surgery in the era of enhanced recovery – a long-term follow-up. Journal of Clinical Nursing, 19(5-6), 666–672. http://doi.org/10.1111/j.1365-2702.2009.03099.x Wichmann, M. W., Eben, R., Angele, M. K., Brandenburg, F., Goetz, A. E., & Jauch, K.-W. (2007). FAST-TRACK REHABILITATION IN ELECTIVE COLORECTAL SURGERY PATIENTS: A PROSPECTIVE CLINICAL AND IMMUNOLOGICAL SINGLE-CENTRE STUDY. ANZ Journal of Surgery, 77(7), 502–507. http://doi.org/10.1111/j.1445-2197.2007.04138.x Zargar-Shoshtari, K., & Hill, A. G. (2009). Postoperative Fatigue: A Review. World Journal of Surgery, 33(4), 738–745. http://doi.org/10.1007/s00268-008-9906-0 Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. http://doi.org/10.1111/j.1600-0447.1983.tb09716.x | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/4891 | - |
dc.description.abstract | 大腸直腸癌手術後病人常面臨眾多身心症狀的困擾,包括疼痛、噁心嘔吐、腹脹、食慾降低、焦慮憂慮,以及各種術後併發症 ;手術後各種症狀困擾除了造成病人不適、延長復原及住院時間,並可能加劇病人焦慮憂鬱程度。術後下床活動雖被視為可改善病人手術後復原的一項有效措施,但對於身心症狀緩解的效益以及具體施行辦法仍不明確。研究目的為了解大腸直腸癌病人手術後下床步行情形對於手術後腸胃道功能恢復、住院天數、身體及心理症狀困擾之影響。
本研究為一縱貫式相關性研究(longitudinal correlation study)。於台灣北部一教學醫院之大腸直腸外科病房進行收案,收案對象為進行大腸直腸癌手術之病患。採連續取樣方式,於收案時進行基本資料收集並使用台灣身體活動量表收集手術前活動狀況;在手術後第一日至出院前一日以心跳偵測戒指以及下床活動日誌,紀錄個案術後下床步行之頻率、距離、活動時間,並且在手術後每日填寫身體症狀量表、手術前一日及出院前一日分別填寫醫院焦慮憂鬱量表(Hospital Anxiety & Depression Rating Scale, HADS),以了解個案手術後症狀困擾程度和焦慮憂鬱程度。取得資料後再進行描述性統計並以廣義估計函數式(Generalized estimating equation,GEE)檢定分析影響手術後恢復之相關性因素。總計有效收案人數為150人,收案時間共13個月。研究結果顯示:手術後下床活動的頻率越多,病人術後排氣時間及可進食固體食物時間越短;且身體症狀嚴重程度以及焦慮程度較低。而手術後下床活動的距離越遠,病人術後可開始進食固體食物時間越早、住院天數越短、身體症狀嚴重度以及焦慮程度越低。由研究結果可知,增加病人手術後下床活動的頻率以及距離對於病人手術後復原確實有正面影響,後續研究可再深入了解確切有效的活動量,在臨床應用上可提供更具體之實施指引。 | zh_TW |
dc.description.abstract | The patients with colorectal cancer usually suffer from multiple symptoms after surgery. Pain, nausea, vomit, abdominal fullness, low appetite, anxiety, depression and various postoperative complications are experienced by the patients . The symptoms not only cause the discomfort, prolong the postoperative recovery and hospitalization period, but also worsen the psychological condition. Early postoperative ambulation is thought to be a useful treatment to improve the postoperative recovery. But how it really works and how to apply on clinical condition remain unclear. The study aims to understand the correlation between postoperative ambulation and the recovery of patients with colorectal cancer.
We conducted a longitudinal correlation study with a set of structured questionnaire survey with consecutive sampling in a medical center in Northern Taiwan. The population was postoperative patients with colorectal cancer. The questionnaire included: (1) Preoperative part: demographic profiles, Taiwan International Physical Activity Questionnaire (IPAQ), Hospital Anxiety & Depression Rating Scale (HADS); (2) Postoperative part: walking diary, physical symptoms scale and the heart-rate sensor ring were applied every day. HADS was recorded on the day before discharge. Data were analyzed by descriptive statistics and generalized estimating equation (GEE). Finally, 150 patients were recruited in 13 months. The results indicated that: (1) the higher the frequency of postoperative ambulation is, the time of flatus and tolerating to solid food is earlier, and the degree of physical symptoms and anxiety are lower; (2) the longer the distance of postoperative ambulation is, the time of tolerating to solid food is earlier, the hospitalization period is shorter, the degree of physical symptoms and anxiety are lower. In conclusion, the increase of frequency and distance of postoperative ambulation certainly lead to a better postoperative recovery. Further studies on the exact amount of ambulation are recommended for developing the clinical guidelines for this population. | en |
dc.description.provenance | Made available in DSpace on 2021-05-14T17:49:46Z (GMT). No. of bitstreams: 1 ntu-104-R99426029-1.pdf: 1798892 bytes, checksum: 49886c1483b3f63184daa49db681f4a7 (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 目錄
口試委員審定書……………………………………………………………………i 誌謝…………………………………………………………………………………ii 中文摘要…………………………………………………………………………iii 英文摘要………………………………………………………………………….iv 目錄………………………………………………………………………………….vi 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………………………………………………………………3 第二章 文獻查證………………………………………………………………4 第一節大腸直腸癌簡介………………………………………………………...4 第二節大腸直腸癌手術治療…………………………………………………...5 第三節大腸直腸癌術後身體症狀困擾………………………………………...9 第四節大腸直腸癌術後心理症狀困擾……………………………………….17 第五節手術後下床步行與術後復原之相關性……………………………….19 第六節步行測量……………………………………………………………….21 第七節概念架構……………………………………………………………….23 第三章研究方法………………………………………………………………24 第一節研究設計……………………………………………………………….24 第二節研究場所與收案對象………………………………………………….24 第三節研究假設……………………………………………………………….25 第四節名詞解釋……………………………………………………………….26 第五節研究工具……………………………………………………………….28 第六節資料收集過程………………………………………………………….30 第七節資料處理與分析……………………………………………………….31 第八節研究倫理考量………………………………………………………32 第四章研究結果…………………………………………………………………33 第一節個案基本屬性………………………………………………………….34 第二節個案手術後復原情形………………………………………………….41 第三節手術後活動情形……………………………………………………….46 第四節個案基本屬性與治療內容對於術後復原情形相關性……………….48 第五節個案手術後活動狀況與術後復原之相關性………………………….52 第五章討論……………………………………………………………57 第一節病人手術後身體及心理相關症狀困擾……………………………….57 第二節病人手術後下床活動情形與手術後復原情形……………………….60 第六章結論與建議…………………………………………………………62 第一節結論…………………………………………………………………….62 第二節建議…………………………………………………………………….64 參考文獻……………………………………………………………….66 附錄 附錄一基本屬性及疾病治療資料表………………………………………….81 附錄二住院前身體活動問卷………………………………………………….84 附錄三身體症狀評估問卷…………………………………………………….86 附錄四醫院焦慮憂鬱量表…………………………………………………….87 附錄五研究倫理委員會審核通過函………………………………………….89 圖目錄 圖一研究概念架…………………………………………………………….23 表目錄 表一大腸直腸手術術式及手術部位…………………....…...………………8 表二資料收集流程表…………………………………………..…………...30 表三個案基本屬性……………………………………………….…………35 表四手術前後焦慮憂鬱狀態…………………………………….…………37 表五診斷、病史及治療內容…………………………………….…………40 表六手術後腸道復原情形……………………………………….…………42 表七手術後身體症狀困擾量表………………………………….…………45 表八手術後下床活動狀況…………………………………….……………47 表九基本屬性及治療內容對手術後腸胃道功能恢復之影響因子….……49 表十基本屬性及治療內容對手術後身體症狀之影響因子………….……51 表十一基本屬性及治療內容對焦慮憂鬱程度之影響因子…….……………51 表十二下床活動對於手術後腸胃道功能恢復之影響因子………………….53 表十三下床活動對於手術後住院天數之影響因子….………………………54 表十四手術後活動狀況與身體症狀困擾之相關性………………………….54 表十五手術後活動狀況與焦慮憂鬱症狀相關性…………………………….56 | |
dc.language.iso | zh-TW | |
dc.title | 早期下床活動對大腸直腸癌病人術後恢復情形之相關性探討 | zh_TW |
dc.title | Correlation Between Postoperative Early Ambulation and Postoperative Recovery in Patients with Colorectal Cancer | en |
dc.type | Thesis | |
dc.date.schoolyear | 103-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 楊純豪,洪弘 | |
dc.subject.keyword | 大腸直腸癌,症狀困擾,術後復原,下床活動, | zh_TW |
dc.subject.keyword | Colorectal cancer,Symptom distress,Postoperative recovery,Ambulation, | en |
dc.relation.page | 89 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2015-08-26 | |
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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