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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/58570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 | Chia-Hsin Yang | en |
| dc.contributor.author | 楊佳欣 | zh_TW |
| dc.date.accessioned | 2021-06-16T08:20:20Z | - |
| dc.date.available | 2015-02-25 | |
| dc.date.copyright | 2014-02-25 | |
| dc.date.issued | 2014 | |
| dc.date.submitted | 2014-02-04 | |
| dc.identifier.citation | 參考文獻
王秀珍（1999）•加護病房人家屬需求及其護理•護理雜誌，46(2)，67-71。 [Wang, H.C. (1999). Family Needs and Care in the Intensive Care Unit. The Journal of Nursing ,46(2), 67-71.] 王俐絜、陳威宇、張書展、黃安年、洪榮駿、王瑞霞（2011）•消化道末期癌症病患居家主要照顧者之照顧負荷與其相關性因素探討•護理雜誌，58(6)，54-64。[Wang, L.C., Chen, W.Y., Chang,S.C., Wong, O.N. Ho, R.J.&Wang, R.H.(2011).Caregiving Burden and Associated Factors among Caregivers of Terminally Ill Gastrointestinal Cancer Patients, The Journal of Nursing, ,58(6),54-64.] 王湘茹（2009）•肝癌病患接受肝切除術與經導管肝動脈化學栓塞之健康相關生活品質之探討•碩士，高雄醫學大學。[Wang,S.R.(2009). Health-Related Quality of Life of Hepatocellular Carcinoma Patients Underwent Hepatectomy and Trans-arterial Chemo Embolization, Master thesis, Kaohsiung Medical University.] 江建平、周繡玲、陳宇欽（2009）•標靶治療藥物相關皮膚併發症的臨床表徵與處置•腫瘤護理雜誌，9(2)，1-11。[Chiang C.P., Chou H. L.& Chen Y.C. (2009).Clinical Signs and Management of Targeted Therapeutic Drugs Related Cutaneous Complications, The Journal of Oncology Nursing,9(2),1-11.] 吳佳容、陳宛儀（2012）•緩解重症病患主要照顧者身、心、社會負荷之護理經驗•源遠護理，6(1)，56-64。 [Wu, C. J.&Chen, W. Y.(2012). Nursing Experience in Relieving the Physical and Psychosocial Burden of the the Primary Caregiver of a Critically Ill Patient,6(1),56-64.] 吳麗彬、顧乃平（1994）•肝癌病人家屬的需要•護理研究，2(2)，180-190。 [Wu L.B & Ku, N.P. (1994).The Needs of Family Members of Hepatoma Patients, The Journal of Nursing,2(2),180-190.] 李英芬（2006）•住院腸胃道癌症病人主要照顧者的負荷及相關因素•碩士，臺北醫學大學。[Li, I.F.(2006). Family Caregiver Burden and Its Correlates in Hospitalized GastroIntestinal Cancer Patients•Master thesis, Taipei Medical University] 李瑋君、楊榮森、曹昭懿（2003）•骨腫瘤病患接受訂製型全人工膝關節置換手術後之生活品質•臺灣醫學，7(1)，31-41。[Li, W.C., Yang, R.S.& Tsauo, J.Y.(2003). Quality of Life of Bone Tumor Patients after Custom-Made Total Knee Arthroplasty, Formosan Journal of Medicine,7(1),31-41.] 周嘉揚（2008）•談肝癌的外科手術治療•癌症新探，33。 季瑋珠、楊志新、許駿、賴佳君（2002）•癌症病人特定疾病EORTC生活品質量表簡介•臺灣醫學，6(2)，220-227。[Chie, W.C., Yang, C.H., Hsu, C.&Lai, C. C.(2002). Introduction of the EORTC Disease-Specific Quality of Life Questionnaires for Cancer Patients, Formosan Journal of Medicine, 6(2), 220-227.] 林志陵、高嘉宏（2008）•肝癌的流行病學•中華民國癌症醫學會雜誌，24(5)， 277-281。[Lin,C. L. & Kao, J. H.(2008). Epidemiology of Hepatocellular Carcinoma , Journal of the Chinese Oncology Society, 24(5), 277-281.] 林志陵、高嘉宏（2009）•肝癌治療的新進展標靶治療•健康世界，281， 67-72。 林錫銘（2012）•肝細胞癌診治的新進展•內科學誌，23(6)，398-402。 [Lin, S. M.(2012). Recent Advances in the Management of Hepatocellular Carcinoma, Journal of Internal Medicine of Taiwan , 23(6) , 398-402.] 邱萱宸（2009）•肺癌病患主要照顧者照護需求及其相關因素探討•碩士，臺灣大 學。[Chiou , S.C.(2009). Care Needs and Its Correlates in Primary Caregivers of Lung Cancer Patients ,Master thesis , National Taiwan University ] 邵幼雲、林宗哲、洪敏瑛（2009）•晚期肝細胞癌全身性治療的新趨勢•腫瘤護理雜誌，9(S)，1-12。[Shao, Y. Y., Lin, Z. Z.& Hong, M. Y.(2009).New Trands in the Treatment of Advanced Hepatocellular Carcinoma ,The Journal of Oncology Nursing, 9(S) , 1-12.] 姚開屏（2002）•健康相關生活品質概念與測量原理之簡介•臺灣醫學，6(2)， 183-192。 [Yao, K. P.(2002). Introduction to the Concepts and Measurement of Health-Related Quality of Life, Formosan Journal of Medicine,6(2), 183-192.] 胡文郁、戴玉慈、陳慶餘、陳月枝（2003）•生活品質之概念分析－於探討癌末病人健康相關生活品質之應用•安寧療護雜誌，8(1)，45-60。[Hu, W. Y., Dai, Y. Z., Chen, C.Y. & Chen,Y. C.(2003). Concept Analysis of Quality of Life for-to Explore the Health Related Quality of Life of Terminal Cancer Patient, Taiwan Journal of Hospice Palliative Care, 8(1), 45-60.] 凌宜男（2008）•肝癌病患接受肝切除術之健康相關生活品質探討•碩士，高雄醫學大學。[Lin, I.N.(2008). Health-Related Quality of Life of Hepatocellular Carcinoma Patients Underwent Hepatectomy , Master Thesis, Kaohsiung Medical University.] 馬先芝（2003）•照顧者負荷之概念分析•護理雜誌，50(2)，82-86。 [Ma, H. J. (2003).Concept Analysis of Caregiver Burden, The Journal of Nursing, 50(2),82-86.] 張淑真、机昑惠、黃靜宜（2002）•主要照顧者對安寧居家療護照護需求之看法及其滿意度•The Changhua Journal of Medicine，7(3)，160-167。[Chang, S. C., Chi, C. H., Huang, C.Y. (2002). Perception of the Hospice Home Care Needs and Satisfaction among the Primary Caregivers, The Changhua Journal of Medicine,7(3),160-167.] 張碧華、林麗英、楊克平、陳品玲（2001）•癌症病患家屬需求及其影響因素探討•榮總護理，18(4)，416-428。[Chang, P. H., Lin,L.Y., Yang,K.P.& Chen, P. P.(2001). A Study of Needs and Its Influential Factors among Families of Cancer Patients, VGH Nursing, 18(4),416-428.] 許維中、丁禮莉、陳宇嘉、詹淑卿、鍾娜娜、雷德、 . . . 林高德（2003）•鼻咽癌病患放射治療後生活品質之研究•放射治療與腫瘤學，10(3)，127-136。 [Hsu,W.C., Ting, L. L. , Chen, Y. C. , Chan, S.C. ,Chung. N. N. ,Tak, L., Wang, P. M.& Lin, K. D.(2003), Quality of Life of the Patients with Nasopharyngeal Carcinoma after Radiotherapy, Therapeutic Radiology and Oncology, 10(3),127-136.] 許維中、陳斯榮、詹淑卿、陳宇嘉、丁禮莉、鍾娜娜、 . . . 林高德（2006）•鼻咽癌病患於放射治療後生活品質之複迴歸分析•中華放射線醫學雜誌，31(6)，289-296。[Hsu, W. C. , Chen, S. J., Chan, S. C., Chen, Y. C.,Tin, L.L., Chung, N. N.,Wang, P. M., Liu, P. J.& Lin, G. D.(2006). Multiple Regression Analysis of the Quality of Life for Patients with Nasopharyngeal Carcinoma after Radiotherapy, Chinese Journal of Radiology, 31(6), 289-296.] 許維中、詹淑卿、陳宇嘉、鍾娜娜、王博民（2011）•肝癌病患營養狀況評估與生活品質之分析•放射治療與腫瘤學，18(4)，299-310。[Hsu,W.C., Chan,S.C., Chen,Y.C., Chung,N.N. & Wang,P.M.,(2011). Analysis of Nutritional Status Assessment and Quality of Life for the Patients with Hepatocellular Carcinoma ,Therapeutic Radiology and Oncology, 18(4), 299-310.] 陳玉葉、陳桂敏（2007）•癌末病患居家照顧工作量及困難度與照顧壓力負荷之相關性探討•安寧療護雜誌，12(2)，143-155。[Chen,Y. Y.& Chen, K. M.(2007). Caregiving Tasks, Difficulties and Stress for Home Care of Terminal Cancer Patients ,Taiwan Journal of Hospice Palliative Care, 12(2)，143-155.] 陳佩英、郭素青、張惠甄、徐一瑱、林麗玉、楊桂美（2004）•口腔癌術後病患之身心症狀與調適•安寧療護雜誌，9(2)，153-164。[Chen, P. Y., Kuo, S. C., Chang, H. C., Hsu, I. C., Lin, L. Y.& Yang, K. M.(2004).Physio-Psychological Symptoms and Adaptation in Post-Surgical Oral Cancer Patients ,Taiwan Journal of Hospice Palliative Care,9(2),153-164.] 陳昭姿（2010）•Sorafenib（NexavarR）－台灣第一個晚期肝癌治療藥物•當代醫學(441)，515-518。 陳惠津、李怡娟、吳肖琪（1998）•影響居家癌病患者家庭照顧者需要因素之研究•中華公共衛生雜誌，17(5)，412-422。[Chen, H. J., Li, I. C.&Wu, S. C. (1998). Needs among Family Caregivers of Cancer Patients Who Lived at Home, Chinese Journal of Public Health, 17(5),412-422.] 黃束秋（2012）•探討居家食道癌病患生活品質與照顧者需求之相關性•碩士，中國醫藥大學。[Huang, S.C.(2012). Investigate the Correlations between the Quality of Life of Esophageal Cancer Patients at home and the Needs of Their Caregivers, Master Thesis, China Medical University ] 黃采薇、林佳靜（2009）•接受肝動脈栓塞術前肝癌病患之睡眠品質、憂鬱與生活品質間之關係•新臺北護理期刊，11(2)，33-45。 [Huang, T. W.& Lin, C. C.(2009). Sleep Disturbance, Depression and Quality of Life in Patients with Hepatocellular Carcinoma before Receiving Transcatheter Arterial Embolization ,New Taipei Journal of Nursing, ,11(2),33-45.] 楊晉瑋、楊賢鴻、吳宜鴻、喬聖琳、陳星諭、陳俊良（2012）•台灣中醫住院對癌症病患的輔助治療之評估•中醫藥雜誌，23(2)，153-163。[ Yang,C.W., Yang, S. H., Wu, Y. H., Chiao, S. L., Chen, H. Y. & Chen, J. L.(2012).The Therapeutic Efficacy of Traditional Chinese Medicine Hospitalization Combined with Conventional Western Medicine among Cancer Patients in Taiwan,Jornal of Chinese Medicine,23(2),153-163.] 虞秀紅、鍾信心（1999）•接受導管肝動脈化學藥物栓塞術肝癌病患之生活品質•新臺北護理期刊，1(1)，21-29。[Yu, H. H., Chung, H. H.(1999). Quality of Life for Patients with Hepatocellular Carcinoma Receiving Transcatheter Aterial Chemoembolization, New Taipei Journal of Nursing, 1(1), 21-29.] 劉長安、蘇婉麗（1998）•某醫學中心住院患者家屬對醫院的需求及其滿意度之探討•護理雜誌，45(2)，47-59。[Liou, C. A. & Su, W. L.,(1998).A Study on the Needs and Satisfaction of the In-patients' Families at a Medical Center ,The Journal of Nursing, 45(2),47-59.] 蔡麗紅、簡乃卉、林昌明、陳全美、藍素珍（2007）•某教學醫院肝癌病患生活品質及其相關因素之探討•志為護理-慈濟護理雜誌，6(6)，80-91。[Tsai, L. H. , Chien,N.H. , Chan, C. M. , Lin,C. M.& Lan,S.C. (2007).Factors Associated with Quality of Life among Patients with Liver Cancer in a Teaching Hospital, Tzu Chi Nursing Journa, 6(6),80-91.] 賴慧倫、林淑媛、葉淑惠（2007）•肝癌患者不確定感、生活品質及其相關因素之探討•護理雜誌，54(6)，41-52。[Lai, H. L., Lin, S. Y. & Yeh, S. H.(2007). Exploring Uncertainty, Quality of Life and Related Factors in Patients with Liver Cancer, The Journal of Nursing, 54(6),41-52.] 戴金英、唐秀治（2006）•影響癌末病人主要照顧家屬正向與負向照顧經驗之因素探討•新臺北護理期刊，8(1)，17-31。[Tai, C.I. &Tang, S. T.(2006), Predictors of Positive and Negative Caregiving Experiences among Family Caregivers of Terminally Ill Cancer Patients, New Taipei journal of nursing , 8(1),17-31.] 謝麗鳳、劉淑珍、林惠蘭、陳美碧（2008）•探討音樂治療對首次化學治療病人焦慮及憂鬱之改善成效•榮總護理，25(2)，137-145。[Hsieh, L. F. ,Liou, S. C., Lin,H. L. & Chen, M.B.(2008). The Influence of Music Therapy on Anxiety and Depressi on of the First Time Chemotherapy Cancer Patients, VGH Nursing, 25(2),137-145.] 闕昀珮、張東杰、林秀峰、游靜宜、鄭夙芬、康仲然、陳一豪（2011）•口腔癌病患社會支持、憂鬱焦慮之探討與社會支持介入之影響•臺灣耳鼻喉頭頸外科雜誌，46(6)，49-59。[Chueh, Y. P., Chang, Joseph T. , Lin,H. F. , Yu, C.Y. , Cheng, S.F. , Kang, Z. R.& Chen, I. H.(2011). Impact of Social Support Service on the Anxiety and Depression of Oral Cavity Cancer Patients ,The Journal of Taiwan Otolaryngology-Head and Neck Surgery, 46(6),49-59.] Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, D., & NJ, e. a. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: a quality of life instrument for use in international clinical trials in oncology. The Journal of the National Cancer Institute, 85, 365-376. Alejandro Forner, Maria E. Reig, Carlos Rodriguez de Lope, & Bruix, J. (2010). Current Strategy for Staging and Treatment: The BCLC Update and Future Prospects. Seminars in Liver Disease, 30(1), 061-074. doi: DOI: 10.1055/s-0030-1247133 Badr, H., & Taylor, C. L. (2009). Sexual dysfunction and spousal communication in couples coping with prostate cancer. Psycho-Oncology, 18(7), 735-746. doi: 10.1002/pon.1449 Bee, P. E., Barnes, P., & Luker, K. A. (2009). A systematic review of informal caregivers' needs in providing home-based end-of-life care to people with cancer. Journal of Clinical Nursing, 18(10), 1379-1393. doi: http://dx.doi.org/10.1111/j.1365-2702.2008.02405.x Bianchi, G., Marchesini, G., Nicolino, F., Graziani, R., Sgarbi, D., Loguercio, C., . . . Zoli, M. (2005). Psychological status and depression in patients with liver cirrhosis. Digestive and Liver Disease, 37(8), 593-600. doi: http://dx.doi.org/10.1016/j.dld.2005.01.020 Bober, S. L., & Varela, V. S. (2012). Sexuality in adult cancer survivors: challenges and intervention. Journal of Clinical oncology, 30(30), 3712-3719. doi: 10.1200/jco.2012.41.7915 Cahill, B. A., & Braccia, D. (2004). Current treatment for hepatocellular carcinoma. Clinical Journal of Oncology Nursing, 8(4), 393-399. doi: 10.1188/04.cjon.393-399 Cerezo, O., ONAte-OcaNA, L. F., Arrieta-Joffe, P., GonzALez-Lara, F., GarcIA-Pasquel, M. J., BargallO-Rocha, E., & Vilar-Compte, D. (2012). Validation of the Mexican-Spanish version of the EORTC QLQ-C30 and BR23 questionnaires to assess health-related quality of life in Mexican women with breast cancer. European Journal of Cancer Care, 21(5), 684-691. doi: 10.1111/j.1365-2354.2012.01336.x Chambers, S. K., Girgis, A., Occhipinti, S., Hutchison, S., Turner, J., Morris, B., & Dunn, J. (2012). Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines. European Journal of Cancer Care, 21(2), 213-223. doi: http://dx.doi.org/10.1111/j.1365-2354.2011.01288.x Cheng, C., Chan, N.-Y., Chio, J. H.-M., Chan, P., Chan, A. O.-O., & Hui, W.-M. Being active or flexible? Role of control coping on quality of life among patients with gastrointestinal cancer. [Research Support, Non-U.S. Gov't]. Psycho-Oncology, 21(2), 211-218. Chie WC, Blazeby JM, Hsiao CF, Chiu HC, Poon RT, Mikoshiba N, . . . Group., E. Q. o. L. (2012). International cross-cultural field validation of an European Organization for Research and Treatment of Cancer questionnaire module for patients with primary liver cancer, the European Organization for Research and Treatment of Cancer quality-of-life questionnaire HCC18. Hepatology, 55(4), 1122-1129. Costelloe, M., & Nelson, M. (2004). The needs of recently diagnosed cancer patients. Nursing Standard, 19(13), 42-44. Daly, B. J., Douglas, S., Lipson, A., & Foley, H. (2009). Needs of older caregivers of patients with advanced cancer. Journal of the American Geriatrics Society, 57, S293-295. doi: 10.1111/j.1532-5415.2009.02516.x De Frias, C. M., Tuokko, H., & Rosenberg, T. (2005). Caregiver physical and mental health predicts reactions to caregiving. Aging & Mental Health, 9(4), 331-336. Deimling, G. T., Bowman, K. F., Sterns, S., Wagner, L. J., & Kahana, B. (2006). Cancer-related health worries and psychological distress among older adult, long-term cancer survivors. Psycho-Oncology, 15(4), 306-320. Derogar, M., van der Schaaf, M., & Lagergren, P. (2012). Reference values for the EORTC QLQ-C30 quality of life questionnaire in a random sample of the Swedish population. [Article]. Acta Oncologica, 51(1), 10-16. doi: 10.3109/0284186x.2011.614636 Dougherty, M. (2010). Assessment of patient and family needs during an inpatient oncology experience. Clinical Journal of Oncology Nursing, 14(3), 301-306. doi: 10.1188/10.cjon.301-306 Dumont, S., Turgeon, J., Allard, P., Gagnon, P., Charbonneau, C., & Vezina, L. (2006). Caring for a loved one with advanced cancer: determinants of psychological distress in family caregivers. Journal of Palliative Medicine, 9(4), 912-921. Edmonds, K., Hull, D., Spencer-Shaw, A., Koldenhof, J., Chrysou, M., Boers-Doets, C., & Molassiotis, A. Strategies for assessing and managing the adverse events of sorafenib and other targeted therapies in the treatment of renal cell and hepatocellular carcinoma: recommendations from a European nursing task group. [Practice Guideline Review]. European Journal of Oncology Nursing, 16(2), 172-184. Frieriksdottir, N., Savarsdottir, Halfdanardottir, S., Jonsdottir, A., Magnusdottir, H., Olafsdottir, K. L., . . . Gunnarsdottir, S. (2011). Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncologica, 50(2), 252-258. doi: http://dx.doi.org/10.3109/0284186X.2010.529821 Giesinger, J. M., Wintner, L. M., Oberguggenberger, A. S., Gamper, E. M., Fiegl, M., Denz, H., . . . Holzner, B. (2011). Quality of Life Trajectory in Patients with Advanced Cancer during the Last Year of Life. Journal of Palliative Medicine, 14(8), 904-912. doi: http://dx.doi.org/10.1089/jpm.2011.0086 Girgis, A., Lambert, S., & Lecathelinais, C. (2011). The supportive care needs survey for partners and caregivers of cancer survivors: development and psychometric evaluation. Psycho-Oncology, 20(4), 387-393. doi: 10.1002/pon.1740 Gozum, S., & Akcay, D. (2005). Response to the needs of Turkish chemotherapy patients and their families. Cancer Nursing, 28, 469–475. doi: 10.1097/00002820-200511000-00010 Griffiths, B. (2005). Needs of patients and families undergoing autologous peripheral blood stem cell transplantation. Canadian Oncology Nursing Journal, 15, 151–160. Guerrero-Preston, R., Siegel, A., Renz, J., Vlahov, D., & Neugut, A. (2009). HCV infection and cryptogenic cirrhosis are risk factors for hepatocellular carcinoma among Latinos in New York City. Journal of Community Health, 34(6), 500-505. doi: 10.1007/s10900-009-9184-2 Hodgkinson, K., Butow, P., Hobbs, K. M., Hunt, G. E., Lo, S. K., & Wain, G. (2007). Assessing unmet supportive care needs in partners of cancer survivors: the development and evaluation of the Cancer Survivors' Partners Unmet Needs measure (CaSPUN). Psycho-Oncology, 16(9), 805-813. Janda, M., Steginga, S., Dunn, J., Langbecker, D., Walker, D., & Eakin, E. (2008). Unmet supportive care needs and interest in services among patients with a brain tumour and their carers. Patient Education & Counseling, 71(2), 251-258. Kim, Y., Kashy, D. A., Spillers, R. L., & Evans, T. V. (2010). Needs assessment of family caregivers of cancer survivors: three cohorts comparison. Psycho-Oncology, 19(6), 573-582. doi: http://dx.doi.org/10.1002/pon.1597 Kitya, D., Bbosa, G. S., & Mulogo, E. (2010). Aflatoxin levels in common foods of South Western Uganda: a risk factor to hepatocellular carcinoma. European Journal of Cancer Care, 19(4), 516-521. doi: 10.1111/j.1365-2354.2009.01087.x Lai, Y. H., Shun, S. C., Hsiao, Y. L., Chiou, J. F., Wei, L. L., & Tsai, J. T., et al. (2007). Fatigue experiences in hepatocellular carcinoma patients during six weeks of stereotactic radiotherapy. Oncologist, 12(2). Li, M., Fitzgerald, P., & Rodin, G. (2012). Evidence-based treatment of depression in patients with cancer. Journal of Clinical Oncology, 30(11), 1187-1196. Lin, M., Wu, P., Tsai, S., Lin, C., Chen, T., & Hwang, S. (2004). Hospice palliative care for patients with hepatocellular carcinoma in Taiwan. Palliative Medicine, 18(2), 93-99. Llovet, J. M., & Bruix, J. (2008). Molecular targeted therapies in hepatocellular carcinoma (Vol. 48). Lu SN, Su WW, & SS, Y. (2006). Secular trends and geographic variations of hepatitis B virus and hepatitis C virus-associated hepatocellular carcinoma in Taiwan. International Journal of Cancer, 119, 1946-1952. Masao Omata , Laurentius A. Lesmana , Ryosuke Tateishi , Pei-Jer Chen , Shi-Ming Lin, Haruhiko Yoshida , . . . Sarin, S. K. (2010). Asian Pacific Association for the Study of the Liver consensus recommendations on hepatocellular carcinoma. Hepatology International, 4, 439-474. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50, 370-396. 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. doi: 10.1002/pon.1568 Miaskowski, C., Dodd, M., & Lee, K. (2004). Symptom clusters: The new frontier in symptom management research. Journal of the National Cancer Institute, 32, 17–21. Mok E, Chan F, Chan V , & E, Y. (2002). Perception of empowerment by family caregivers of patients with a terminal illness in Hong Kong. International Journal of Palliative Nursing, 8, 137-145. Molassiotis, A., Wilson, B., Blair, S., Howe, T., & Cavet, J. (2011). Unmet supportive care needs, psychological well-being and quality of life in patients living with multiple myeloma and their partners. Psycho-Oncology, 20(1), 88-97. doi: http://dx.doi.org/10.1002/pon.1710 Newton, M., Bell, D., Lambert, S., & Fearing, A. (2002). Concerns of hospice patient caregivers. ABNF Journal, 13(6), 140-144. Northfield, S., & Nebauer, M. (2010). The caregiving journey for family members of relatives with cancer... ceu ex http://evaluationcenter.ons.org/Login.aspx. Clinical Journal of Oncology Nursing, 14(5), 567-577. O' Hara, R., Hull, J. G., Lyons, K. D., Bakitas, M., Hegel, M. T., Li, Z., & Alhles, T. A. (2010). Impact on caregiver burden of a patient-focaused palliative care intervention for patients with advanced cancer. Palliative and Support care, 8(4), 395-404. Pachman, D. R., Barton, D. L., Swetz, K. M., & Loprinzi, C. L. (2012). Troublesome symptoms in cancer survivors: fatigue, insomnia, neuropathy, and pain. Journal of Clinical oncology, 30(30), 3687-3696. doi: 10.1200/jco.2012.41.7238 Perz, J., Ussher, J. M., Butow, P., & Wain, G. (2011). Gender differences in cancer carer psychological distress: an analysis of moderators and mediators. European Journal of Cancer Care, 20(5), 610-619. doi: http://dx.doi.org/10.1111/j.1365-2354.2011.01257.x Petrie W, Logan J, & DeGrasse C. (2001). Research review of the supportive care needs of spouses of women with breast cancer. Oncology Nursing Forum, 28, 1601-1608. Polesel, J., Talamini, R., Montella, M., Maso, L. D., Crovatto, M., Parpinel, M., . . . Franceschi, S. (2007). Nutrients intake and the risk of hepatocellular carcinoma in Italy. European Journal of Cancer, 43(16), 2381-2387. Ramsey, D. E., Kernagis, L. Y., Soulen, M. C., & Geschwind, J. F. (2002). Chemoembolization of hepatocellular carcinoma. Journal of Vascular and Interventional Radiology, 13(9), S211. Schag CC, Heinrich RL, & Ganz PA. (1984). Karnofsky performance status revisited: reliability validity and guidelines. Journal of Clinical oncology, 2(3), 187-193. Shen, Y. C., Hsu, C., & Cheng, A. L. (2010). Molecular targeted therapy for advanced hepatocellular carcinoma: current status and future perspectives. Journal of Gastroenterology, 45(8), 794-807. doi: 10.1007/s00535-010-0270-0 Shun SC, Chen CH, Sheu JC, Liang JD, Yang JC, & YH., L. (2012). Quality of life and its associated factors in patients with hepatocellular carcinoma receiving one course of transarterial chemoembolization treatment: a longitudinal study. . Oncologist, 17(5). Shun, S. C., Lai, Y. H., Jing, T. T., Jeng, C., Lee, F. Y., & Hu, L. S. (2005). Fatigue patterns and correlates in male liver cancer patients receiving transcatheter hepatic arterial chemoembolization. Supportive Care in Cancer, 13(5), 311-317. Simpson, D., & Keating, G. M. (2008). Sorafenib: in hepatocellular carcinoma. Drugs, 68(2), 251-258. Skalla, K. A., Smith, E. M. L., Li, Z., & Gates, C. (2013). Multidimensional Needs of Caregivers for Patients With Cancer. [Article]. Clinical Journal of Oncology Nursing, 17(5), 500-506. doi: 10.1188/13.cjon.17-05ap Soothill, K., Morris, S. M., Harman, J. C., Francis, B., Thomas, C., & McIllmurray, M. B. (2001). Informal carers of cancer patients: what are their unmet psychosocial needs? Health & Social Care in the Community, 9(6), 464-475. Steel, J., Baum, A., & Carr, B. (2004). Quality of life in patients diagnosed with primary hepatocellular carcinoma: hepatic arterial infusion of cisplatin versus 90-Yttrium microspheres (THERASPHERE). Psycho-Oncology, 13(2), 73-79. Steel, J., Hess, S. A., Tunke, L., Chopra, K., & & Carr, B. I. (2005). Sexual functioning in patients with hepatocellular carcinoma. . Cancer, 104(10), 2234–2243. Steel, J. L., Chopra, K., Olek, M. C., & Carr, B. I. (2007). Health-related quality of life: Hepatocellular carcinoma, chronic liver disease, and the general population. Quality of Life Research, 16(2), 203-215. Steele, R. P. R. N., & Fitch, M. I. P. R. N. Supportive Care Needs of Women With Gynecologic Cancer. [Article]. Sun, V., Ferrell, B., Juarez, G., Wagman, L. D., Yen, Y., & Chung, V. (2008). Symptom concerns and quality of life in hepatobiliary cancers. Oncology Nursing Forum, 35(3), E45-52. doi: 10.1188/08.onf.e45-e52 Sun, V. C., & Sarna, L. (2008). Symptom management in hepatocellular carcinoma. Clinical Journal of Oncology Nursing, 12(5), 759-766. doi: 10.1188/08.cjon.759-766 Taylor, E. J. (2006). Prevalence and associated factors of spiritual needs among patients with cancer and family caregivers. Oncology Nursing Forum, 33(4), 729-735. doi: http://dx.doi.org/10.1188/06.ONF.729-735 Tokushige, K., Hashimoto, E., Yatsuji, S., Tobari, M., Taniai, M., Torii, N., & Shiratori, K. (2010). Prospective study of hepatocellular carcinoma in nonalcoholic steatohepatitis in comparison with hepatocellular carcinoma caused by chronic hepatitis C. Journal of Gastroenterology, 45(9), 960-967. doi: 10.1007/s00535-010-0237-1 Van Ryn, M., Sanders, S., Kahn, K., van Houtven, C., Griffin, J. M., Martin, M., . . . Rowland, J. (2011). Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psycho-Oncology, 20(1), 44-52. doi: 10.1002/pon.1703 Wan, C., Fang, J., Yang, Z., Zhang, C., Luo, J., Meng, Q., & Jiang, D. Development and validation of a quality of life instrument for patients with liver cancer QOL-LC. [Research Support, Non-U.S. Gov't Validation Studies]. American Journal of Clinical Oncology, 33(5), 448-455. Yeh, L. L., Hwu, H. G., Chen, C. H., & Wu, C. C. (2008). Factors related to perceived needs of primary caregivers of patients with schizophrenia. Journal of the Formosan Medical Association, 107(8), 644-652. Yeo, W., Mo, F. K., Koh, J., Chan, A. T., Leung, T., & Hui, P., et al. (2006). Quality of life is predictive of survival in patients with unresectable hepatocellular carcinoma. Annals of Oncology, 17(7), 1083–1089. Youngmee Kim, & Carver, C. S. (2012). Recognizing the value and needs of the caregiver in oncology. Current Opinion in Supportive & Palliative Care, 6(2), 280-288. doi: 10.1097/SPC.0b013e3283526999 Zhu, A. X. Hepatocellular carcinoma: are we making progress? [Review]. Cancer Investigation, 21(3), 418-428. Zigmond A.S., & Snaith R.D. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/58570 | - |
| dc.description.abstract | 肝癌是2012年台灣十大癌症死因的第二名。由於肝癌存活期短及高復發率特性，除了影響肝癌病人之外，同時也影響主要照護者之生活品質及心理健康，進而衍伸出支持性照護需求。回顧文獻，關於照護者支持性照護需求的研究目前仍以疾病末期與診斷期居多，中晚期的研究寥寥可數。有鑑於此，本研究為探討中晚期肝癌病人(BCLC stage B or C)之主要照護者的支持性照護需求及影響因素。研究目的為：一、探討中晚期肝癌病人的人口學特徵、接受治療的方式、身體功能狀態、健康相關生活品質與主要照護者之支持性照護需求相關性。二、探討中晚期肝癌病人的主要照護者的人口學特徵、照護時間與型態、焦慮、憂鬱狀態與主要照護者之支持性照護需求的相關性。三、瞭解主要照護者的支持性照護需求及各需求面的影響因子。
研究設計為橫斷式、描述性的相關研究，針對中晚期肝癌病人及其主要照護者，以立意取樣的方式及結構式問卷在北部某醫學中心門診及病房進行收案，總個案數為90位病人及其主要照護者，主要照護者以女性為最多（佔72.2%），平均年齡為47.1歲。研究工具在病人部分：人口學資料表、身體功能量表、歐洲癌症研究與治療組織生活品質量表中文版及其肝癌患者補充問卷；主要照護者部分：主要照護者人口學資料表、支持性照護需求量表、醫院焦慮憂鬱量表。研究資料以平均值、標準差、百分比、排序、t檢定、皮爾森相關分析、單因子變異數分析、廣義估計方程式作分析。研究結果顯示：（1）主要照護者未滿足支持性照護需求以健康照護層面為最多，其次依序為資訊、心理與情緒、工作與社會需求；（2）支持性照護需求與病人變項中的：生理功能、整體生活品質、情緒功能、症狀部分的疼痛、疲倦、性生活改變成顯著相關；（3）支持性照護需求與主要照護者變項中的：焦慮、憂鬱成顯著相關；（4）主要照護者的焦慮為影響資訊需求、健康照護需求、工作與社會需求、心理與情緒需求及總需求的重要解釋因子。由研究結果可知，主要照護者的焦慮是影響其照護需求的重要因素，是迫切需要被臨床醫護人員所關注及處理的，因此深入瞭解主要照護者的焦慮來源以及如何有效協助情緒抒發是未來值得研究的方向。研究結果可幫助未來改善肝癌主要照護者之支持性照護需求的相關臨床照護、護理教育及護理研究。 | zh_TW |
| dc.description.abstract | Hepatocellular carcinoma was the second leading cause of cancer deaths in Taiwan in 2012. The poor prognosis in patients with hepatocellular carcinoma not only heavily impacts the quality of life and mental health of both patients and family caregivers, but it also increases the caregivers’ supportive care needs. Most previous studies on caregivers’ supportive care needs included patients at diagnosis or terminal cancer patients. Few studies focused on primary caregivers of patients with intermediate or advanced stage hepatocellular carcinoma. This study aims to investigate the supportive care needs in primary caregivers of patients with intermediate and advanced stage hepatocellular carcinoma. The purposes of this study were: (1)to explore the relationships of primary caregivers’ supportive care needs with patients’ demographic profiles, treatments, performance status and patients’quality of life; (2)to explore the relationships of primary caregivers’ supportive care needs with primary caregivers’ demographic profiles, anxiety and depression status, durations and patterns of care;and (3) to explore the supportive care needs and important explanatory factors.
We conducted a cross-sectional, structured questionnaire survey with purposive sampling in a medical center in Northern Taiwan. Structured questionnaires include: (1) The Patients’ Part: patients’ demographic profiles, performance status assessed by Karnofsky Performance Status Scale, and quality of life assessed by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and similar questionnaire module for hepatocellular carcinoma (EORTC QLQ-HCC18) (2)The Primary Caregivers’ Part: primary caregivers’ demographic profiles, supportive care needs assessed by Supportive Care Needs Survey-Partners & Caregivers 45 (SCNS-P&C 45), and psychological distress status assessed by Hospital Anxiety and Depression Scale (HADS). Data were analyzed by descriptive statistics, independent samples t-test, Pearson’s correlation, one way-ANOVA, and Generalized Estimating Equations. Nighty pairs of eligible patients and their primary caregivers were recruited. 72.2% of recruited primary caregivers were female with mean age of 47.1 years old.The results indicated that: (1) health care needs was the highest unmet supportive care needs of caregivers, followed by information needs, psychological and emotional needs, and social and work needs; (2) poorer physical and emotional functions, poorer global health status/quality of life, pain, fatigue, and lower sexual interest of patients were correlated with higher supportive care needs of caregivers (p<0.05); (3) higher levels of anxiety and depression among caregivers were correlated with higher supportive care needs of caregivers(p<0.05) ;and (4) higher level of anxiety among primary caregivers was an important determinant of increases in information needs, health care needs, psychological and emotional needs, social and work needs, and total supportive care needs of caregivers. In conclusion, the primary caregivers’ anxiety status heavily influenced their supportive care needs, and clinical staff should be concerned with this issue. The main sources of anxiety in caregiver and the effective ways to express emotions properly are both important areas for further research. This study provides valuable information about supportive care needs in primary caregivers of patients with heaptocellular carcinoma and it is helpful in clinical care, education and future research in nursing. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-16T08:20:20Z (GMT). No. of bitstreams: 1 ntu-103-R00426005-1.pdf: 1519311 bytes, checksum: 1849fbdc3f6cb5017723d73b1fba1880 (MD5) Previous issue date: 2014 | en |
| dc.description.tableofcontents | 口試委員審定書
致謝--------------------------------------------------------------------------------------------------- i 中文摘要-------------------------------------------------------------------------------------------- ii 英文摘要-------------------------------------------------------------------------------------------- iv 目錄-------------------------------------------------------------------------------------------------- vi 圖目錄----------------------------------------------------------------------------------------------vii 表目錄---------------------------------------------------------------------------------------------- vii 第一章 緒論---------------------------------------------------------------------------------------- 1 第一節 研究背景與研究動機---------------------------------------------------------- 1 第二節 研究目的------------------------------------------------------------------------- 4 第二章 文獻查證---------------------------------------------------------------------------------- 5 第一節 肝癌及其治療------------------------------------------------------------------- 5 第二節 癌症主要照護者支持性照護需求概念----------------------------------- -10 第三節 影響主要照護者照護需求的相關因素----------------------------------- 16 第四節 肝癌病人的健康相關生活品質與常見症狀------------------------------ 22 第三章 研究方法-------------------------------------------------------------------------------- 28 第一節 研究設計----------------------------------------------------------------------- 28 第二節 研究假設----------------------------------------------------------------------- 29 第三節 研究對象及場所-------------------------------------------------------------- 30 第四節 研究架構----------------------------------------------------------------------- 31 第五節 名詞解釋----------------------------------------------------------------------- 32 第六節 研究工具----------------------------------------------------------------------- 34 第七節 資料蒐集與分析-------------------------------------------------------------- 38 第八節 倫理考量----------------------------------------------------------------------- 39 第四章 研究結果-------------------------------------------------------------------------------- 40 第一節 中晚期肝癌病人人口學特性、疾病特性與身體功能狀況---------- 41 第二節 中晚期肝癌病人健康相關生活品質------------------------------------- 44 第三節 主要照護者人口學特性、照護時間與型態及心理困擾------------- 51 第四節 主要照護者的支持性照護需求現況及其影響因素之相關性------- 55 第五節 主要照護者支持性照護需求的重要解釋因子------------------------- 64 第五章 討論--------------------------------------------------------------------------------------- 66 第一節 病人疾病狀態與生活品質------------------------------------------------- 66 第二節 主要照護者之支持性照護需求及心理困擾狀態---------------------- 69 第三節 主要照護者支持性照護需求之相關因素與重要解釋因子---------- 71 第六章 結論與建議------------------------------------------------------------------------------ 74 參考文獻------------------------------------------------------------------------------------------- 90 附錄 附錄一 研究倫理委員會(REC)審核通過函-------------------------------------- 78 附錄二 中晚期肝癌病人收案問卷------------------------------------------------- 79附錄三 中晚期肝癌病人之主要照護者收案問卷------------------------------- 83 圖目錄 圖一 亞洲肝病學會肝癌治療指引肝癌治療指引------------------------------- 9 圖二 研究架構----------------------------------------------------------------------- 31 表目錄 表一 中晚期肝癌病人人口學特性------------------------------------------------- 42 表二 中晚期肝癌病人疾病特性與身體功能狀態------------------------------- 43 表三 生活品質量表核心問卷Q1~Q28計分情形------------------------------- 46 表四 生活品質量表核心問卷Q29~30計分情形-------------------------------- 47 表五 生活品質量表核心問卷各面項計分結果---------------------------------- 48 表六 肝癌補充問卷單題計分結果------------------------------------------------- 49 表七 肝癌補充問卷各面向之計分結果------------------------------------------- 50 表八 主要照護者人口學特性------------------------------------------------------- 52 表九 主要照護者照護時間與型態相關------------------------------------------- 53 表十 主要照護者焦慮、憂鬱狀態------------------------------------------------- 54 表十一 主要照護者支持性照護需求得分結果---------------------------------- 56 表十二 病人生活品質與主要照護者支持性照護需求相關性分析（核心問卷）---------------------------------------------------------------------------- 59 表十三 病人生活品質與主要照護者支持性照護需求相關性分析(肝癌補充問卷)------------------------------------------------------------------------ 60 表十四 病人變項、主要照護者變項與需求的差異性-------------------------61 表十五 主要照護者年齡、焦慮、憂鬱與各需求面相關情形----------------63 表十六 主要照護者四大層面支持性照護需求與總需求之重要解釋因子-65 | |
| dc.language.iso | zh-TW | |
| dc.title | 中晚期肝癌病人之主要照護者的支持性照護需求及其相關因素之探討 | zh_TW |
| dc.title | The Supportive Care Needs and Its Related Factors in Primary Caregivers of Patients with Intermediate to Advanced Stage of Hepatocellular Carcinoma | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 102-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 賴裕和(Yeur-Hur Lai),許駿(Chiun Hsu) | |
| dc.subject.keyword | 肝癌,生活品質,主要照護者,支持性照護需求, | zh_TW |
| dc.subject.keyword | Hepatocellular carcinoma,Quality of Life,Primary caregivers,Supportive care needs, | en |
| dc.relation.page | 104 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2014-02-05 | |
| 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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