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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/6645完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 戴玉慈 | |
| dc.contributor.author | Yu-Ching Chuang | en |
| dc.contributor.author | 莊右靖 | zh_TW |
| dc.date.accessioned | 2021-05-17T09:15:41Z | - |
| dc.date.available | 2013-09-18 | |
| dc.date.available | 2021-05-17T09:15:41Z | - |
| dc.date.copyright | 2012-09-18 | |
| dc.date.issued | 2012 | |
| dc.date.submitted | 2012-08-08 | |
| dc.identifier.citation | 中文部分
行政院衛生署（2010年，12月13日）•98年度死因統計完整統計表•2011年04月12日取自http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx? class_ no= 440&now_fod_list_no=11397&level_no=-1&doc_no=76512 急重症聯合網（2006年11月9日）•SICU護理作業規範及程序-活化凝血時間測量•2011年6月17日取自 http://ntuh.sicu.org.tw/upload/Nursing_protocol/ m20081106134612.pdf 黃瑞仁(2008)•冠狀動脈心臟病的診斷與治療•中華民國內膜異位症婦女協 會會刊，15(2)，7-14。 蔡靖彥(2004)•常用藥品手冊•臺北：九州。 英文部分 Agostoni, P., Biondi-Zoccai, G. G. L., de Benedictis, M. L., Rigattieri, S., Turri, M., Anselmi, M., . . . Hamon, M. (2004). Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized trials. Journal Of The American College Of Cardiology, 44(2), 349-356. Archbold, R. A., Robinson, N. M., & Schilling, R. J. (2004). Radial artery access for coronary angiography and percutaneous coronary intervention. BMJ: British Medical Journal, 329(7463), 443-446. Augustin, A. C., de Quadros, A. S., & Sarmento-Leite, R. E. (2010). 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Early ambulation following 6 French diagnostic left heart catheterization: a prospective randomized trial. Catheterization And Cardiovascular Diagnosis, 42(1), 8-10. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/6645 | - |
| dc.description.abstract | 背景：現階段臺灣各醫學中心心導管術後臥床時間之照護準則不同，而過長的臥床時間易導致病患身體不適感與疲憊。
目的：探討改變心導管病患術後臥床時間對鼠蹊處合併症發生率以及病患主觀舒適度之差異，了解術後提早下床之可行性。 方法：收集95位符合收案條件之心導管病患，依其意願分派為對照組與實驗組後進行研究。對照組於拔除鼠蹊處導管後臥床12小時，實驗組則臥床4小時，比較兩組下床時穿刺部位發生滲血、出血、血腫、動靜脈廔管合併症之機率、術後接受導尿比率及在不同臥床時間後舒適度差異。 結果：42位提早下床病患中有1人(2.3%)穿刺部位發生滲血，無人發生出血、血腫及動靜脈廔管；53位控制組病患皆未出現穿刺部位合併症，兩組合併症發生率未達統計上顯著差異(p=0.442)。比較兩組在術後接受導尿機率(p=0.223)及下床活動時之不同部位舒適度(p=0.734)皆無差異。 結論：提早下床並不影響病患接受導尿機率及下床活動時主觀舒適度差異，所以將心導管病患術後臥床時間由12小時縮減至4小時是安全且可行的。 | zh_TW |
| dc.description.abstract | The aim of this study was to investigate the feasibility of early ambulation after percutaneous coronary intervention. Patients met the criteria were enrolled into either experimental group or control group by their willingness. Patients in experimental group ambulated after 4 hour bed rest, whereas patients in control group ambulated after 12 hours bed rest. The primary endpoint was the vascular complications: ooze, bleeding, hematoma and arteriovenous fistula. The secondary endpoint was the level of comfort back and urinate difficulty. A total of 95 eligible patients were enrolled into either experimental (n=42) or control group (n=53). The complication rate in experimental group was not significant different to control group (2.3% vs 0%, p=0.442). The level of comfort (p=0.734) and urinate difficulty (p=0.223) were not significant different between two groups. Early ambulation after percutaneous coronary intervention was safe and feasible. | en |
| dc.description.provenance | Made available in DSpace on 2021-05-17T09:15:41Z (GMT). No. of bitstreams: 1 ntu-101-R98426014-1.pdf: 1387203 bytes, checksum: 5edc122ed492ab9186211fcfa9423229 (MD5) Previous issue date: 2012 | en |
| dc.description.tableofcontents | 目錄
口試委員會審定…………………………………………………… i 誌謝………………………………………………………………… ii 中文摘要…………………………………………………………… iii 英文摘要…………………………………………………………… iv 目錄………………………………………………………………… v 表目錄……………………………………………………………… vii 圖目錄…………………………………………………………… viii 第壹章 緒論…………………………………………………… 1 第一節 研究動機與重要性…………………………………… 1 第二節 研究目的……………………………………………… 3 第三節 研究假設……………………………………………… 4 第四節 名詞界定……………………………………………… 5 第貳章 文獻查證……………………………………………… 6 第一節 心導管檢查暨治療術之發展與現況………………… 6 第二節 影響術後鼠蹊處穿刺部位合併症之因素…………… 9 第三節 不同臥床時間對穿刺部位合併症之影響…………… 14 第参章 研究方法……………………………………………… 22 第一節 研究設計……………………………………………… 22 第二節 研究對象及場所……………………………………… 23 第三節 研究工具……………………………………………… 25 第四節 介入措施……………………………………………… 27 第五節 資料收集過程………………………………………… 30 第六節 資料處理與分析……………………………………… 31 第七節 研究倫理……………………………………………… 32 第肆章 研究結果……………………………………………… 33 第一節 研究對象之基本資料與臨床屬性…………………… 35 第二節 不同臥床時間對穿刺部位合併症發生率之比較…… 39 第三節 比較兩組術後接受導尿之情形……………………… 40 第四節 不同臥床時間對病患舒適度之比較………………… 41 第伍章 討論…………………………………………………… 43 第一節 心導管術後不同臥床時間對穿刺部位合併症發生率之差異………………………………………………………………… 43 第二節 心導管術後不同臥床時間對病患接受導尿比率之差異45 第三節 心導管術後不同臥床時間對病患舒適度之差異…… 46 第陸章 結論與限制…………………………………………… 48 第一節 限制與未來建議……………………………………… 48 第二節 結論…………………………………………………… 49 參考文獻 ………………………………………………………… 50 中文部份 ……………………………………………… 50 英文部份 ……………………………………………… 51 附錄 ………………………………………………………… 54 附錄一 心導管檢查後穿刺部位合併症及舒適程度紀錄表… 54 附錄二 臨床試驗許可書……………………………………… 56 | |
| dc.language.iso | zh-TW | |
| dc.title | 改變心導管病患術後臥床時間對穿刺部位合併症發生率及病患舒適度之影響 | zh_TW |
| dc.title | The feasibility of early ambulation after percutaneous coronary intervention | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 100-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 羅美芳,高憲立 | |
| dc.subject.keyword | 經皮冠狀動脈氣球擴張術及冠狀動脈支架置放術,提早下床,背部舒適, | zh_TW |
| dc.subject.keyword | cardiac catheterization,percutaneous coronary intervention,early ambulation,complication, | en |
| dc.relation.page | 56 | |
| dc.rights.note | 同意授權(全球公開) | |
| dc.date.accepted | 2012-08-08 | |
| 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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