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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 張皓媛(Hao-Yuan Chang) | |
dc.contributor.author | Shih-Jou Chen | en |
dc.contributor.author | 陳思柔 | zh_TW |
dc.date.accessioned | 2021-05-19T17:52:16Z | - |
dc.date.available | 2022-09-08 | |
dc.date.available | 2021-05-19T17:52:16Z | - |
dc.date.copyright | 2017-09-08 | |
dc.date.issued | 2017 | |
dc.date.submitted | 2017-07-31 | |
dc.identifier.citation | 王署君(2012).偏頭痛最新診斷與治療.中華民國內膜異位症婦女協會會刊 19(5&6),14-19。
台灣頭痛學會(2014).最新國際頭痛分類第三beta版中文翻譯全文版。取自http://www.taiwanheadache.com.tw/doc/ICHD-3beta_tc_full.pdf 李月萍、黃惠予(2014).老年生活品質測量與應用.臺灣老年醫學暨老年學雜誌,9(3),57-67。 呂華燕、周冀英(2011).關於偏頭痛對患者影響的評價工具.國際神經病學神經外科學雜誌,43(6),91-94。 沈炳宏、賴仁淙(2008).患有偏頭痛年輕女性護理人員的前庭症狀.台灣耳鼻喉頭頸外科雜誌雜誌,38(1),160-164。 黃玉苹(2006).剖析現象學論點與其在護理研究中之應用.護理雜誌,53(2), 49-57。 曾雅玲、陳靜如(2008).男護士臨床護理工作之工作經驗.實證護理,4(1),49- 57。 張琰、張路、李彬(2009).針灸預防性治療對無先兆偏頭痛患者生活品質的影響.中 國針灸,29(6),431-435。 劉文琪(2010).護理主管對護理臨床指導教師角色期待之初探性研究.志為護理,9(3),82-91。 Beck, C. T. (1994). Penomenology: Its use in nursing research. Internation Journal of Nursing Studies, 31(6), 499-510. Bagley, C. L., Maglinte, G. A., Yang, M., Varon, S. F., Lee, J., Kosinski, M. (2012). Validating migraine-specific quality of life questionnaire v2.1 in episodic and chronic migraine. Headache, 52, 409-4219..42 Bruno, C., & Roberto, T. (2014). Vestibular migraine and related syndrome. [Adobe Digital Editions version]. doi:10.1007/978-3-319-07022-3. Bussone, G., Usai, S., Grazzi, L., Rigamonti, A., Solari, A., D’Amico, D. (2004). Disability and quality of life in different primary headaches: Results from Italian studies. Neurol Science, 25, 105-107. Cavallini, A., Micieli, G., Bussone, G., Rossi, F. (1995). Headache and quality of life. Headache, 35(1), 29-35. Colaizzi, P. (1978). Psychological research as the phenomenologist views it. Existential Phmomenologial Alrernative for Psychology (Valle, R. and King, M., Eds), 48-71. Oxford University Press, New York. Del Monaco, R. (2013). [Self-care, adherence and uncertainty: biomedical treatments and patients' experiences regarding chronic migraine pain]. Salud Colect, 9(1), 65-78. doi:10.1590/S1851-82652013000100006. Edmeada, J., Findlay, H., Tugwell, P., Pryse-Phillips, W., Nelson, R. F., Murray, T. J. (1993). Impact of migraine and tension-type headache on life-style, consulting behavior, and medication use: A Canadian population survey. The Canadian Journal of Neurological Sciences, 20, 131-137. Eslami, V., Rouhani-Esfahani, S., Hafezi-Nejad, N., Refaeian, F., Abdi, S., Togha, M. (2013). A computerized expert system for diagnosing primary headache based on international classification of headache disorder (ICHD-II). SpringerPlus, 2(199), 1-4. Green, J.E. (1997) A survey of migraine in England 1975-1976. Headache, 17(2), 67-68. Kao, C. L., Huang, C, C., Wu, C.C. (2007). Association between stressed work and Primary Headache Among Nursing Staff in Taiwan. Headache, 47, 576-584. Kuo, W. Y., Huang, C. C., Weng, S. F., Lin, H. J., Su, S. B., Wang, J. J., … Hsu, C C. (2015). Higher migraine risk in healthcare professionals than in genera凹population: A nationwide population-based cohort study in Taiwan. Journal Headache Pain, 16, 102. doi:10.1186/s10194-015-0585-6. Kurth, T., Winter, A. C., Eliassen, H., Dushkes, R., Mukamal, K. J., Rimm, E. B.,Willet, W. C.,…Rexrode, K. M. (2016). Migraine and risk of cardiovascular disease in women: Prospective cohort study. BMJ Open, 353, 1-6. Lipton, R. B., Liberman, J. N., Kolodner, K. B., Bigal, M. E., Dowson, A., Stewart,W. F. (2003). Migraine hwadache disability and health-related quality-of-life a population-based case-control study from England. Cephalagia, 23, 441-450. Martin, B. C., Pathak, D. S., Sharfman, M. I., Adelman, J. U., Taylor, F., Kwong, W. J., & Jhingran, P. (2000). Validity and reliability of the migraine-specific quality of life questionnaire (MSQ Version 2.1). Headache, 40(3), 204-215. Meletiche, D. M., Lofland, J. H., Young, W. B. (2001). Quality-of life difference between patients with episodic and transformed migraine. Headache, 41, 573-578. Mishel, M. H. (1988). Uncertainty in illness. State of the science, 20(4), 225-231 Moloney, M. F., Strickland, O. L., DeRossett, S. E., Melby, M. K., & Dietrich, A. S. (2006). The experiences of midlife women with migraines. Journal Nursing Scholarship, 38(3), 278-285. Moriarty, M., & Mallick-Searle, T. (2016). Diagnosis and treatment for chronic migraine. The Nurse Practitioner, 41(6), 18-32. Nagai, K., Hayashi, K., Yasui, T., Katanoda, K., Iso, H., Kiyohara, Y., Wakatsuki, A., Kubota, T.,…Mizunuma, H. (2015). Disease history and risk of comorbidity in women’s life course: A comprehensive analysis of the Japan Nurses’ Health Study baseline survey. BMJ Open, 5, 1-8. O'Sullivan, J., & McCabe, J. (2006). Update for nurse anesthetists: Migraine development, treatments, research advances, and anesthesia implications. AANA Journal, 74(1), 61-69. Patrick, D. L., & Bergner, M. (1990). Measurement of health status in the 1990s. Annual Review of Public Health, 11, 165-183. Ramsey, A. R. (2012). Living with migraine headache: a phenomenological study of women's experiences. Holist Nursing Practice, 26(6), 297-307. doi:10.1097/HNP.0b013e31826f5029 Robnett, R. H., & Gliner, J. A. (1995). Qual-OT: A quality of life assessment tool. The Occuptional Therapy Journal of Research, 15(3), 198-213. Rutberg, S., & Ohrling, K. (2012). Migraine--more than a headache: Women's experiences of living with migraine. Disability Rehabilitation, 34(4), 329-336. doi:10.3109/09638288.2011.607211 Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-31. Stang, P. E., & Osterhaus, J. T. (1993). Impact of migraine in the united states: Data from the national health interview survey, Headache, 33, 29-35. Stephen, W., & Allen, R. (2015). Vestibular migraine. [Adobe Digital Editions version]. doi:10.1036/00713 93722 Stewart, W. F., Lipton, R. B., Kolodner, K. B., Sawyer, J., Lee, C., & Liberman, J. N. (2000). Validity of the Migraine Disability Assessment (MIDAS) score in comparison to a diary-based measure in a population sample of migraine sufferers. Pain, 88(1), 41-52. Tammi, F. M., Paul, T. C., Harry, J. T. (2007). Management on nurse productivity and retention. Nursing Economic, 25(4), 203-210. Vickers, A. J., Rees, R. W., Zoolman, C. E., McCarney, R., Smith, C. M., Ellis, N., Fisher, P., … Grieve, R. (2004). Acupuncture of chronic headache disorders in primary care: Randomized controlled trial and economic analysis. Health Technology Assessment, 8(48), 1-35. Wang, L. P., Zhang, X. Z., Guo, J., Liu, H. L., Zhang, Y., Liu, C. Z., Yi, J. H., … Li, S. S. (2011). Efficacy of acupuncture for migraine prophylaxis: A single-blinded, double-dummy, randomized controlled trial. Pain, 152(8). 1864-1871. Wang, Y., Xie, J., Yang, F., Wu, S., Wang, H., Zhang, X., Liu, H., …Yu, S. (2015). The prevalence of primary headache disorders and their associated factors among nursing staff in North China. The Journal of Headache and Pain,16(4), 1-7. Zhan, L. (1992). Quality of life: Conceptual and measurement issues. Journal of Advanced Nursing, 17(7), 795-800. Zebenigus, M., Tekle-Haimanot, R., Worku, D. K., Thomas, H., Steiner, T.(2016).The prevalence of primary headache disorders in Ethiopia. The Journal of Headache and Pain, 17(110), 1-9. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/7750 | - |
dc.description.abstract | 背景:頭痛是現代文明病之一,現今有許多身處高壓工作環境的臨床護理人員深受頭痛所擾,而原發性頭痛之中,其偏頭痛又好發於女性,由於偏頭痛發作時可能會持續4-72小時,不僅會影響工作效率,同時也影響其生活品質。回顧文獻,現階段國內外在患有頭痛護理人員各單位發生率相關文獻略顯不足,亦未有針對急重症單位患有頭痛的護理人員現況調查,現階段也無針其頭痛造成工作及生活中的妨礙與影響做訪談。有鑒於此,本研究調查台灣某一所醫學中心急重症單位護理人員頭痛之現況。目的:(1)調查台灣北部一所醫學中心護理人員偏頭痛的盛行率,並比較有無頭痛的護理人員其生活品質之差異;(2)有頭痛的護理人員中,偏頭痛與其他頭痛族群的失能程度和生活品質之差異;(3)了解患有偏頭痛的護理人員其偏頭痛造成工作及生活中的妨礙與影響。方法:本研究在第一階段採橫斷式研究設計(cross-sectional study),以普查方式邀請台灣北部一所醫學中心所有急重症單位的護理人員參與此研究調查,邀請16個急重症單位護理人員填寫問卷(N = 405),若有頭痛者填寫自擬問卷基本資料表及頭痛相關資料、偏頭痛失能性評估表(MIDAS)、偏頭痛特定族群生活品質問卷量表(MSQ v2.1)、SF-12健康生活品質量表,無頭痛者則只需填寫基本資料及SF-12健康生活品質量表。研究第二階段則依照失能程度(MIDAS)及疼痛程度(NRS)分為九區塊,利用半結構式訪談大綱,篩選具有頭痛的護理人員並符合收案條件者做訪談。研究資料以百分比、平均值、標準差、獨立樣本t檢定(independent sample t-test)、卡方檢定、ANOVA、Colaizzi質性資料分析法作分析。結果:急重症單位護理人員頭痛盛行率43%,偏頭痛的盛行率25%,除了有頭痛者與無頭痛者比,SF-12生活品質量表在生理層面的分數較低之外,在有頭痛者族群中有偏頭痛者在SF-12、MSQ v2.1的分數表現又比其他頭痛者更低。依訪談結果歸納,控制不確定性為最主要的現象,其三大範疇為:與不確定性共存、徘徊不去的干擾及視情況處理疼痛。除了情緒、日常生活及工作受干擾,因頭痛發生時機不明確,而對該疾病產生不確定感。結論:不確定性可以說是頭痛發生時的主要特性。急重症單位護理人員頭痛盛行率高,頭痛對生活造成的影響甚多,建議臨床的護理人員能主動就醫確診,醫療院所設置相關課程之外,也給予同仁在頭痛發作時能夠有彈性休息時間,希望能夠藉由本文令人理解護理人員頭痛的問題,讓頭痛不再是個被忽略的疾病。 | zh_TW |
dc.description.abstract | Background: Headaches are one of the lifestyle diseases of this generation. Headaches not only affect work efficiency but also life quality. Nurses working in critical care units are more likely suffering from headache because of the high pressure. Literature on the incidence of migraine amongst nurses is inadequate, and there have not been any surveys on the experience and impact of headaches which focus on critical care units. This study aims to investigate the status of headaches at a medical center in northern Taiwan. Purpose: (1) To investigate the prevalence of migraine headaches in the critical care units at one of the medical center hospitals in Taiwan. (2) Knowing the experiences of headache among nurses could guide future research and policy to improve nurses’ well-being, care quality, and patient safety. The study aims to explore the life experiences and impacts of headaches among nurses working in critical care units. Methods: The first stage is a cross-sectional study from 16 critical care units at a medical center in northern Taiwan. Four kinds of questionnaires to headaches: personal information and migraine-related information, migraine disability assessment (MIDAS), migraine specific quality of life questionnaire version 2.1 (MSQ v2.1) and 12-Item Short Form Health Survey (SF-12). Two kinds for do not suffer headaches: personal information and 12-Item Short Form Health Survey (SF-12). The second stage is qualitative study, In-depth interviews were conducted with a purposive sample of 30 female nurses with headaches by the different condition of pain intensity and disability status to maximize the information richness. Participants were screened from 16 critical care units at a medical center in Taiwan between January and July, 2017. The quantitative data were analyzed by percentage, mean value, standard deviation, independent sample t-test, chi-square tests, ANOVA and qualitative data were analyzed by the Colaizzi phenomenological approach. Result: The headache prevalence rate of nurses is high in critical care units and, compared with the control group of nurses who do not suffer headaches, the SF-12 quality of life scales in the physical component summary are low and reveal a decline in quality of life. “Controlling the uncertainty” was revealed an essential phenomenon with three categories emerged: “Living with the uncertainty,” “Staying with the lingering interference,” and “Managing the pain depending on the situation.” Headaches negatively impact the lives of sufferers in areas such as working efficiency, interfering with the concentration, and impairing the memory, Headache also affects the emotions and interaction with people. The disturbance of headache may decrease the quality of nursing care and even damage the patient safety. When headache attack intensively, nurses usually manage their pain actively by taking over-the-counter medicine to minimize the impacts on work and patient safety.which are also disturbed by the uncertainty of when the malady will strike. Conclusion: Uncertainty could be an essential characteristic of headache attack. Nurses with headaches are recommended to seek medical advice; medical institutions can set up courses on headaches, and also give nursing staff flexible break times when headaches attack. The current study discovered the impact of headaches upon nurses working in critical care units and hopes to help make headaches a no longer neglected disease. | en |
dc.description.provenance | Made available in DSpace on 2021-05-19T17:52:16Z (GMT). No. of bitstreams: 1 ntu-106-R04426012-1.pdf: 2005421 bytes, checksum: daff17c058ba57a48412242088713fff (MD5) Previous issue date: 2017 | 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……………………………………………………………………………......v 第一章 緒論……………………………………………………………………………..1 第一節 研究背景與動機…………………………………………………………1 第二節 研究問題…………………………………………………………………..3 第三節 研究目的…………………………………………………………………..4 第四節 名詞定義…………………………………………………………………..4 第二章 文獻回顧………………………………………………………………………5 第一節 頭痛的定義性特徵………………..………………...……………….5 第二節 偏頭痛的定義性特徵………………………………………………...6 第三節 偏頭痛病生理機轉……………..……………………….…………….7 第四節 頭痛流行病學…………………………………………...…....……….9 第五節 頭痛對生活品質影響…………………………………………………10 第六節 生活品質………………………………………………………………....12 第七節 頭痛的質性研究………………………………………………………..12 第三章 研究方法……………………………………………………………………...14 第一節 研究設計………………………………………………………………....14 第二節 研究對象與場所………………………………………………………..15 第三節 研究工具………………………………………………………………....17 第四節 資料收集過程與分析方法………………………………………….21 第五節 質性研究的信效度…………………………………………………….24 第四章 研究結果……………………………………………………………………..26 第一節 第一階段量性調查…………………………………………………….26 第二節 第二階段質性訪談…………………………………………………….36 一、與不確定性共存………………………………………………….....40 二、徘徊不去的干擾………………………………………………….....56 三、視情況處理疼痛………………………………………………….....83 四、質性訪談研究結果總結…………………………………………...113 第五章 討論…………………………………………………………………………....116 第一節 護理人員的頭痛盛行率………………………………………………116 第二節 頭痛對護理人員的影響………………………………………………117 第三節 不確定感(uncertainty illness)與頭痛的處置選擇……124 第六章 結論與建議…………………………………………………………………..132 第一節 結論…………………………………………………………………….....132 第二節 建議與應用……………………………………………………………...132 第三節 研究限制………………………………………………………………....134 參考文獻……………………………………………………………………………......135 附錄 附錄一 基本資料表…………………………………………………………………....141 附錄二 偏頭痛相關資料表…………………………………………………………..142 附錄三 偏頭痛失能評估(MIDAS)……………………………………………..143 附錄四 偏頭痛特定族群生活品質問卷(MSQ v2.1)…………………….144 附錄五 SF-12生活品質量表…………..……………………………………………146 表目錄 表一:第二階段研究依照頭痛嚴重程度分成9個區塊(cell)進行立意取樣……..16 表二:有無頭痛的護理人員基本資料屬性分佈(N = 405)……………………….....29 表三:偏頭痛、其他頭痛與無頭痛者基本資料屬性分佈(N = 405)………………31 表四:頭痛者基本資料與疼痛相關資料(n = 176)……………………………….........33 表五:各單位問卷回應率與頭痛發生率……………………………………………..............35 表六:第二階段質性訪談依頭痛嚴重程度分成9個區塊(cell)進行立意取樣…..36 表七:急重症單位護理人員頭痛發生時機、影響及處置一覽表………………….......37 表八:MSQ v2.1分數比較…………………………………………………………….................122 | |
dc.language.iso | zh-TW | |
dc.title | 急重症單位護理人員頭痛之生活經驗與影響 | zh_TW |
dc.title | Lived Experience and Impact of Headache
Among Nurses Working in Critical Care Units | en |
dc.type | Thesis | |
dc.date.schoolyear | 105-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 賴裕和(Yeur-Hur Lai),楊智超(Chih-Chao Yang) | |
dc.subject.keyword | 頭痛,偏頭痛,護理人員,急重症單位,盛行率,生活品質, | zh_TW |
dc.subject.keyword | headache,migraine,nurse,critical care units,prevalence,life quality, | en |
dc.relation.page | 148 | |
dc.identifier.doi | 10.6342/NTU201702244 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2017-07-31 | |
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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