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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 賴裕和 | zh_TW |
| dc.contributor.advisor | Yeur-Hur Lai | en |
| dc.contributor.author | 何汶峯 | zh_TW |
| dc.contributor.author | Man-Fong Ho | en |
| dc.date.accessioned | 2023-09-28T16:15:31Z | - |
| dc.date.available | 2025-08-08 | - |
| dc.date.copyright | 2023-09-28 | - |
| dc.date.issued | 2023 | - |
| dc.date.submitted | 2023-08-09 | - |
| dc.identifier.citation | 王敏家、鄭哲舟、黃文聰、張書展、李淞維(2014).攝護腺癌病人勃起功能對生活品質之影響 [Association of Erectile Function of Quality of Life of Prostate Cancer Patients].護理暨健康照護研究,10(1),51-60。 https://doi.org/10.6225/jnhr.10.1.51
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/90407 | - |
| dc.description.abstract | 攝護腺癌是全球男性常見的癌症之一,通常疾病進展速度較慢,會採用積極監測(Active Surveillance, AS)作為治療方式。故本研究目的為(1)探討積極監測型攝護腺癌病人之害怕疾病進展及照護需求,(2)探討病人照護需求之相關因素,(3)探討影響照護需求之重要預測因子。
本研究為橫斷性研究,於台灣北部某醫學中心之泌尿科門診進行收案,研究個案為採取積極監測型之攝護腺癌病人,以結構式量表進行訪談,包含評估整體照護需求調查、害怕疾病進展、焦慮、憂鬱、攝護腺症狀、勃起功能及人口學特性,本研究取得倫理試驗委員會同意後開始進行資料收集,由已受訓之研究助護理師協助病人逐題進行填答,資料以描述性及推論性統計進行分析。 本研究收集102位個案並完成資料分析,研究結果顯示個案整體身體功能良好,五大層面之整體照護需求由高至低分別為:(1)健康系統與資訊需求、(2)心理需求、(3)病患照顧與支持需求、(4)性需求、(5)生理與日常生活需求,平均分數及標準差依排序為36.4(28.4)、31.6(25.9)、18.3(22.8)、13(24.8)、13(18.9)。害怕疾病進展、焦慮、憂鬱、較短積極監測時間、攝護腺症狀與整體照護需求及各五大層面大部分呈現低度至中度相關,疲倦及害怕疾病進展為影響整體照護需求之最有力預測因子。 本研究結果將提供積極監測型攝護腺癌病人照護需求相關之實證依據,有助於臨床醫護人員了解、評估此類型病人之需求及後續影響,並從而發展出相關之照護及介入措施。 | zh_TW |
| dc.description.abstract | Background Prostate cancer is one of the most common cancers in men worldwide. Because the disease usually progresses slowly, active surveillance (AS) is used as a treatment method. Therefore, the purpose of this study is (1) to explore the fear of disease progression and care needs in patients with active surveillance prostate cancer, (2) to explore the related factors of patients' care needs.(3) to explore the robust factors impact care needs.
Method This study is a cross-sectional study. Cases were accepted in the urology clinic of a medical center in northern Taiwan. The subjects were prostate cancer patients with active surveillance. Interviews were conducted with structured scales, including surveys to assess overall care needs, fear of disease progression, anxiety, depression, prostatic symptoms, erectile function, and demographic characteristics. This study began to collect data after obtaining the approval of the ethics trial committee. In particular, trained study nurses assisted patients to complete questionnaires. The data were analyzed descriptively and correlatively. Results This study collected 102 cases and completed the data analysis. The results of the study show that the overall physical function of the cases is good. The five domains of supportive care need were ranked (1) health system and information needs, (2) psychological needs, (3) patient care and support needs, (4) sexuality needs, (5) physiological and daily living needs, the average scores and standard deviations are 36.4 (28.4), 31.6 (25.9), 18.3 (22.8), 13 (24.8), 13 (18.9). Fear of disease progression, anxiety, depression, shorter active surveillance time, prostate symptoms revealed low to moderate correlations in most of the five domains and overall supportive care needs. Fatigue and fear of disease progression are the robust factors impact care needs among prostate patients on active surveillance. Conclusion The results of this study will provide an empirical basis for the care needs of patients with active surveillance prostate cancer. They also help clinical medical staff understanding and evaluating the needs and subsequent impact of this type of patients and developing relevant care and intervention measures. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-09-28T16:15:31Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2023-09-28T16:15:31Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
誌謝 ii 中文摘要 iii 英文摘要 iv 第一章 緒論 1 第一節 研究背景及重要性 1 第二節 研究目的 2 第二章 文獻查證 3 第一節 攝護腺腫瘤與其治療簡介 3 第二節 攝護腺癌病人之照護需求 10 第三節 照護需求之相關因素 13 第三章 研究方法 16 第一節 研究設計 16 第二節 研究架構與操作型定義 17 第三節 研究假設 19 第四節 研究工具 20 第五節 研究流程及倫理考量 25 第六節 資料建立及分析 27 第四章 研究結果 28 第一節 人口學特性及疾病相關特性 28 第二節 照護需求現況 29 第三節 心理及生理層面 30 第四節 照護需求與自變項之相關性及差異分析 32 第五節 整體照護需求之主要預測因子 34 第五章 討論 35 第一節 個人屬性及疾病特性對照護需求影響 35 第二節 疾病症狀因素與整體照護需求相關性 36 第三節 病人心理衝擊對照護需求影響 37 第四節 整體照護需求預測因子 39 第六章 結論與建議 40 參考資料 42 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 害怕疾病進展 | zh_TW |
| dc.subject | 攝護腺癌 | zh_TW |
| dc.subject | 積極監測 | zh_TW |
| dc.subject | 照護需求 | zh_TW |
| dc.subject | 焦慮 | zh_TW |
| dc.subject | Fear of Progression | en |
| dc.subject | Prostate Cancer | en |
| dc.subject | Anxiety | en |
| dc.subject | Care Needs | en |
| dc.subject | Active Surveillance | en |
| dc.title | 積極監測型攝護腺癌病人之害怕疾病進展及照護需求探討 | zh_TW |
| dc.title | Fear of Progression and Care Needs in Prostate Cancer Patients on Active Surveillance | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 111-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 蒲永孝;李芸湘 | zh_TW |
| dc.contributor.oralexamcommittee | Yeong-Shiau Pu;Yun-Hsiang Lee | en |
| dc.subject.keyword | 攝護腺癌,積極監測,照護需求,害怕疾病進展,焦慮, | zh_TW |
| dc.subject.keyword | Prostate Cancer,Active Surveillance,Care Needs,Fear of Progression,Anxiety, | en |
| dc.relation.page | 62 | - |
| dc.identifier.doi | 10.6342/NTU202303694 | - |
| dc.rights.note | 同意授權(限校園內公開) | - |
| dc.date.accepted | 2023-08-09 | - |
| dc.contributor.author-college | 醫學院 | - |
| dc.contributor.author-dept | 護理學研究所 | - |
| dc.date.embargo-lift | 2025-08-08 | - |
| 顯示於系所單位: | 護理學系所 | |
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