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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 賴裕和(Yeur-Hur Lai) | |
dc.contributor.author | Wei-Chun Chen | en |
dc.contributor.author | 陳薇君 | zh_TW |
dc.date.accessioned | 2021-05-20T20:24:31Z | - |
dc.date.available | 2010-02-10 | |
dc.date.available | 2021-05-20T20:24:31Z | - |
dc.date.copyright | 2009-02-10 | |
dc.date.issued | 2008 | |
dc.date.submitted | 2008-12-11 | |
dc.identifier.citation | 台灣腎臟醫學會(2006).93年透析病患年度報告.2007,8月18日,取自:
http://www.tsn.org.tw 行政院衛生署(2007).95年衛生統計系列.衛生統計資訊網.2007,8月18日, 取自: http://www.doh.gov.tw/statistic/index.htm 中央健康保險局(2007年11月12日).95年第四季門診透析總額專業醫療服務 報告.各總額部門專業醫療服務品質指標.2007,12月18日,取自:http:// www.nhi.gov.tw/webdata/webdata.asp?menu=1&menu_id=7&webdata_id=818 李英英(1997).血液透析病人需求及其相關因素探討.國防醫學院護理研究所碩士 論文,未發表,台北。 林嘉玲、潘美玉、張媚(2005).社區老人睡眠品質之探討.台灣醫學,10(4), 438-446。 林怡亞(2001).血液透析患者如何在死亡焦慮中與疾病共存.南華大學生死學研究所 碩士論文,未發表,嘉義。 吳志仁 (2001).血液透析治療.馬偕院訊,21,43-45。 吳景恆(2002年11月)•台灣腎臟醫學會與護理學會主辦,第七梯次腹膜透析護 理人員訓練班教材•腹膜透析原理與發展•台北:榮民總醫院。 邱浩彰(2003).糖尿病周為神經病變之研究.Acta Neurologica Taiwanica,12(1), 56-58。 馮清世(2008).尿毒症的神經併發症.Acta Neurologica Taiwanica,17(2),117- 126。 高芷華、洪冠予 (1999).末期腎病變與血液透析.當代醫學,26 (5),400-401。 高宓憶、莊立民、胡名霞、謝松蒼、吳英黛(2004).糖尿病周邊神經病變患者的 運動能力及平衡表現.台灣醫學,8(3),323-331。 許維志(2000).兩階段式社區糖尿病神經病變篩檢研究.台灣大學預防醫學研究所 碩士論文,未發表,台北。 黃志強(2002).血液透析學.台北:合記。 黃惟新、陳國書 (2003) .腎移植病人術後之長期照顧.腎臟與透析,15 (2),89-93。 陳美玲、顧乃平(1998).血液透析病患生活品質及其相關因素探討.護理研究,6(5),393-404。 陳夢蛟(2000).糖尿病患神經病變危險因子的相關研究.台北醫學大學藥學研究所 碩士論文,未發表,台北。 陳盈昌、何清幼(2003).糖尿病神經病變.基層醫學,18(3),58-65。 彭聖曾(2002).糖尿病患者的多發性神經病變.台灣腎臟護理學會雜誌,1(1),11-17。 張曉婷、杜明勳(2005).糖尿病神經病變—診斷及處置.基層醫學,20(4),84-88。 鄭文儀、莊立民(1999).糖尿病神經病變.當代醫學,26(9),749-750。 譚柱光、黃東坡(2002).尿毒症.譚柱光編著,人工腎臟第三版(P.5-9).台北:力大。 Aminoff, M. J. (2001). Neurology and general medicine. (3rd ed.). New York : Churchill-Livingstone. Apostolou, T., & Gokal, R. (1999). Neuropathy and quality of life in diabetic continuous ambulatory peritoneal dialysis patients. Peritoneal Dialysis International, 19(Suppl 2), S242. Avram, M. M., Feinfeld, D. A., & Huatuco, A. H. (1978). Search for the uremic toxin. Decreased motor-nerve conduction velocity and elevated parathyroid hormone in uremia (Vol. 298, pp. 1000-1003). Babb, A. L., Ahmad, S., Bergstrom, J., & Scribner, B. H. (1981). The middle molecule hypothesis in perspective. Am J Kidney Dis, 1(1), 46-50. Bazzi, C., Pagani, C., Sorgato, G., Albonico, G., Fellin, G., & D'Amico, G. (1991). Uremic polyneuropathy: a clinical and electrophysiological study in 135 short-and long-term hemodialyzed patients. Clin Nephrol, 35(4), 176-181. Benbow, S. J., Wallymahmed, M. E., & MacFarlane, I. A. (1998). Diabetic peripheral neuropathy and quality of life. QJM, 91(11), 733-737. Bostock, Walters, R. J. L., Andersen, K. V., Murray, N. M. F., Taube, D., & Kiernan, M. C. (2004). Has potassium been prematurely discarded as a contributing factor to the development of uraemic neuropathy? Nephrology Dialysis Transplantation, 19(5), 1054-1057. Bostock, H., Walters, R. J. L., Andersen, K. V., Murray, N. M. F., Taube, D., & Kiernan, M. C. (2004). Has potassium been prematurely discarded as a contributing factor to the development of uraemic neuropathy? Nephrol. Dial. Transplant., 19(5), 1054-1057. Brouns, R., & De Deyn, P. P. (2004). Neurological complications in renal failure: a review. Clinical Neurology And Neurosurgery, 107(1), 1-16. Cohen, S. D., Patel, S. S., Khetpal, P., Peterson, R. A., & Kimmel, P. L. (2007). Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease. Clinical Journal of the American Society of Nephrology, 2(5), 919. Craner, M. J., Hains, B. C., Lo, A. C., Black, J. A., & Waxman, S. G. (2004). Co-localization of sodium channel Nav1.6 and the sodium-calcium exchanger at sites of axonal injury in the spinal cord in EAE. Brain, 127(2), 294-303. Dyck, P. J. (1988). Detection, characterization, and staging of polyneuropathy: assessed in diabetics. Muscle & Nerve, 11(1), 21-32. Dyck, P. J., Sherman, W. R., Hallcher, L. M., Service, F. J., O'Brien, P. C., Grina, L. A., et al. (1980). Human diabetic endoneurial sorbitol, fructose, and myo-inositol related to sural nerve morphometry. Annals Of Neurology, 8(6), 590-596. Feldman, E. L. (1994). A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care, 17(11), 1281-1289. Feldman, E. L., Stevens, M. J., Thomas, P. K., Brown, M. B., Canal, N., & Greene, D. A. (1994). A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care, 17(11), 1281. Galassi, G., Ferrari, S., Cobelli, M., & Rizzuto, N. (1998). Neuromuscular complications of kidney diseases. Nephrology, Dialysis, Transplantation: Official Publication Of The European Dialysis And Transplant Association - European Renal Association, 13 Suppl 7, 41-47. Galer, B. S. (1997). Development and preliminary validation of a pain measure specific to neuropathic pain: the Neuropathic Pain Scale. Neurology, 48(2), 332-338. Galer, B. S., Gianas, A., & Jensen, M. P. (2000). Painful diabetic polyneuropathy: epidemiology, pain description, and quality of life. Diabetes Research & Clinical Practice, 47(2), 123-128. Galvez, R., Marsal, C., Vidal, J., Ruiz, M., & Rejas, J. (2007). Cross-sectional evaluation of patient functioning and health-related quality of life in patients with neuropathic pain under standard care conditions. European journal of pain (London, England), 11(3), 244-255. Gustorff, B. (2007). Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey. Acta Anaesthesiologica Scandinavica. Han, S. Y., Yoon, J. W., Jo, S. K., Shin, J. H., Shin, C., Lee, J. B., et al. (2002). Insomnia in Diabetic Hemodialysis Patients Prevalence and Risk Factors by a Multicenter Study. Logo, 92(1), 127-132. Hassan, K., Simri, W., Rubenchik, I., Manelis, J., Gross, B., Shasha, S. M., et al. (2003). Effect of erythropoietin therapy on polyneuropathy in predialytic patients. Journal Of Nephrology, 16(1), 121-125. Hauner, H., Schubert, J., & Pfeiffer, E. F. (1990). Prevalence of secondary complications in patients with type I diabetes mellitus. Results of a retrospective analysis of 549 type I diabetic patients of the Ulm University clinic. Med Klin (Munich), 85(12), 690-695. Hays, R. D., Martin, S. A., Sesti, A. M., & Spritzer, K. L. (2005). Psychometric properties of the Medical Outcomes Study Sleep measure. Sleep Medicine, 6(1), 41-44. Hays, R. D., & Stewart, A. L. (1993). Sleep measures. Measuring Functioning and Well-Being. AL Steward, JE Warc (ed.). Duke University Press; Durham North Carolina. Hojs-Fabjan, T., & Hojs, R. (2006). Polyneuropathy in hemodialysis patients: The most sensitive electrophysiological parameters and dialysis adequacy. Wiener Klinische Wochenschrift, 118, 29-34. Holley, J. L., Nespor, S., & Rault, R. (1992). A comparison of reported sleep disorders in patients on chronic hemodialysis and continuous peritoneal dialysis. Am J Kidney Dis, 19(2), 156-161. Hupperts, R. M., Leunissen, K. M., van Hooff, J. P., & Lodder, J. (1990). Recovery of uremic neuropathy after renal transplantation. Clin Neurol Neurosurg, 92(1), 87-89. Iliescu, E. A., Coo, H., McMurray, M. H., Meers, C. L., Quinn, M. M., Singer, M. A., et al. (2003). Quality of sleep and health-related quality of life in haemodialysis patients (Vol. 18, pp. 126-132). Jablonski, A. (2007). The multidimensional characteristics of symptoms reported by patients on hemodialysis. Nephrology Nursing Journal, 34(1), 29-37. Janda, K., Stompor, T., Gryz, E., Szczudlik, A., Drozdz, M., Krasniak, A., et al. (2007). Evaluation of polyneuropathy severity in chronic renal failure patients on continuous ambulatory peritoneal dialysis or on maintenance hemodialysis. Przegl Lek, 64(6), 423-430. Kiernan, M. C., Walters, R. J. L., Andersen, K. V., Taube, D., Murray, N. M. F., & Bostock, H. (2002). Nerve excitability changes in chronic renal failure indicate membrane depolarization due to hyperkalaemia. Brain: A Journal Of Neurology, 125(Pt 6), 1366-1378. Kim, K., Uchiyama, M., Okawa, M., Liu, X., & Ogihara, R. (2000). An epidemiological study of insomnia among the Japanese general population. Sleep, 23(1), 41-47. Klassen, A., Di Iorio, B., Guastaferro, P., Bahner, U., Heidland, A., & De Santo, N. (2008). High-tone external muscle stimulation in end-stage renal disease: effects on symptomatic diabetic and uremic peripheral neuropathy. J Ren Nutr, 18(1), 46-51. Krishnan, & Kiernan, M. C. (2007). Uremic neuropathy: clinical features and new pathophysiological insights. Muscle & Nerve, 35(3), 273-290. Krishnan, Phoon, R. K. S., Pussell, B. A., Charlesworth, J. A., & Kiernan, M. C. (2006). Sensory nerve excitability and neuropathy in end stage kidney disease. Journal Of Neurology, Neurosurgery, And Psychiatry, 77(4), 548-551. Krishnan, A. V., Lin, C. S. Y., & Kiernan, M. C. (2004). Nerve excitability properties in lower-limb motor axons: evidence for a length-dependent gradient. Muscle & Nerve, 29(5), 645-655. Krishnan, A. V., Phoon, R. K. S., Pussell, B. A., Charlesworth, J. A., Bostock, H., & Kiernan, M. C. (2005). Altered motor nerve excitability in end-stage kidney disease. Brain: A Journal Of Neurology, 128(Pt 9), 2164-2174. Kuwabara, S., Nakazawa, R., Azuma, N., Suzuki, M., Miyajima, K., Fukutake, T., et al. (1999). Intravenous methylcobalamin treatment for uremic and diabetic neuropathy in chronic hemodialysis patients. Internal Medicine (Tokyo, Japan), 38(6), 472-475. Laaksonen, S., Metsarinne, K., Voipio-Pulkki, L.-M., & Falck, B. (2002). Neurophysiologic parameters and symptoms in chronic renal failure. Muscle & Nerve, 25(6), 884-890. Laaksonen, S., Voipio-Pulkki, L., Erkinjuntti, M., Asola, M., & Falck, B. (2000). Does dialysis therapy improve autonomic and peripheral nervous system abnormalities in chronic uraemia? Journal Of Internal Medicine, 248(1), 21-26. Lindqvist, R., Carlsson, M., & Sjoden, P. (2000). Coping strategies and health-related quality of life among spouses of continuous ambulatory peritoneal dialysis, haemodialysis, and transplant patients. Journal of Advanced Nursing, 31(6), 1398. Locking-Cusolito, H., Harwood, L., Wilson, B., Burgess, K., Elliot, M., Gallo, K., et al. (2005). Prevalence of risk factors predisposing to foot problems in patients on hemodialysis. Nephrol Nurs J, 32(4), 373-384. Marquis, P. (1996). Sleep disturbance. A component of health status. Pharmacoeconomics, 10(1), 25-28. Martin, C. L., Albers, J., Herman, W. H., Cleary, P., Waberski, B., Greene, D. A., et al. (2006). Neuropathy Among the Diabetes Control and Complications Trial Cohort 8 Years After Trial Completion. Diabetes Care, 29(2), 340-344. Merlino, G., Piani, A., Dolso, P., Adorati, M., Cancelli, I., Valente, M., et al. (2006). Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy. Nephrology Dialysis Transplantation, 21(1), 184-190. Michigan Diabetes Research and Training Center(2002) . Michigan Neuropathy Screening Instrument. Retrieved August 18, 2007, from http://www.med. mich.edu/mdrtc/survey/index.html. Moghtaderi, A., Bakhshipour, A., & Rashidi, H. (2006). Validation of Michigan neuropathy screening instrument for diabetic peripheral neuropathy. Clinical Neurology And Neurosurgery, 108(5), 477-481. Mucsi, I., Molnar, M. Z., Rethelyi, J., Vamos, E., Csepanyi, G., Tompa, G., et al. (2004). Sleep disorders and illness intrusiveness in patients on chronic dialysis. Nephrology Dialysis Transplantation, 19(7), 1815-1822. Ogura, T., Makinodan, A., Kubo, T., Hayashida, T., & Hirasawa, Y. (2007). Electrophysiological course of uraemic neuropathy in haemodialysis patients. Postgraduate Medical Journal, 77(909), 451-454. Okada, H., Moriwaki, K., Kanno, Y., Sugahara, S., Nakamoto, H., Yoshizawa, M., et al. (2000). Vitamin B6 supplementation can improve peripheral polyneuropathy in patients with chronic renal failure on high-flux haemodialysis and human recombinant erythropoietin. Nephrology Dialysis Transplantation, 15, 1410-1413. Parker, K. P. (2003). Sleep disturbances in dialysis patients. Sleep Med Rev, 7(2), 131-143. Pugh, J., Medina, R., & Ramirez, M. (1993). Comparison of the course to end-stage renal disease of Type 1 (insulin-dependent) and Type 2 (non-insulin-dependent) diabetic nephropathy. Diabetologia, 36(10), 1094-1098. Rahman, M., Griffin, S. J., Rathmann, W., & Wareham, N. J. (2003). How should peripheral neuropathy be assessed in people with diabetes in primary care? A population-based comparison of four measures. Diabetic Medicine, 20(5), 368-374. Rejas, J., Ribera, M. V., Ruiz, M., & Masrramon, X. (2007). Psychometric properties of the MOS (Medical Outcomes Study) Sleep Scale in patients with neuropathic pain. European Journal Of Pain (London, England), 11(3), 329-340. Rog, D. J., Nurmikko, T. J., Friede, T., & Young, C. A. (2007). Validation and reliability of the Neuropathic Pain Scale (NPS) in multiple sclerosis. The Clinical Journal Of Pain, 23(6), 473-481. Sosa-Guerrero, S., & Gomez, N. J. (1997). CE Credit: Dealing with End-Stage Renal Disease. The American Journal of Nursing, 97(10), 44-51. Stigant, C., Stevens, L., & Levin, A. (2003). Nephrology: 4. Strategies for the care of adults with chronic kidney disease. Canadian Medical Association Journal, 168(12), 1553-1560. Telli, O., & Cavlak, U. (2006). Measuring the pain threshold and tolerance using electrical stimulation in patients with Type II diabetes mellitus. Journal Of Diabetes And Its Complications, 20(5), 308-316. The National Kidney Foundation-Kidney Disease Outcome Quality Initiative(2006). Clinical practice guidelines. Retrieved August 18, 2007, from http: //www. kidney.org/ professionals/KDOQI/guidelines.cfm. Tilki, H. E., Akpolat, T., Coskun, M., & Stalberg, E. (2007). Clinical and electrophysiologic findings in dialysis patients. Journal of Electromyography and Kinesiology( published online Oct). United Sates Renal Data System(2007). AnnualData Report. Retrieved December 31, 2007, from http://www.usrds.org/2007/ pdf/00_intro_07.pdf. Vanholder, R., De Smet, R., Hsu, C., Vogeleere, P., & Ringoir, S. (1994). Uremic toxicity: the middle molecule hypothesis revisited. Semin Nephrol, 14(3), 205-218. Walker, S., Fine, A., & Kryger, M. H. (1995). Sleep complaints are common in a dialysis unit. Am J Kidney Dis, 26(5), 751-756. Weisbord, S. D., Fried, L. F., Arnold, R. M., Fine, M. J., Levenson, D. J., Peterson, R. A., et al. (2005). Prevalence, Severity, and Importance of Physical and Emotional Symptoms in Chronic Hemodialysis Patients. Am Soc Nephrol, 16(8), 2487-2494. Williams, S. W., Tell, G. S., Zheng, B., Shumaker, S., Rocco, M. V., & Sevick, M. A. (2002). Correlates of Sleep Behavior among Hemodialysis Patients. American Journal of Nephrology, 22(1), 18-28. Wu, E. Q., Borton, J., Said, G., Le, T. K., Monz, B., Rosilio, M., et al. (2007). Estimated prevalence of peripheral neuropathy and associated pain in adults with diabetes in France. Current Medical Research And Opinion, 23(9), 2035. Xu, X., Brandenburg, N. A., McDermott, A. M., & Bazil, C. W. (2006). Sleep Disturbances Reported by Refractory Partial-onset Epilepsy Patients Receiving Polytherapy. Epilepsia, 47(7), 1176-1183. Yosipovitch, G., Yarnitsky, D., Mermelstein, V., Sprecher, E., Reiss, J., Witenberg, C., et al. (1995). Paradoxical heat sensation in uremic polyneuropathy. Muscle & Nerve, 18(7), 768-771. Zelman, D. C., Brandenburg, N. A., & Gore, M. (2006). Sleep impairment in patients with painful diabetic peripheral neuropathy. The Clinical Journal Of Pain, 22(8), 681-685. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatr Scand, 67(6), 361-370. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/9478 | - |
dc.description.abstract | 在透析患者的神經病變中,周邊神經病變是常見的其中之一,而其主要是以感覺、運動神經受損的混合症狀表現。本研究目的主要探討透析患者的周邊神經病變的特質及嚴重度及周邊神經病變性疼痛與患者睡眠品質之關係。研究設計採橫斷性、描述相關性研究法,以立意取樣於北部某醫學中心透析患者為研究對象,研究工具採用「密西根神經病變量表」來評估患者周邊神經病變症狀及足部檢測,「神經病變性疼痛量表」測量患者神經性疼痛情形、「醫療成果指標睡眠品質量表」來測量患者睡眠品質、「症狀嚴重度量表」,評估透析患者常見症狀困擾、「醫院焦慮及憂鬱量表」之憂鬱次量表評估患者憂鬱情形、以及「基本資料表」收集個案相關臨床資料,於97年4月至97年10月共收腹膜透析及血液透析患者162位。研究結果顯示有48位 (29.6%) 患者有周邊神經病變,其中以麻麻症狀發生率最高有64.6%,其次是刺痛感覺 (37.5%),有41.7%覺得症狀在夜晚更嚴重。48位中有19位患者 (39.5%) 有神經病變性疼痛情形,以疼痛造成不愉快、尖銳刺痛為最常見的疼痛特質。血液透析患者周邊神經病變嚴重度得分顯著高於腹膜透析患者 (p=.03),特別是透析量 (Kt/V)小於1.2者周邊神經病變較嚴重 (p=.003),而年齡 (p<.001)、鉀離子 (p=.003)與周邊神經病變有顯著相關,特別是年齡大於65歲者 (p<.001)、鉀離子濃度超過4.3 mmole/L (p=.001)者周邊神經病變較嚴重。而患者的周邊神經病變 (p<.01) 及神經病變性疼痛 (p<.05) 與睡眠品質均有顯著正相關,且研究結果顯示有周邊神經病變合併神經病變性疼痛的患者 (11.7%),睡眠品質是最差的。本研究有助於臨床護理人員對於透析患者周邊神經病變症狀有更深入的瞭解,並提供將來臨床照護及研究上的一個參考依據。 | zh_TW |
dc.description.abstract | Among dialysis patients, one of the most common neuropathy is peripheral neuropathy, charactered by symptoms of sensori-motor polyneuropathy. The purposes of this crossectional, correlational study were to identify (1) the symptoms and severity of peripheral neuropathy in dialysis patients, and (2) the correlation between peripheral neuropathy with or without peripheral neuropathic pain versus quality of sleep. Eligible patients (who receive dialysis therapy more than 3 months) were recruited from a medical center in Taipei. Data were collected by Michigan Neuropathy Screening Instrument (MNSI), Neuropathic Pain Scale (NPS), Medical Outcome Study Sleep Scale (MOS-Sleep Scale), Symptom Severity Scale (SSS), and Hospital Depression Subscale (HDS). A total of 162 dialysis patients were studied. The results indicated that 48 patients (30%) with a clinical MNSI score≧2 had peripheral neuropathy. The most common symptom was numbness (64.6%), followed by worse at night (41.7%) and prickling (37.5%). Of 48 patients, 19 had peripheral neuropathic pain, charactered by unpleasant feeling and sharp pain (73.7%). The scores of peripheral neuropathy were more severe in hemodialysis patients than in peritoneal dialysis patients (p=.03), especially under adequacy dialysis (Kt/V<1.2) with hemodialysis. Peripheral neuropathy was associated with age (p<.001), and potassium (p=.003), especially age over 65 or potassium over 4.3 mmole/L. There were also significant relationship between peripheral neuropathy and quality of sleep (p<.01); and between neuropathic pain and quality of sleep (p<.05). Patients (11.7%) with peripheral neuropathy and neuropathic pain experienced the worst quality of sleep. In conclusion, our data provides more information about peripheral neuropathy perceived by dialysis patients for further clinical care and related studies. | en |
dc.description.provenance | Made available in DSpace on 2021-05-20T20:24:31Z (GMT). No. of bitstreams: 1 ntu-97-R95426011-1.pdf: 362527 bytes, checksum: 74139e7c4e0a3f948c152b64ff72b41a (MD5) Previous issue date: 2008 | en |
dc.description.tableofcontents | 致謝 II
中文摘要 III 英文摘要 IV 目錄 V 表目錄 VI 圖目錄 VI 第一章 緒論 1 第一節 研究動機與背景 1 第二節 研究目的 4 第二章 文獻查證 5 第一節 末期腎病變 5 第二節 透析患者周邊神經病變 7 第三節 睡眠品質 11 第三章 研究方法 14 第一節 研究設計 14 第二節 研究假設 15 第三節 研究場所及對象 16 第四節 概念架構 17 第五節 研究工具 18 第六節 資料收集及資料分析 23 第七節 倫理考量 25 第四章 研究結果 26 第一節 透析患者之基本資料分析 26 第二節 透析患者周邊神經病變及神經病變性疼痛特質及嚴重度 29 第三節 透析患者身體症狀、憂鬱及睡眠品質程度 35 第四節 透析患者周邊神經病變與病人特質、疾病狀態、主要臨床檢 驗值之情形 39 第五節 透析患者周邊神經病變及神經病變性疼痛與睡眠品質相關性 43 第五章 討論 48 第一節 透析患者周邊神經病變及神經病變性疼痛之特質及嚴重度 48 第二節 透析患者症狀嚴重度、憂鬱與睡眠品質程度 50 第三節 透析患者周邊神經病變與病人特質及疾病治療狀態之關係 52 第四節 透析患者周邊神經病變、神經病變性疼痛與睡眠品質之關係 54 第六章 結論與建議 56 第一節 結論 56 第二節 研究限制 57 第三節 建議 58 參考資料 60 表目錄 表一 透析患者基本屬性 27 表二 透析患者血液檢驗值 28 表三 患者的周邊神經病變問卷評估得分情形 30 表四 患者的周邊神經病變足部檢測評估得分情形 31 表五 患者周邊神經病變性疼痛得分情形 34 表六 透析患者身體症狀得分情形 37 表七 患者睡眠品質得分情形 38 表八 人口學特性、疾病特性、主要檢驗值在周邊神經病變得分差異 40 表九 年齡、透析量、鉀離子與周邊神經病變之相關性 41 表十 患者周邊神經病變與睡眠品質相關性 45 表十一 患者神經病變性疼痛與睡眠品質相關性 46 表十二 周邊神經病變與神經病變性疼痛分組得分差異情形 47 圖目錄 圖一 研究架構 17 圖二 足部檢測得分分布情形 32 圖三 不同透析方式的透析量與周邊神經病變得分差異情形 42 | |
dc.language.iso | zh-TW | |
dc.title | 透析患者周邊神經病變與睡眠品質相關性探討 | zh_TW |
dc.title | Peripheral Neuropathy and Quality of Sleep in Patients Receiving Dialysis | en |
dc.type | Thesis | |
dc.date.schoolyear | 97-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 洪冠予(Kuan-Yu Hung),謝松蒼(Sung-Tsang Hsieh) | |
dc.subject.keyword | 末期腎病變,透析治療,周邊神經病變,神經病變性疼痛,睡眠品質, | zh_TW |
dc.subject.keyword | ESRD,dialysis,peripheral neuropathy,neuropathic pain,quality of sleep, | en |
dc.relation.page | 67 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2008-12-11 | |
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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