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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 賴裕和(Yeur-Hur Lai) | |
| dc.contributor.author | Shao-Jun Sun | en |
| dc.contributor.author | 孫韶駿 | zh_TW |
| dc.date.accessioned | 2021-05-13T06:39:06Z | - |
| dc.date.available | 2018-02-22 | |
| dc.date.available | 2021-05-13T06:39:06Z | - |
| dc.date.copyright | 2018-02-22 | |
| dc.date.issued | 2017 | |
| dc.date.submitted | 2017-08-16 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/2310 | - |
| dc.description.abstract | 頭頸部癌症為台灣最常見的十大癌症之一，頭頸部癌症之中又以口腔癌及鼻咽癌為最常見，口腔癌2016年在十大癌症之中排名第五位，鼻咽癌則是在2016年排名在全國男性癌症的第十二位。口腔癌以及鼻咽癌的病患，無論是病程進展、手術、放射線、化學治療等，都會影響到口腔的功能，因此，許多病人都會有吞嚥困難以及營養不良的問題。另一方面，患者在接受治療後，身體心像改變與對於疾病、治療的焦慮，在照護上也相當重要。本研究目的為（1）探討口腔癌、鼻咽癌患者主要面臨之進食困難程度；（2）探討口腔癌、鼻咽癌患者之憂鬱及症狀嚴重之程度；（3）探討進食困難、症狀嚴重度、憂鬱及營養狀況之相關性；（4）探討口腔癌、鼻咽癌營養狀況之預測因素。本研究採用採橫斷式研究設計（Cross-sectional design），於病人完成全部療程後三個月以上至五年內在門診進行收案與評估，並以結構式問卷蒐集資料，包含迷你營養評估量表（MNA）、進食困難量表（CSI）、醫院焦慮憂鬱量表（HADS）內之憂鬱子量表，以及症狀嚴重程度量表（SSS），並以描述性統計以及推論性統計進行研究。研究發現影響進食困難的因子，依嚴重程度依序為：口乾、無法把食物咬爛、吃東西沒有味道。營養部份，則發現本研究約有58%以上的病人有營養風險，其中和治療方式、疾病分期有顯著的關係。本研究以迷你營養評估量表與另三種量表做皮爾森相關分析，相關程度由高至低排列依序為咀嚼問題（r=-0.53, p<0.01）、憂鬱（r=-0.53, p<0.01）、身體症狀（r=-0.49, p<0.01）、吞嚥問題（r=-0.31, p<0.01）、感覺問題（r=-0.26, p<0.01）、舌頭攪拌問題（r=-0.23, p<0.01）。另使用線性回歸分析，營養狀況之預測因子分別為咀嚼問題（ΔR=0.285）、身體症狀（ΔR=0.094）、憂鬱風險（ΔR=0.027）、吞嚥問題（ΔR=0.026）。本研究提供患者現況與實證依據，並期望未來能有夠多研究與介入治療投入於患者營養不良之預防。 | zh_TW |
| dc.description.provenance | Made available in DSpace on 2021-05-13T06:39:06Z (GMT). No. of bitstreams: 1 ntu-106-R04426019-1.pdf: 1559706 bytes, checksum: ec3d2712069c2f2ebd9d660beec6c486 (MD5) Previous issue date: 2017 | en |
| dc.description.tableofcontents | 中文摘要......................................................... i
英文摘要......................................................... ii 第一章 緒論...................................................... 1 第一節 研究動機與重要性...................................... 1 第二節 研究目的.............................................. 3 第二章 文獻查證.................................................. 4 第一節 口腔癌、鼻咽癌診斷及其治療............................ 4 第二節 口腔癌、鼻咽癌之進食困難.............................. 10 第三節 口腔癌、鼻咽癌患者營養狀況及其相關因素................ 15 第三章 研究方法.................................................. 21 第一節 研究架構與操作性定義.................................. 21 第二節 研究設計及倫理........................................ 23 第三節 研究工具.............................................. 25 第四節 資料分析.............................................. 27 第四章 研究結果.................................................. 28 第一節 人口學特性............................................ 28 第二節 患者咀嚼、吞嚥相關功能、憂鬱情形以及營養現狀.......... 29 第三節 患者營養狀況及其相關因素.............................. 31 第五章 討論...................................................... 33 第一節 進食困難與營養現況討論................................ 33 第二節 營養狀況相關因素...................................... 36 第六章 結論與建議................................................ 39 第一節 結論.................................................. 39 第二節 研究限制.............................................. 40 第三節 建議.................................................. 41 參考文獻......................................................... 42 表格及附錄....................................................... 57 | |
| dc.language.iso | zh-TW | |
| dc.subject | 憂鬱 | zh_TW |
| dc.subject | 口腔癌 | zh_TW |
| dc.subject | 鼻咽癌 | zh_TW |
| dc.subject | 進食困難 | zh_TW |
| dc.subject | 營養 | zh_TW |
| dc.subject | depression | en |
| dc.subject | Oral cancer | en |
| dc.subject | nasopharyngeal cancer | en |
| dc.subject | dysphagia | en |
| dc.subject | nutrition | en |
| dc.title | 口腔癌與鼻咽癌患者進食困難、憂鬱、營養狀況及其相關性之探討 | zh_TW |
| dc.title | Eating Difficulties, Depression and Nutritional Status in Oral Cavity Cancer and Nasopharyngeal Carcinoma Patients | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 105-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳淑卿(Shu-Qing Chen),陳彥汝(Yan-Ju Chen) | |
| dc.subject.keyword | 口腔癌,鼻咽癌,進食困難,營養,憂鬱, | zh_TW |
| dc.subject.keyword | Oral cancer,nasopharyngeal cancer,dysphagia,nutrition,depression, | en |
| dc.relation.page | 68 | |
| dc.identifier.doi | 10.6342/NTU201703618 | |
| dc.rights.note | 同意授權(全球公開) | |
| dc.date.accepted | 2017-08-17 | |
| 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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