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  1. NTU Theses and Dissertations Repository
  2. 醫學院
  3. 護理學系所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25048
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor賴裕和教授(Yeur-Hur Lai, Ph.D.)
dc.contributor.authorChin-Mei Liuen
dc.contributor.author劉瀞鎂zh_TW
dc.date.accessioned2021-06-08T06:01:02Z-
dc.date.copyright2007-08-08
dc.date.issued2007
dc.date.submitted2007-07-28
dc.identifier.citation參考資料
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孟家如、郭素娥(1999)・照顧一位孤寂感之愛滋病個案的護理經驗・護理雜46(4),94-101。
林玲華、 陳景彥、 劉嘉逸、 陳美伶(2002)・癌症住院病患憂鬱狀態的盛行率及預測因素・臺灣醫學6(4),535-545。
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25048-
dc.description.abstract研究目的:台灣近年來愛滋病毒感染者通報人數節節上升,本研究目的在探討愛滋病毒感染者疼痛症狀、憂鬱和睡眠品質的現況,以及三者相關性。
研究設計:本研究為橫斷性相關性研究,以北部某醫學中心愛滋病毒感染者為抽樣對象,採立意取樣,於民國96年3月1日至5月30日,共收得114位。
研究工具:使用「簡易疼痛中文量表」、「醫院焦慮憂鬱量表」、「匹茲堡睡眠品質量表」以及「基本資料表」。
研究結果:本研究結果顯示,愛滋病毒感染者有疼痛症狀占56.1%,住院病患比門診病患多,有疼痛者平均疼痛程度為輕微,最痛疼痛程度為中度。常見的疼痛部位為頭部、腹部、下肢。憂鬱平均得分雖屬正常範圍,卻有四分之一的確定個案(臨床憂鬱診斷標準,得分≧11分),無工作者其憂鬱程度高於有工作者。睡眠品質差(>5分)高達68.4%,疼痛組的睡眠品質顯著低於無痛組,分別顯著影響個人主觀睡眠滿意度、睡眠潛伏期、睡眠效率、睡眠困擾以及日間功能運作。進一步的相關分析,顯示疼痛最痛程度、疼痛干擾程度、疼痛部位總數、疼痛平均程度和較差睡眠品質呈正相關。疼痛最痛程度、疼痛部位總數、疼痛平均程度和憂鬱呈正相關。憂鬱情形和差的睡眠品質亦呈正相關
結果:結果發現愛滋病毒感染者不僅有疼痛、憂鬱和睡眠障礙問題,疼痛嚴重程度會影響愛滋病毒感染者憂鬱症狀和睡眠品質。建議臨床醫護人員加強評估及處置疼痛症狀,以降低愛滋病毒感染者的憂鬱和睡眠障礙問題,提高生活品質。
zh_TW
dc.description.abstractObjective: The purpose of this study was to investigate pain, depression and sleep quality and their correlation among HIV infection patients in Taiwan.
Design/Setting/Patients:By means of cross-sectional study and purposive sampling, participants were 114 HIV infected patients recruit from clinic and hospital ward at National Taiwan University Hospital. Brief Pain Inventory, Hospital Anxiety, and Depression Scale and Pittsburgh Sleep Quality Index were used.
Result:Totally 114 patients were enrolled.More than half(56.1%)HIV infected patients in our research report pain symptom, inpatients significant higher than outpatients(χ2=9.14, P=0.02). The most common 3 pain site were head、abdomen and lower limb. The average pain was mild, the average worst of pain was moderate. Although the average of HADS were shown in the normal range, but one in four patients were identified correct depression case(≧11), those patients who without work significant higher than with. More than two in third(68.4%)of HIV infection patients were shown had poor sleep quality(≧5), the pain group compare to non-pain group was significant had poor sleep quality. The worst pain、the average pain、the pain interfere、total pain sites were showed positive correlation with the poorer sleep quality and depression, however depression had positive correlation with the poorer sleep quality in the same.
Conclsion:The result of our research showed pain, depression and sleep disturbance is prevalent among HIV infection patients in Taiwan, and pain may contribute significantly to depression and sleep disturbance. The data suggest that the need for pain relief in HIV infection patients in Taiwan, to promote Quality of Life in HIV infection patients, nurses need provide nursing intervention about pain management.
en
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Previous issue date: 2007
en
dc.description.tableofcontents中文摘要………………………………………………………………Ⅴ
英文摘要………………………………………………………………Ⅶ
第一章 緒論
第一節 研究動機與背景…………………………………………….1
第二章 文獻查證
第一節 疼痛概念…………………………………………………….5
第二節 憂鬱…………………………………………………………11
第三節 睡眠品質……………………………………………………16
第三章 研究方法
第一節 研究設計……………………………………………………22
第二節 概念架構……………………………………………………23
第三節 名詞界定……………………………………………………24
第四節 研究目的、假設……………………………………………25
第五節 研究對象及場所……………………………………………26
第六節 倫理的考量………………………………………………… 27
第七節 研究工具及其信度、效度………………………………… 28
第八節 資料處理與分析方法……………………………………… 32
第四章 研究結果
第一節 愛滋病毒感染者的個人特質、疾病特質………………… 34
第二節 愛滋病毒感染者的疼痛特質……………………………... 35
第三節 愛滋病毒感染者的憂鬱情況……………………………….37
第四節 愛滋病毒感染者的睡眠品質情況………………………… 38
第五節 疼痛和非疼痛愛滋病毒感染者於憂鬱、睡眠品
質的差異………………………………………………….…39
第六節 愛滋病毒感染者的疼痛特質和憂鬱、睡眠品質
的相關性…………………………………………………..40
第五章 討論
第一節 愛滋病毒感染者的疼痛特質………………………………43
第二節 愛滋病毒感染者的憂鬱情況………………………………48
第三節 愛滋病毒感染者的睡眠品質情況…………………………50
第四節 愛滋病毒感染者的疼痛特質和憂鬱、睡眠
品質的相關性……………………………………………..52
第六章 結論與建議
第一節 結論…………………………………………………………56
第二節 護理上的應用與建議………………………………………57
第三節 研究限制………………………………………………… ..59
參考文獻
中文部份…………………………………………………………61
英文部份…………………………………………………………64
圖表目錄
表4-1 愛滋病毒感染者的個人特質……………………………83
表4-2 愛滋病毒感染者的疾病特質……………………………85
表4-3 愛滋病毒感染者的疼痛特質…………………………….86
表4-4 愛滋病毒感染者的疼痛部位…………………………….87
表4-5 愛滋病毒感染者的疼痛干擾情形……………………….88
表4-6 有疼痛和非疼痛愛滋病毒感染者於人口特質
的差異…………………………………………………….89
表4-7 有疼痛和非疼痛愛滋病毒感染者於疾痛特質
的差異…………………………………………………….90
表4-8 愛滋病毒感染者的憂鬱得分情形………………………91
表4-9 愛滋病毒感染者的睡眠品質得分情形…………………92
表4-10 有疼痛和非疼痛愛滋病毒感染者的睡眠品質
詳細情形………………………………………………….93
表4-11 有疼痛和非疼痛愛滋病毒感染者的憂鬱狀態的得分
分布情形………………………………………………….95
表4-12 愛滋病毒感染者疼痛最痛程度、憂鬱、平均
疼痛干擾程度、疼痛平均程度和
睡眠品質的相關性………………………………………96
附錄目錄
附錄一 基本資料表問卷………………………………………97
附錄二 簡易疼痛中文量表……………………………………98
附錄三 醫院焦慮及憂鬱量表…………………………………100
附錄四 匹茲堡睡眠品質量表…………………………………102
附錄五 研究同意書……………………………………………104
dc.language.isozh-TW
dc.subject憂鬱zh_TW
dc.subject睡眠品質zh_TW
dc.subject愛滋病毒感染者zh_TW
dc.subject疼痛zh_TW
dc.subjectHIV Infected Patientsen
dc.subjectSleep Qualityen
dc.subjectDepressionen
dc.subjectPainen
dc.title愛滋病毒感染者疼痛症狀、憂鬱及睡眠品質
的現況與相關性探討
zh_TW
dc.titlePain, Depression and Sleep Quality in HIV Infected Patientsen
dc.typeThesis
dc.date.schoolyear95-2
dc.description.degree碩士
dc.contributor.oralexamcommittee盛望徽助理教授,孫秀卿助理教授
dc.subject.keyword愛滋病毒感染者,疼痛,憂鬱,睡眠品質,zh_TW
dc.subject.keywordHIV Infected Patients,Pain,Depression,Sleep Quality,en
dc.relation.page104
dc.rights.note未授權
dc.date.accepted2007-07-30
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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