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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/28991完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 鍾國彪 | |
| dc.contributor.author | Chun-Chia Su | en |
| dc.contributor.author | 蘇俊嘉 | zh_TW |
| dc.date.accessioned | 2021-06-13T00:33:38Z | - |
| dc.date.available | 2008-08-08 | |
| dc.date.copyright | 2007-08-08 | |
| dc.date.issued | 2007 | |
| dc.date.submitted | 2007-07-26 | |
| dc.identifier.citation | 中文文獻
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/28991 | - |
| dc.description.abstract | 研究目的：
了解國內乳癌病患參與治療決策的偏好程度，及病患的實際參與情況，並更進一步探討影響乳癌病患參與治療決策之相關因素。 研究方法： 採用橫斷性調查研究法，以立意取樣的方式選取國內之乳癌病友團體，並以女性乳癌病友為分析單位，以結構式問卷為研究工具。資料收集期間自民國96年5月20日至6月20日，共發出800份問卷。 研究結果與建議： 共回收346份有效問卷(43.25%)。在參與治療決策的偏好中，偏好合作角色者最多，有156位(45.88%)；其次為被動角色，有123位(36.18%)；最少的是主動角色，有61位(17.94%)。在偏好合作角色者中，有118位(76.62%)希望能由自己、家人與醫師共同決定；29位(18.83%)希望是自己與醫師共同決定；7位(4.55%)希望是自己與家人決定。在偏好被動角色者中，希望由家人與醫師來幫忙決定治療方式的人最多，有68位(55.28%)；其次是由醫師決定，有53位(43.09%)；有2位(1.63%)則希望由家人幫忙決定。在實際參與的情況中，79.52%的受訪者表示，醫師有與她們討論各種適合的治療方式。整體而言，有241位(73.03%)受訪者認為自己有選擇治療方式的機會。在實際參與治療決策的程度方面，大部分病患的參與程度皆與自己所希望的相近，所佔的比例在40~60%之間。影響因素方面，在同時考慮疾病相關資訊及人口學特質的情況下，參與治療決策偏好的影響因素包括：教育程度及家族史兩項。實際參與治療決策的影響因素則包括：進行治療醫院之評鑑等級、病理期別、第一次治療至今期間、教育程度、居住狀況及職業。對於後續研究的努力方向，建議：1.同時將病患及醫療服務提供者納入考量2.以病患整體的治療過程為分析單位3.以不同疾病的病患為研究對象，以獲得關於病患參與治療決策偏好及實際情況更全面、完整的了解。 | zh_TW |
| dc.description.abstract | Purposes:
The purposes of this study were to find out Taiwan women’s preferred and perceived participation in breast cancer treatment decision making, and explore their relatred factors. Methods: This is a cross- sectional study. Convenient sampling was applied to select breast cancer support groups in Taiwan. Data were collected from May 20th 2007 to June 20th 2007. A total of 800 questionnaires were distributed. Results and Recommendations: 346 (43.25%) patients were replied : 61(17.94%) preferred active role; 156 (45.88%) preferred collaborative role and 123 (36.18%) preferred passive role. Among those who preferred collaborative role, 76.62% want to make treatment decision with their doctors and families; 18.83% want to make decision with their doctors and only 4.55% want to make treatment decision with their families without doctors. Among those who preferred passive role: more than a half (55.28%) want to delegate the right to their doctors and families and only 1.63% delegate it to their families without doctors. Overall, 79.52% cancer survivors have discussed with their doctors about treatment options, 40 to 60% of women participated as much as they desired. Family history of breast cancer and educational level were factors that related to patients’ preference. Hospital accredited status, cancer staging, duration since first treatment, educational level, living condition and occupation were factors related to actual participation. Recommendations to further research: 1.considering both clinicians’ and patients’ view ; 2.taking patients’ whole course of treatment as unit of analysis; 3.focusing on different cancer, in order to obtain more comprehensive understanding about patient involvement in treatment decision making. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T00:33:38Z (GMT). No. of bitstreams: 1 ntu-96-R94843010-1.pdf: 624451 bytes, checksum: 1d7232481cd535fae62a6bc855847b99 (MD5) Previous issue date: 2007 | en |
| dc.description.tableofcontents | 致謝 I
摘要 II ABSTRACT III 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 4 第二章 文獻探討 5 第一節 病人為中心的概念 5 第二節 乳癌的流行病學、治療方式及預後 8 第三節 病患參與醫療決策 14 第四節 乳癌病患參與決策 25 第三章 研究方法 32 第一節 研究設計與研究架構 32 第二節 研究假說 33 第三節 研究變項與操作型定義 34 第四節 研究工具 37 第五節 研究對象 39 第六節 資料處理與分析方法 39 第四章 研究結果 40 第一節 樣本回收結果 40 第二節 描述性統計分析結果 41 第三節 雙變項統計分析結果 43 第四節 多變項分析 46 第五章 討論 97 第一節 研究資料品質 97 第二節 研究結果討論 98 第三節 假說驗證 101 第四節 研究限制 105 第六章 結論與建議 106 第一節 結論 106 第二節 建議 107 參考文獻 109 中文文獻 109 英文文獻 110 附錄 116 附錄一 PROFESSOR LAM同意授權中文化問卷內容 之E-MAIL紀錄 116 附錄二 PROFESSOR LAM授權之問卷內容 117 附錄三 本研究之結構式問卷 118 附錄四 乳癌病患參與治療決策之偏好與實際參與情況問卷專家效度名單 122 表目錄 表2-1-1 傳統醫療照護模式與現代醫療照護模式之比較 6 表2-3-1 病患參與醫療決策偏好相關文獻 18 表2-3-2 病患實際參與醫療決策相關文獻 22 表2-4-1 乳癌病患參與治療決策之相關文獻 29 表3-3-1 研究變項及其操作型定義 34 表4-1-1 問卷回收分佈 40 表4-4-1 納入變項整理 46 表4-4-2 虛擬變數轉換 47 表4-2-1 受訪者基本資料 51 表4-2-2 受訪者疾病相關資訊 53 表4-2-3 病患參與治療決策偏好之描述性統計結果 54 表4-2-4 病患參與治療決策實際情況之描述性統計結果 56 表4-3-1 疾病相關資訊與病患參與治療決策偏好相關性 59 表4-3-2 基本資料與病患參與治療決策偏好相關性 60 表4-3-3 疾病相關資訊與參與治療決策實際情況相關性(外科手術) 62 表4-3-4 疾病相關資訊與參與治療決策實際情況相關性(化學治療) 63 表4-3-5 疾病相關資訊與參與治療決策實際情況相關性(放射線治療) 64 表4-3-6 疾病相關資訊與參與治療決策實際情況相關性(荷爾蒙治療) 65 表4-3-7 疾病相關資訊與參與治療決策實際情況相關性(中醫) 66 表4-3-8 疾病相關資訊與參與治療決策實際情況相關性(民俗療法) 67 表4-3-9 基本資料與參與治療決策實際情況相關性(外科手術) 68 表4-3-10 基本資料與參與治療決策實際情況相關性(化學治療) 71 表4-3-11 基本資料與參與治療決策實際情況相關性(放射線治療) 74 表4-3-12 基本資料與參與治療決策實際情況相關性(荷爾蒙治療) 77 表4-3-13 基本資料與參與治療決策實際情況相關性(中醫) 80 表4-3-14 基本資料與參與治療決策實際情況相關性(民俗療法) 83 表4-3-15 參與治療決策偏好與參與治療決策實際情況相關性 86 表4-4-3 參與治療決策偏好之多項式邏輯斯迴歸相關因素檢定 88 表4-4-4 實際參與治療決策之多項式邏輯斯迴歸(外科手術) 89 表4-4-5 實際參與治療決策之多項式邏輯斯迴歸(化學治療) 91 表4-4-6 實際參與治療決策之多項式邏輯斯迴歸(放射線治療) 93 表4-4-7 實際參與治療決策之多項式邏輯斯迴歸(荷爾蒙治療) 95 表5-2-1 樣本期別分佈 99 表5-2-2 各國乳癌病患參與治療之偏好所佔百分比 99 圖目錄 圖1-1-1 女性乳癌死亡率及標準化死亡率長期趨勢 3 圖3-1-1 研究架構圖 33 圖3-4-1 偏好角色序位尺度 38 | |
| dc.language.iso | zh-TW | |
| dc.subject | 參與偏好 | zh_TW |
| dc.subject | 乳癌 | zh_TW |
| dc.subject | 病患參與 | zh_TW |
| dc.subject | 治療決策 | zh_TW |
| dc.subject | 癌症 | zh_TW |
| dc.subject | patient participation | en |
| dc.subject | preference of participation | en |
| dc.subject | cancer | en |
| dc.subject | treatment decision making | en |
| dc.subject | breast cancer | en |
| dc.title | 病患參與治療決策之探討--以乳癌婦女為例 | zh_TW |
| dc.title | Patients’ Participation Role in Treatment Decision
For women with breast cancer in Taiwan | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 95-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 丁志音,張金堅 | |
| dc.subject.keyword | 乳癌,病患參與,治療決策,癌症,參與偏好, | zh_TW |
| dc.subject.keyword | breast cancer,patient participation,treatment decision making,cancer,preference of participation, | en |
| dc.relation.page | 122 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2007-07-26 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 醫療機構管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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