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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 黃璉華 | |
| dc.contributor.author | Pin-hsuan Lin | en |
| dc.contributor.author | 林品瑄 | zh_TW |
| dc.date.accessioned | 2021-06-13T03:40:57Z | - |
| dc.date.available | 2007-08-02 | |
| dc.date.copyright | 2006-08-02 | |
| dc.date.issued | 2006 | |
| dc.date.submitted | 2006-07-26 | |
| dc.identifier.citation | 中文文獻:
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/32289 | - |
| dc.description.abstract | 本研究目的為瞭解接受肝臟移植病患身心社會調適的現況，並探討病患基本屬性、疾病特性、社會支持、自我照顧與身心社會調適之相關性。採橫斷性描述相關性研究，於2006年2月15日至2006年5月30日，對象為北部某醫學中心器官移植門診，以立意取樣方式收集73位符合選樣條件之個案，經個案同意以結構式問卷訪談收集資料。結構式問卷包括：「病患基本屬性」、「疾病特性」、「生理困擾調適量表」、「心理社會調適量表」、「社會支持量表」、「自我照顧行為量表」。將所收集的資料以SPSS / Window12.0進行描述性和推論性的統計分析。研究結果顯示生理困擾調適為中上程度，心理社會調適平均值為31.3分，各層次調適以非同住家人關係調適最佳，依序為健康照護調適、家庭生活環境調適、心理困擾調適、社會環境調適、性生活調適、工作環境調適。肝臟移植病患之生理困擾調適與移植前有無慢性疾病、社會支持程度、自覺經濟狀況有顯著意義，且移植前有無慢性疾病為主要影響因素，可解釋變異量為34%；而心理社會調適與移植後工作狀況、社會支持程度、自覺經濟狀況有顯著意義，且移植後工作狀況為主要影響因素，可解釋變異量為54%。本研究結果可提供為臨床照護及出院規劃未來介入措施之參考及進一步研究之基礎。 | zh_TW |
| dc.description.abstract | The purpose of this study is to analyze and investigate the biopsychosocial adjustment of liver transplant recipients, and the correlations between patients’ demographic data, characteristic of the disease, social support, self-care, and biopsychosocial adjustment. Between February 15, 2006 and May 30, 2006, 73 qualified participants were recruited for this cross-sectional and correlational study, from an organ transplant outpatient department at a medical center in northern Taiwan, using purposive sampling. With participant consent, data were collected with structured questionnaires assessing demographic data, characteristic of the disease, physical distress adjustment, psychosocial adjustment to illness scale (PAIS), social support scale, and self-care. Data were analyzed with descriptive and inferential statistics using SPSS/Window12.0. Overall patient physical distress adjustment was above average, and the average PAIS score was 31.3. PAIS subscale wise, patients showed best adjustment in Family Relations, followed by Health Care, Domestic Environment, Psychological Distress, Social Environment, Sexual Relations, and Vocational Environment. There was significant correlation between patients’ physical distress adjustment and the presence of chronic diseases before transplant, social support, and self-perceived economic status, with the presence of chronic diseases before transplant being the main factor, accounting for 34% of the total variance. There was also significant correlation between patient’s psychosocial adjustment and the employment status after transplant, social support, and self-perceived economic status, with the employment status after transplant being the main factor, accounting for 54% of the total variance. The result of this study may help caregivers better understand liver transplant recipients’ biopsychosocial adjustment and its affecting factors, and provide as a reference for future intervention. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T03:40:57Z (GMT). No. of bitstreams: 1 ntu-95-R92426032-1.pdf: 1086442 bytes, checksum: 242d1cfeb72204681fb27175437fc09c (MD5) Previous issue date: 2006 | en |
| dc.description.tableofcontents | 目 錄
誌謝 I 摘要 II 第一章 序論 1 第一節 研究動機與重要性 1 第二節 研究目的 3 第二章 文獻探討 4 第一節 肝臟移植 4 一、肝臟移植起源 4 二、正位肝臟移植 4 三、肝臟移植之適應症 5 四、肝臟移植常見問題 6 第二節 接受肝臟移植居家病患身心社會調適 7 一、調適概念 7 二、肝臟移植病患的身心社會調適 8 第三節 影響肝臟移植病患身心社會調適的相關因素 11 一、基本屬性 11 二、疾病特性 12 三、社會支持 14 四、自我照顧 15 第三章 研究方法 18 第一節 概念架構 18 第二節 名詞定義 19 第三節 研究設計 21 第四節 研究對象與場所 21 第五節 研究工具 23 第六節 資料收集 28 第七節 資料分析 29 第四章 研究結果 30 第一節 肝臟移植術後患者之基本屬性與疾病特性資料分佈 30 一、病患基本屬性 30 二、疾病特性 34 第二節 肝臟移植患者之生理困擾調適、心理社會調適情形 38 一、生理困擾調適 38 二、心理社會調適 41 第三節 肝臟移植患者之社會支持、自我照顧行為情形 50 一、社會支持 50 二、自我照顧行為情形 53 第四節 基本屬性、疾病特性與身心社會調適、社會支持、自我照顧行為之相關性 55 一、基本屬性、疾病特性與生理困擾調適之相關性 55 二、基本屬性、疾病特性與心理社會調適之相關性 59 三、基本屬性、疾病特性與社會支持之相關性 68 四、基本屬性、疾病特性與自我照顧行為之相關性 74 第五節 社會支持、自我照顧行為與生理困擾調適、心理社會調適之相關 76 一、整體社會支持、自我照顧行為與整體生理困擾各層面相關性 76 二、整體社會支持、自我照顧行為與整體心理社會調適相關性 77 三、情緒支持與心理社會調適各層面相關性 77 四、訊息支持與心理社會調適各層面相關性 78 五、評價支持與心理社會調適各層面相關性 78 六、實質支持與心理社會調適各層面相關性 79 七、自我照顧行為與心理社會調適各層面相關性 79 第六節 生理困擾與心理社會調適之相關 81 一、整體生理困擾與整體心理社會調適之相關性 81 二、症狀困擾頻率與心理社會調適各層面之相關性 81 三、症狀嚴重程度與心理社會調適各層面之相關性 82 四、症狀困擾調適與心理社會調適各層面之相關性 82 第七節 影響生理困擾與心理社會調適之因素 84 一、影響整體生理困擾調適之因素 84 二、影響整體心理社會調適之因素 85 第五章 討論 91 第一節 肝臟移植病患基本屬性與疾病特性 91 一、基本屬性 91 二、疾病特性 92 第二節 肝臟移植病患身心社會調適狀況 93 一、生理困擾調適狀況 93 二、心理社會調適 93 第三節肝臟移植術後社會支持及自我照護行為 102 一、社會支持 102 二、自我照故顧行為 103 第四節 肝臟移植術後基本屬性、疾病特性與身、心社會調適之相關 105 一、基本屬性與生理困擾、心理社會調適之相關 105 二、疾病特性與生理困擾、心理社會調適之相關 110 第五節 肝臟移植術後社會支持、自我照護行為與身、心社會調適之相關 114 一、社會支持 114 二、自我照護行為 115 第六節 肝臟移植術後身、心社會調適之相關 116 第七節 肝臟移植術後身、心社會調適影響因素 118 第六章 結論與建議 119 第一節 結論 119 第二節 建議 122 第三節 研究限制與未來研究建議 126 一、研究限制 126 二、未來研究建議 127 參考文獻 128 附錄一：參與研究者同意書 139 附錄二：個人基本屬性資料表 140 附錄三：生理困擾調適量表 141 附錄四：心理社會調適量表 142 附錄五：社會支持量表 143 附錄六：自我照顧行為 144 附錄七：研究倫理委員會通過公文 145 附錄八：心理社會調適量表使用授權同意書 146 附錄九：社會支持量表授權同意書 147 附錄十：問卷內容效度專家名單 148 圖表目錄 圖一 研究架構 18 表3-1 問卷信效度 27 表4-1 肝臟移植病患之基本屬性 32 表4-1 肝臟移植病患之基本屬性（續） 33 表4-2 肝臟移植病患之疾病特性 36 表4-2 肝臟移植病患之疾病特性（續） 37 表4-3 肝臟移植病患之生理困擾調適得分情形 38 表4-4 肝臟移植患者生理困擾調適 40 表4-5 肝臟移植患者之心理社會調適 41 表4-6 肝臟移植病患之心理社會調適T值分佈情形 42 表4-7 肝臟移植病患心理社會調適量表單題得分與排序 48 表4-7 肝臟移植病患心理社會調適量表單題得分與排序(續) 49 表4-8 肝臟移植病患社會支持得分情形 50 表4-9 研究對象不同支持者的支持程度得分 51 表4-10 肝臟移植病患社會支持量表單題得分與排序 52 表4-11肝臟移植病患自我照顧行為執行程度 53 表4-12 肝臟移植病患自我照顧行為量表單題得分與排序 54 表4-13 肝臟移植病患基本屬性與生理困擾調適之關係 57 表4-14 肝臟疾病患者疾病特性與生理困擾調適之關係 58 表4-15 肝臟移植病患基本屬性與心理社會調適之關係 64 表4-15 肝臟移植病患基本屬性與心理社會調適之關係(續) 65 表4-16 肝臟移植病患疾病特性與心理社會調適之關係 66 表4-16 肝臟移植病患疾病特性與心理社會調適之關係(續) 67 表4-17 肝臟移植病患基本屬性與社會支持之關係 71 表4-18 肝臟移植病患疾病特性與社會支持之關係 72 表4-18 肝臟移植病患疾病特性與社會支持之關係(續) 73 表4-19 肝臟移植病患基本屬性與自我照顧行為總分之關係 74 表4-20 肝臟移植病患疾病特性與自我照顧行為總分之關係 75 表4-21 生理困擾與社會支持、自我照顧行為的相關分析 76 表4-22 社會支持、自我照顧行為與心理社會調適之相關分析 80 表4-23 生理困擾與心理社會調適之相關分析 83 表4-24 影響整體生理困擾調適因素之多元迴歸分析 84 表4-25 影響心理社會調適因素之多元迴歸分析 89 表4-25 影響心理社會調適因素之多元迴歸分析(續) 90 | |
| dc.language.iso | zh-TW | |
| dc.subject | 自我照護 | zh_TW |
| dc.subject | 社會支持 | zh_TW |
| dc.subject | 身心社會調適 | zh_TW |
| dc.subject | 肝臟移植 | zh_TW |
| dc.subject | self-care | en |
| dc.subject | social support | en |
| dc.subject | biopsychosocial adjustment | en |
| dc.subject | liver transplant | en |
| dc.title | 接受肝臟移植病患身心社會調適及其相關因素之研究 | zh_TW |
| dc.title | The Biopsychosocial Adjustment of Liver Transplant Recipients and Its Correlated Factors | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 94-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 賴裕和,李伯皇 | |
| dc.subject.keyword | 肝臟移植,身心社會調適,社會支持,自我照護, | zh_TW |
| dc.subject.keyword | liver transplant,biopsychosocial adjustment,social support,self-care, | en |
| dc.relation.page | 148 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2006-07-26 | |
| 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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