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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 賴裕和(Yeur-Hur Lai) | |
| dc.contributor.author | Yi-Hsuan Ho | en |
| dc.contributor.author | 何怡萱 | zh_TW |
| dc.date.accessioned | 2021-06-15T04:22:35Z | - |
| dc.date.available | 2010-06-19 | |
| dc.date.copyright | 2010-03-12 | |
| dc.date.issued | 2009 | |
| dc.date.submitted | 2009-10-08 | |
| dc.identifier.citation | 江季蓁、駱麗華（2002）•新診斷白血病兒童住院期間主要照顧者之生活品質•護理雜誌，49（2），42-50。
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/45481 | - |
| dc.description.abstract | 疲倦是癌症病患常見的症狀困擾，也是影響病患生活品質最嚴重的困擾因素。本研究採橫斷式研究法，以描述性統計、獨立t-檢定、單因子變異數分析與皮爾森積差相關（Pearson’s correlation）等分析方法，探討台北某醫學中心血液腫瘤科門診之成年白血病病患之疲倦程度及其疾病不確定感、睡眠干擾問題之相關性。共收集80位成年白血病病患，以量表訪談來評估病患之疲倦嚴重程度、疾病不確定感現況及睡眠干擾情形。
本研究之研究目的在探討（1）成年白血病病患疲倦的嚴重程度及對其生活的干擾；（2）成年白血病病患之疾病不確定感現況及睡眠狀況；（3）成年白血病病患之人口學特性、治療與疾病相關特質等與疲倦嚴重程度之相關性；（4）成年白血病病患的疲倦程度、疾病不確定感、睡眠干擾間之關係。結果發現：（1）白血病病患之疲倦程度屬於中度疲倦。發生之型態大多沒有固定的時間，對個人生活影響之程度，以對一般活動影響程度最高（3.6分）；（2）白血病病患整體之疾病不確定感亦屬中等程度之不確定感，睡眠干擾則以「我的頭腦仍持續反覆想著一些事情」（2.9分）為最高分；（3）與成年白血病病患疲倦程度有關的變項分別是：病患日常體能狀態、疾病是否達到緩解、疾病不確定感、睡眠干擾情形。研究結果發現病患之睡眠干擾、疾病不確定感及疲倦程度之間會有相互之影響。建議在疾病初期即開始評估病患之需求，提供病患支持與減低其內心之衝擊，減少其疾病不確定感並改善睡眠品質，降低病患疲倦程度，提供更好之護理照護品質。 | zh_TW |
| dc.description.abstract | The purpose of this study was to explore the fatigue experiences and its association with uncertainty and sleep disturbance. A cross-sectional study design was applied to recruit adult leukemia patients from hematology outpatient clinics in a medical center in Taipei. Instruments used for data collection were Fatigue Symptom Inventory (FSI), Mishel’s Uncertainty in Illness Scale-Community (MUI-community), and Sleep Disturbance Questionnaire (SDQ). Descriptive statistics, Pearson’s correlation, t-test and ANOVA were applied to analyze the data. A total of 80 subjects were recruited. The results indicated: (1) these patients perceived mild to moderate level of fatigue and fatigue interference; the highest interference from fatigue was on “general activities”; (2) Patients perceived moderate level of illness related uncertainty; and (3) Patients had higher fatigue level was found to have lower performance status, disease status, higher uncertainty and more sleep disturbance. In conclusion, our results suggested that fatigue is a problem in leukemia patients, including those with or without remission. Clinicians need to assess patients’ fatigue problem and its related factors to enhance their life quality. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T04:22:35Z (GMT). No. of bitstreams: 1 ntu-98-R96426013-1.pdf: 416923 bytes, checksum: 5094381c529fcb443bda5e3dc802ee20 (MD5) Previous issue date: 2009 | en |
| dc.description.tableofcontents | 目 錄
口試委員審定書 致 謝 ii 中 文 摘 要 iii 英 文 摘 要 iv 目 錄 v 第一章 緒論 1 第一節 前言 1 第二節 研究目的 3 第二章 文獻查證 4 第一節 白血病之疾病簡介與治療 4 第二節 癌症相關疲倦 6 第三節 白血病病患疲倦之相關因素 9 第三章 研究方法 12 第一節 研究設計 12 第二節 研究場所與研究對象 12 第三節 研究架構與研究假設 13 第四節 名詞定義 15 第五節 研究工具 16 第六節 研究步驟 18 第七節 資料資處理與分析方法 19 第八節 研究倫理考量 21 第四章 結果分析 22 第一節 病患之基本資料與疾病特徵分析 23 第二節 病患之疲倦狀況 26 第三節 病患之疾病不確定感與睡眠品質狀況 28 第四節 病患人口學及疾病各項因子與疲倦的相關 31 第五節 病患之疾病不確定感、睡眠干擾情形及疲倦之相關分析 35 第五章 討論 37 第一節 病患之疲倦現況 37 第二節 病患之疾病不確定感與睡眠干擾情形 39 第六章 結論與建議 41 參考文獻 42 圖目錄 圖一 研究架構 13 圖二 病患疲倦程度與白血球數值之相關分佈情形 33 圖三 病患疲倦程度與紅血球數值之相關分佈情形 34 表目錄 表一 推論統計方法 20 表二 病患人口學特質 24 表三 病患疾病特徵 24 表四 個案之疲倦情形 27 表五 個案之疾病不確定感 29 表六 個案之睡眠干擾 30 表七 個案人口學及疾病各項因子與疲倦之差異分析 32 表八 各因子間之相關分析 36 | |
| dc.language.iso | zh-TW | |
| dc.subject | 疾病不確定感 | zh_TW |
| dc.subject | 睡眠干擾 | zh_TW |
| dc.subject | 成年白血病 | zh_TW |
| dc.subject | 癌症相關疲倦 | zh_TW |
| dc.subject | Uncertainty | en |
| dc.subject | Sleep Disturbance | en |
| dc.subject | Leukemia | en |
| dc.subject | Fatigue | en |
| dc.title | 成年白血病門診病患之疲倦問題與相關因素探討 | zh_TW |
| dc.title | Fatigue and Its Correlated Factors in Adult Leukemia Patients in Out-Patient Clinics | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 98-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 趙祖怡(Tsu-Yi Chao),孫秀卿(Shiow-Ching Shun) | |
| dc.subject.keyword | 成年白血病,癌症相關疲倦,疾病不確定感,睡眠干擾, | zh_TW |
| dc.subject.keyword | Leukemia,Fatigue,Uncertainty,Sleep Disturbance, | en |
| dc.relation.page | 48 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2009-10-09 | |
| 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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