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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 戴玉慈 | |
| dc.contributor.author | Lu-Shih Huang | en |
| dc.contributor.author | 黃如詩 | zh_TW |
| dc.date.accessioned | 2021-06-16T17:28:18Z | - |
| dc.date.available | 2012-09-18 | |
| dc.date.copyright | 2012-09-18 | |
| dc.date.issued | 2012 | |
| dc.date.submitted | 2012-08-15 | |
| dc.identifier.citation | 參考文獻
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/64058 | - |
| dc.description.abstract | 背景：中風在2010年為國人死因的第三位，也是造成失能的主因，衛生署在2002年開始核准靜脈血栓溶解劑rt-PA治療，若缺血性中風病人在症狀發生4.5小時內接受上述治療，對於其中風後失能情形有顯著的改善，但目前國內使用率低，主要原因為病人對於中風症狀與因應方面的知識不足，造成延遲就醫，而無法接受rt-PA治療。病人在初次中風後，再中風發生率仍高，故了解中風病人與家屬對於中風症狀的認知與預期因應行為是重要的，並可做為臨床中風病人與家屬衛教的參考
研究目的：本研究目的為探討人口學變項、中風病史、中風嚴重度、中風易感性、中風相關學習經驗與中風症狀的認知與預期因應行為之間的關係；並調查城鄉地區中風病人與家屬病人立即就醫狀況、中風症狀的認知與預期因應行為之現況。 研究方法：本研究為橫斷性研究，採立意取樣，以自填式問卷，在臺北某醫學中心及其斗六與虎尾分院的神經內科與外科病房，收集20歲(含)的中風病人與家屬。 結果：資料符合收案條件的個案共120位：其中病人有69人(57.5%)，家屬有51人(42.5%)；居住城市者有80人(66.67%)，鄉村者有40人(33.33%)。將本研究重要發現歸納如下： 1.病人立即就醫狀況方面： 在三小時內求醫中風病人比率為40.58%，大於三小時為21.74%，不知道者佔 37.68%；居住城市的中風病人，在三小時內求醫中風比率為50%，大於三小時為26.09%，不知道者佔23.91%；居住鄉村的中風病人，在三小時內求醫中風比率為21.74%，大於三小時為13.04%，不知道者佔65.22%。 2.中風症狀認知方面： 所有個案的中風症狀認知平均正確率為64.08%；病人的中風症狀認知平均正確率為64.08%，家屬的中風症狀認知平均正確率64.08%；居住城市者的中風症狀認知平均正確率為68.28%，居住鄉村者的的中風症狀認知平均正確率為56.07%。 3.中風症狀預期因應行為方面： 所有個案的中風症狀預期因應行為平均正確率為56.37%；病人的中風症狀預期因應行為平均正確率為60.09%，家屬的中風症狀預期因應行為平均正確率51.33%；居住城市者的中風症狀預期因應行為平均正確率為59.06%，居住鄉村者的的中風症狀預期因應行為平均正確率為50.98%。 4.針對21題中風症狀的預期因應行為方面： 所有個案在65.16%中風症狀情境下，選擇至急診或打119，而中風病人為70.39%，家屬為58.08%，居住城市者為68.69%，居住鄉村者為58.1%。 5.影響中風症狀認知的因素： 以t檢定與單因子變異數分析得知，居住城市、教育程度大專以上 ，中風症狀認知較高，檢定值分別為2.88與5.18，而p值分別為0.006與0.007。 6.影響中風症狀預期因應行為的因素： 以皮爾森相關係數值為0.393，在統計上呈現顯著，p值小於0.01，若中風症 狀認知越高者，其因應行為越正確。另外，中風病人與其配對家屬的中風症狀預期因應行為也存在正相關，相關係數為0.638，p值小於0.01，亦即中風病人因應行為正確率越高者，其配對家屬也越高。 透過本研究結果，可幫助護理人員了解目前中風病人與家屬對中風症狀與預期因應行為的現況，以作為臨床中風相關衛教的參考。此外，在做衛教前評估病人狀況時，可根據影響中風症狀認知與預期因應行為因素，提供具個別性的衛教，以發揮護理獨特的功能，以增進中風病人與家屬對中風症狀與適切因應行為的認知。 | zh_TW |
| dc.description.provenance | Made available in DSpace on 2021-06-16T17:28:18Z (GMT). No. of bitstreams: 1 ntu-101-R99426023-1.pdf: 1552802 bytes, checksum: fd7b802b6a0a6c7ceb74c89b48507e32 (MD5) Previous issue date: 2012 | en |
| dc.description.tableofcontents | 目錄
致謝 I 摘要 II ABSTRACT IV 圖目錄 IX 表目錄 IX 第一章 緒論 1 第一節 研究動機及重要性 1 第二節 研究目的 3 第二章 文獻查證 4 第一節 中風 4 第二節 中風的症狀與治療 8 第三節 中風防治 16 第四節 再中風 20 第五節 中風症狀的認知與因應行為 21 第三章 研究方法 25 第一節 研究設計與架構 25 第二節 名詞解釋 26 第三節 研究假設 27 第四節 樣本數估計 28 第五節 研究場所與對象 29 第六節 研究工具 30 第七節 研究工具信度與效度檢定 33 第八節 資料收集 35 第九節 資料分析 36 第十節 倫理考量 39 第四章 研究結果 40 第一節 人口學與臨床特徵 40 第二節 城市與鄉村中風個案的求醫治療狀況、中風易感性認知與相關學習經驗 43 第三節 中風病人與家屬對中風症狀認知與預期因應行為之現況 45 第四節 影響中風症狀認知與預期因應行為的雙變項分析 51 第五章 討論 69 第一節 中風立即求醫與中風症狀認知現況 69 第二節 中風症狀預期因應行為現況 72 第三節 城市與鄉村個案中風症狀認知與預期因應行為之差異 75 第四節 影響中風症狀認知現況的相關因素 76 第五節 影響中風症狀預期因應行為的相關因素 78 第六章 結論與建議 80 第一節 結論 80 第二節 護理上的應用 82 第三節 研究限制與建議 84 參考文獻 86 中文參考文獻： 86 英文參考文獻： 87 附錄 92 附錄一 專家效度名單 92 附錄二 問卷專家效度檢定結果 93 附錄三 量表使用同意書信 95 附錄四 中風症狀的認知與預期因應行為問卷 96 附錄五 STAT原始版本與反翻譯對照版 100 | |
| dc.language.iso | zh-TW | |
| dc.subject | 中風症狀預期因應行為 | zh_TW |
| dc.subject | 中風病人 | zh_TW |
| dc.subject | 中風症狀認知 | zh_TW |
| dc.subject | 家屬 | zh_TW |
| dc.subject | stroke patietns | en |
| dc.subject | carers | en |
| dc.subject | knowledge of stroke signs | en |
| dc.subject | symptoms and action | en |
| dc.title | 城鄉地區中風病人與家屬對中風症狀的認知與預期因應行為 | zh_TW |
| dc.title | A Survey of Urban and Rural Difference in Stroke Patients’and their Carers’ Knowledge of Stroke Signs, Symptoms and Action. | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 100-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 羅美芳,鄭建興 | |
| dc.subject.keyword | 中風病人,家屬,中風症狀認知,中風症狀預期因應行為, | zh_TW |
| dc.subject.keyword | stroke patietns,carers,knowledge of stroke signs,symptoms and action, | en |
| dc.relation.page | 103 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2012-08-16 | |
| 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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| ntu-101-1.pdf 未授權公開取用 | 1.52 MB | Adobe PDF |
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