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來源文獻資料
摘要
外文摘要
引文資料
題名:
轉移性癌症病患之居家主要照顧者的照顧負荷及其影響因素
書刊名:
長庚護理
作者:
胡綾真
/
陳美伶
/
陳明岐
/
林佳靜
/
林玲華
作者(外文):
Hu, Ling-chen
/
Chen, Mei-ling
/
Chen, Min-chi
/
Lin, Chia-chin
/
Lin, Ling-hua
出版日期:
2001
卷期:
12:4=36
頁次:
頁282-293
主題關鍵詞:
癌症
;
照顧者
;
照顧負荷
;
Cancer
;
Caregiver
;
Caregiving burden
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
5
) 博士論文(
1
) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:
32
點閱:16
本研究旨在探討轉移性癌症病患出院後四週內,其居家主要照顧者之照顧負荷變化情形,以及壓力性照顧負荷之盛行率,同時瞭解影響照顧負荷的重要變項(包括病患、照顧者及居家照顧之特性等因素)。採縱貫式相關設計調查法,在某醫學中心之癌症病房,以立意取樣41位癌症轉移病患之居家主要照顧者為研究對象,分別於病患出院時(T )及出院後第一週(T )、第二週(T )及第四週(T )追蹤調查其研究變項的變化。研究發現,若不考慮其他因素,出院後第四週內(T -T )照顧者之照顧負荷較出院前(T )有顯著下降,而43.9%的照顧者於出院時出現壓力性照顧負荷,而出院後不同時間點出現壓力性照顧負荷之百分比則為24.0%∼30.0%。分析影響照顧負荷的因素則發現病患之疾病症狀嚴重程度、功能狀態、照顧者年齡、照顧者之工作及月收入改變情形、照顧者擔任照顧工作的時間長短及每天照顧病患之時數等與主要照顧者的照顧負荷呈顯著相關。本研究結果提供臨床護理人員在協助癌症病人之家庭照顧者的一個實證基礎。
以文找文
The purposes of this study were to describe how caregiver's burden changed during the first 4 weeks after a loved one with cancer was discharged from the hospital; to evaluate the prevalence of stressful burden in the caregivers; and to examine the important factors influencing caregiver's burden, such as patient, caregiver, and at-home care related characteristics. A longitudinal correlation survey was used to collect data from a convenience sampling of 41 caregivers who cared for cancer patients discharged to home from a medical center in northern Taiwan. Data were collected at the time of the patient's discharge from hospital (T ) and 1, 2, and 4 weeks post-discharge (T -T ). Results showed that the caregiver's burden scores at T were higher than T through T without adjusting other covariates. The prevalence rates for stressful burden were 43.9% at T and 24.0%-30.0% at T -T . The following factors were significantly associated with caregiver's burden: the symptom severity and functional status of the patient; the age, the change of occupation, and the income of caregiver; the length of being a caregiver; and hours of daily care by the caregiver. The findings of this study provide clinical nurses with empirical basis while helping family caregivers of cancer patients.
以文找文
期刊論文
1.
Chan, C. W. H.、Chang, A. M.(1999)。Stress associated with tasks for family caregivers of patients with cancer in Hong Kong。Cancer Nursing,22(4),260-265。
2.
Given, B.、Given, C. W.(1992)。Patient and family caregiver reaction to new and recurrent breast cancer。J Am Med Womens Assoc,47(5),201-206。
3.
Schumacher, K. L.、Dodd, M. J.、Paul, S. M.(1993)。The stress process in family caregivers of persons receiving chemotherapy。Research in Nursing & Health,16(6),395-404。
4.
Kristjanson, L. J.、Ashcroft, T.(1994)。The family's cancer journey: a literature review。Cancer Nursing,17(1),1-17。
5.
Stommel, M.、Given, C. W.、Given, B. G.(1990)。Depression as an overriding variable explaining caregiver burden。Journal of Aging and Health,2(1),81-102。
6.
林梅香、顧乃平、劉仲冬、陳政友、林麗嬋(19960600)。肝癌患者家屬主要照顧者的壓力、因應行為、健康狀況及其相關因素之探討。護理研究,4(2),171-185。
延伸查詢
7.
Conill, C.、Verger, E.、Salamero, M.(1990)。Performance status assessment in cancer patients。Cancer,65(8),1864-1866。
8.
Given, B. A.、Given, C. W.、Stommel, M.(1994)。Family and out-of-pocket costs for women with breast cancer。Cancer Practice,2(3),187-193。
9.
Given, B. A.、King, S. K.、Collins, C.、Given, C. W.(1988)。Family caregivers of the elderly: Involvement and reactions to care。Archives Psychiatric Nursing,2(5),281-288。
10.
Given, C. W.、Stommel, M.、Given, B.、Osuch, J.、Kurtz, M. E.、Kurtz, J. C.(1993)。The influence of cancer patients' symptom and functional states on patients' depression and family caregivers' reaction and depression。Health Psychology,12(4),277-285。
11.
Hart, K.(1986)。Stress encountered by significant others of cancer patients receiving psychotherapy。Omega Journal of Death and Dying,17(2),151-169。
12.
Lalonde, B.、Kasprzyk, D.(1993)。Correlates of caregiver strain in home health care。Home Health care Services Quarterly,14(2/3),97-110。
13.
Lewis, F. M.(1986)。The impact of cancer on the family: A critical analysis of the research literature。Patient Education and Counseling,8(3),269-290。
14.
Mor, V.、Guadagnoli, E.、Wool, M.(1987)。An examination of the concrete service needs of advanced cancer patients。Journal of Psychosocial Oncology,5(1),1-17。
15.
Mor, V.、Laliberte, L.、Morris, J. N.、Wiemann, M.(1984)。The Karnofsky performance status scale: An examination of its reliability and validity in a research setting。Cancer,53(9),2002-2007。
16.
Muurinen, J. M.(1986)。The economics of informal care: Labor market effects in the National Hospice Study。Medical Care,24(11),1007-1017。
17.
Nolan, M. R.、Grant, G.、Ellis, N. C.(1990)。Stress is in the eye of the beholder: Reconcep-tualizing the measurement of carer burden。Journal of Advanced Nursing,15(5),544-555。
18.
Scharlach, A. E.(1987)。Role strain in mother-daughter relationships in later life。Gerontologist,27(5),627-631。
19.
Siegel, K.、Raveis, V. H.、Houts, P.、Mor, V.(1991)。Caregiver burden and unmet patient needs。Cancer Nursing,14(5),1131-1140。
20.
Stetz, K. M.(1987)。Caregiving demands during advanced cancer: The spouse's need。Cancer Nursing,10(5),260-268。
21.
Bull, M. J.、Bowers, J. E.、Kirschling, J. M.、Neufeld, A.(1990)。Factors Influencing Family Caregiver Burden and Health。Western Journal of Nursing Research,12(6),758-776。
22.
Carey, P. J.、Oberst, M. T.、McCubbin, M. A.、Hughes, S. H.(1991)。Appraisal and caregiving burden in family members caring for patients receiving chemotherapy。Oncology Nursing Forum,18(8),1341-1348。
23.
Longman, A. J.、Atwood, J. R.、Sherman, J. B.、Benedict, J.、Shang, T. C.(1992)。Care needs of home-based cancer patients and their caregivers: quantitative findings。Cancer Nursing,15(3),182-190。
24.
Oberst, M. T.、Thomas, S. E.、Gass, K. A.、Ward, S. E.(1989)。Caregiving demands and appraisal of stress among family caregivers。Cancer Nursing,12(4),209-215。
25.
Robinson, B. C.(1983)。Validation of a caregiver strain index。Journal of Gerontology,38(3),344-348。
26.
George, L. K.、Gwyther, L. P.(1986)。Caregiver well-being: a multidimensional examination of family caregivers of demented adults。The Gerontologist,26(3),253-259。
27.
徐亞瑛(19920900)。都市型及鄉村型社區中居家殘病老人照顧者之負荷及相關影響因素。護理雜誌,39(3),99-106。
延伸查詢
28.
Karnofsky, D. A.、Abelmann, W. H.、Craver, L. F.、Burchenal, J. H.(1948)。The use of the nitrogen mustards in the palliative treatment of carcinoma with particular reference to bronchogenic。Cancer,1(4),634-656。
其他
1.
行政院衛生署(1999)。台灣地區主要死亡原因,http://www.doh.gov.tw/net/lane。
延伸查詢
圖書論文
1.
Given, B.、Given, C. W.(1991)。Family caregivers of cancer patients。Current issues in cancer nursing practice。Philadelphia:W. B. Saunders Co。
2.
Vettese, J.(1981)。Family stress and mediation in cancer。Living and dying with cancer。New York:Elsevier。
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