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來源文獻資料
摘要
外文摘要
引文資料
題名:
癌症病患住院期間之需求及其相關因素探討
書刊名:
長庚護理
作者:
蔡麗芬
/
郭美玲
/
陳淑卿
/
張碧容
作者(外文):
Tsai, Le-fen
/
Kuo, Mei-ling
/
Chen, Shu-ching
/
Chang, Pei-rong
出版日期:
2002
卷期:
13:2=38
頁次:
頁116-125
主題關鍵詞:
癌症病患
;
需求
;
住院期間
;
Cancer patients
;
Needs
;
Hospitalization
;
Structured interviews
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
3
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
3
共同引用:
45
點閱:16
癌症不僅威脅生命,更嚴重影響到病患日常生活品質。本研究目的為:(1)探討癌症病患於住院期間之需求程度;(2)探討癌症病患人口學特性、疾病特徵與需求之相關性;(3)探討癌症病患自我照顧能力與需求之相關性。研究採橫斷式相關設計,以方便取樣,針對南部某醫學中心內科及腫瘤科病房之住院癌症病患,以基本資料表、癌症病患需求評估量表、身體功能狀態量表,進行結構式問卷訪談,共收得84位個案。研究結果顯示:(1)病患有中等程度的需求,其中又以心理調適較高;(2)不同日常生活照顧能力之病患其需求有顯著差異,依序為可完全自我照顧之病患、少部分須他人協助、完全需他人協助、大部分須他人協助;(3)住院天數與需求呈負相關(p< .001),放射治療次數與需求呈負相關(p< .05),化學治療次數與放射治療次數與住院次數呈正相關(p< .001;p< .05),住院次數與發病期間呈正相關(p< .001)。本研究結果建議臨床護理人員於臨床照護可以藉由病患每日的護理活動時透過溝通技巧的運用,給予會談及心理諮商,加強因應問題的能力,使癌症病患一旦面臨緊急變化及死亡逼近的恐懼時,能夠以正向的態度面對。
以文找文
Cancer not only threatens life, but also affects patients' daily quality of life. The purpose of this study were to 1) preliminarily examine the needs of cancer patients during hospitalization, 2) examine the relationships among demographic characteristics, illness characteristics, and needs in cancer patients and 3) examine the relationships between self-care ability and needs in these patients. A cross-sectional study was conducted using convenience sampling. Eighty-four subjects were recruited from medical and oncology inpatient departments in a medical center of Southern Taiwan. Structured interviews were conducted to collect data. The “Patient Needs Assessment Tool” and the “Eastern Cooperative Oncology Group” instruments were used. Demographic data was also collected. There were three major findings. First, the patients had a moderate degree of needs, especially psychological adjustment was the most frequently perceived need during hospitalization. Second, differences in needs were significantly related to patients' self-care ability. As anticipated, patients who needed total care perceived higher needs than those who did not need total care. Finally, inpatient days negatively correlated with need (p< .001); radiotherapy frequency negatively correlated with inpatient frequency (p < .05); radiotherapy and chemotherapy frequency positively correlated with needs (p< .001; p< .05); and inpatient frequency positively correlated with time of illness (p< .001). Results suggest that nurses in clinical settings need to use effective communication skills in daily nursing activities, interviews, and psychological assessments in order to ascertain cancer patients' needs and perceptions. Such skills enhance patients' coping ability, help them manage emergency states and fear of feeling near death, and facilitate their development of a positive psychological state.
以文找文
期刊論文
1.
Wyatt, G.、Friedman, L. L.(1996)。Long-term female cancer survivors: Quality of life issues and clinical implications。Cancer Nursing,19(1),1-7。
2.
胡文郁(19981100)。淺談癌末病患之生活品質評估。安寧療護,10,3-10。
延伸查詢
3.
洪福建(19981100)。癌末患者之焦慮、憂鬱評估。安寧療護,10,45-51。
延伸查詢
4.
Cooley, M. E.(1998)。Quality of life in persons with non-small cell lung cancer: A concept analysis。Cancer Nursing,21(3),151-161。
5.
Houts, P. S.、Yasko, J. M.、Harvey, H. A.、Kahn, S. B.、Hartz, A. J.、Hermann, J. F.、Schelzel, G. W.、Bartholomew, M. J.(1988)。Unmet needs of persons with cancer in Pennsylvania during the period of terminal care。Cancer,62(3),627-634。
6.
Grahn, G.、Johnson, J.(1990)。Learning to cope and living with cancer. Learning-needs assessment in cancer patient education。Scandinavian Journal of Caring Sciences,4(4),173-181。
7.
Frost, M. H.、Brueggen, C.、Mangan, M.(1997)。Intervening with the psychosocial needs of patients and families: Perceived importance and skill level。Cancer Nursing,20(5),350-358。
8.
Coyle, N.、Goldstein, M. L.、Passik, S.、Fishman, B.、Portenoy, R.(1996)。Development and validation of a patient needs assessment tool (PNAT) for oncology clinicians。Cancer Nursing,19(2),81-92。
9.
Verger, E.、Salamero, M.、Conill, C.(1992)。Can karnofsky performance status be transformed to the eastern cooperative oncology group scoring scale and vice versa?。European Journal of Cancer,28A(8),1328-1330。
10.
Sorensen, J. B.、Klee, M.、Palshof, T.、Hansen, H. H.(1993)。Performance status assessment in cancer patients. An inter-observer variability study。British Journal of Cancer,67(4),773-775。
11.
Patterson, R.、Movlan, E.、Bannon, S.、Salih, F.(2000)。Needs analysis of a cancer education program in South Western Sydney。Cancer Nursing,23(3),186-192。
12.
Wingate, A. L.、Lackey, N. R.(1989)。A description of the needs of noninstitutionalized cancer patients and their primary caregivers。Cancer Nursing,12(4),216-225。
13.
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。
14.
Blank, J. J.、Clark, L.、Lingman, A. J.、Atwood, J. R.(1989)。Perceived home care needs of cancer patients and their caregivers。Cancer Nursing,12(2),78-84。
15.
楊克平、尹祚芊(19990400)。癌末病患健康相關生活品質內涵之確認。護理研究,7(2),129-144。
延伸查詢
16.
Rustøen, T.(1995)。Hope and quality of life, two central issues for cancer patient: A theoretical analysis。Cancer Nursing,18(5),355-361。
17.
劉長安、蘇婉麗(19980400)。某醫學中心住院患者家屬對醫院的需求及其滿意度之探討。護理雜誌,45(2),47-59。
延伸查詢
18.
饒雅萍(19880100)。加護病房病人家屬需求及其影響因素之探討。護理雜誌,35(1),23-36。
延伸查詢
19.
陳惠美、馬鳳歧、郭英調、石宜銘(19990800)。乳癌術後婦女身心社會調適之探討--以羅氏適應模式為基礎。護理研究,7(4),321-332。
延伸查詢
圖書
1.
行政院衛生署(2000)。中華民國八十六年癌症登記報告。行政院衛生署。
延伸查詢
2.
行政院衛生署(1999)。中華民國八十七年衛生統計。行政院衛生署。
延伸查詢
3.
Rice, V.(1985)。Community nursing practice。Williams & Wikins。
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