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題名：心律調節器病患身心社會調適及其相關因素之探討
書刊名：護理雜誌
作者：何秀玉 引用關係／馬鳳歧／郭英調／江志桓
作者(外文)：Ho, Hsiu-yu／Ma, Fung-chi／Kuo, Benjamin Ing-tiau／Kong, Chi-woon
出版日期：2003
卷期：50:6
頁次：頁22-32
主題關鍵詞：心律調節器；身心社會調適；社會支持；Pacemaker；Bio-psychosocial adjustment；Social support
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:13
  • 點閱點閱:67
　　　　　本研究為一橫斷式描述性相關研究，主要目的為心律調節器病患出院返家之身心社會調適及其相關因素之探討，以立意取樣法（purposive sampling）於台北市二所醫學中心心臟科門診針對100位病患，採結構式問卷進行資料的收集。本研究結果顯示：(1)心律調節器病患身心社會調適介於「輕度障礙」至「無障礙」之間，最難調適的生理困擾項目為「用力時呼吸困難」，在心理社會調適中以心理困擾調適最佳，性生活調適最差；(2)心律調節器病患之社會支持與生理困擾調適無顯著相關，但與整體心理社會、健康照顧、家庭生活和非共居家人調適均呈顯著相關；(3)心律調節器病患之生理困擾調適與整體心理社會、健康照顧、家庭生活、社會環境和心理困擾調適均呈顯著相關；(4)心律調節器病患之心理社會調適的重要預測變項為「症狀困擾頻率和程度」及「評價支持」。本研究結果可提供臨床照護心律調節器病患出院衛教計畫和持續性護理之參考。
　　　　　The purpose of this descriptive cross-sectional survey study was to investigate bio-psychosocial adjustment and associated factors in pacemaker patients after their discharge from hospitals. This study consisted of 100 patients with implanted pacemakers who were selected by purposive sampling from outpatient departments of two medical centers in Taipei City. The results were as follows: (1) The degree of bio-psychosocial adjustment in pacemaker patients was mild disturbance to none. Dyspnea on exertion was the most difficult item of physical distress adjustment in the pacemaker patients. Psychological distress adjustment was the easiest aspect of psychosocial adjustment, and adjustment in sexual relationships the most difficult. (2) The relationship between social support and physical distress adjustment in pacemaker patients was not significant. Social support and overall psychosocial adjustment, health care orientation, family life and extended family relationships were significantly correlated. (3) Physical distress adjustment in pacemaker patients and overall psychosocial adjustment, health care orientation, family life, social environment and psychosocial distress were significantly correlated. (4) The important associated factors of psychosocial adjustment were frequency and degree of symptom distress, and appraisal support. The results of this study may provide guidance for designing discharge education plans and continuous nursing interventions in pacemaker patients.
期刊論文
1.陳幸眉、邱艷芬、陳文鍾(20000900)。裝置永久性心律調節器病患之生活品質及其相關因素。臺灣醫學，4(5)，497-508。  延伸查詢new window
2.江志桓(19991200)。認識及照顧使用心律調節器的病人。臨床醫學，44(6)=264，426-428。new window  延伸查詢new window
3.(1999)。Patient information. When you have a permanent pacemaker。RN，62(12)，53。  new window
4.(2000)。Enhancing recovery in coronary heart disease patients (ENRICHD): Study design and methods。American Heart Journal，139(1,Pt.I)，1-9。  new window
5.Aydemir, O.、Ozmen, E.、Kuey, L.、Kultur, S.、Yesil, M.、Postaci, N.、Bayata, S.(1997)。Psychiatric morbidity and depressive symptomatology in patients with permanent pacemaker。Pacing & Clinical Electrophysiology，20(6)，1628-1632。  new window
6.Beery, T.、Baas, L.(1996)。Medical devices and attachment: Holistic healing in the age of invasive technology。Issues in Mental Health Nursing，17(3)，233-243。  new window
7.Catipovic-Veselica, K.、Skrinjaric, S、Mrdenovic, S.、Mujio, N.、Catipovic, B.、Andric, M.、Vizner-Lovric, I.、Lauc, A.(1990)。Emotion profiles and quality-of-life of paced patients。Pacing & Clinical Electrophysiology，13(4)，339-404。  new window
8.Deharo, J-C.、Badier, M.、Thirion, X.、Ritter, P.、Provenier, F.、Graux, P.、Guillot, C.、Mugica, J.、Jordaens, L.、Djiane, P.(1996)。A randomized, single-blind crossover comparison of the effects of chronic DDD and dual sensors VVIR pacing mode on quality-of-life and cardiopulmonary performance in complete heart block。Pacing & Clinical Electrophysiology，19(9)，1320-1326。  new window
9.Derogatis, L. R.(1986)。The psychosocial adjustment to illness scale (PAIS)。Journal of Psychosomatic Research，30(1)，77-91。  new window
10.Gorkin, L.、Schron, E. B.、Brooks, M. M.、Wiklund, I.、Kellen, J.、Verter, J.、Schoenberger, J. A.、Pawitan, Y.、Mossis, M.、Schumaker, S.(1993)。Psychosocial predictors of mortality in the Cardiac Arrhythmia Suppression Trial-1 (CAST-1)。American Journal of Cardiology，71(4)，263-267。  new window
11.Grimm, W.、Langenfeld, H.、Maisch, B.、Kochsiek, K.(1990)。Symptoms, cardiovascular risk profile and spontaneous ECG in paced patients: A five-year follow-up study。Pacing and Clinical Electrophysiology，13(12)，2086-2090。  new window
12.McCauly, K. M.(1995)。Assessing social support in patients with cardiac disease。Journal of Cardiovascular Nursing，10(1)，73-80。  new window
13.McGuire, L. B.、Kaiser, D. L.(1984)。Symptoms and associated illness among patients with ventricular pacemakers: Implications for pacemaker selection。American Heart Journal，108(3, Pt. I)，629-631。  new window
14.Mickley, H.、Pertersen, J.、Nielsen, B. L.(1989)。Subjective consequences of permanent pacemaker therapy in patients under the age of retirement。Pacing & Clinical Electrophysiology，12(3)，401-405。  new window
15.Phibbs, B.、Marriott, H. J. F.(1985)。Complications of permanent transvenous pacing。The New England Journal of Medicine，312(22)，1428-1432。  new window
16.Price, H.、Obel, I. W. P.、Millar, R. N. S.(1980)。Psychosocial aspects of cardiac pacing。South African Medicine Journal，57，580-583。  new window
17.Schuppel, R.、Binner, L.(1997)。Pacemaker therapy: How do patients cope with the icon of modern antibradycard treatment?。International Journal of Artificial Organs，20(1)，7-11。  new window
18.Sgarbossa, E, B.、Pinski, S. L.、Jaeger, F. J.、Trohman, R. G.、Maloney, J. D.(1992)。Incidence and predictors of syncope in paced patients with sick sinus syndrome。Pacing & Clinical Electrophysiology，15(11, Pt. II)，2055-2060。  new window
19.Thomas, S, A.、Friedmann, E.、Wimbush, F.、Schron, E.(1997)。Psychological factors and survival in the cardiac arrhythmia suppression trial (CAST): a reexamination。American Journal of Critical Care，6(2)，116-126。  new window
20.Torres, A.、Wright, B.(1997)。The nuts and bolts of pacemakers: What nurses need to know。Rehabilitation Nursing，22(4)，206-208。  new window
21.Van Orden Wallace, C. J.(2001)。Diagnosing and treating pacemaker syndrome。Critical Care Nurse，21(1)，24-31+35-37。  new window
22.Wingate, S.(1986)。Levels of pacemaker acceptance by patients。Heart & Lung，15(1)，93-100。  new window
23.Yates, B. C.(1995)。The relationships among social support and short-and long-term recovery outcomes in men with coronary heart disease。Research in Nursing & Health，18(3)，193-203。  new window
24.Simon, A. B.、Kleinman, P.、Janz, N.(1980)。Suicide attempt by pacemaker system abuse: A case report with comments on the psychological adaptation of pacemaker patients。Pacing and Clinical Electrophysiology，3(2)，224-228。  new window
25.汪素敏、顧乃平、林幸台、魏崢(19980200)。心臟移植術後病人症狀困擾、社會支持與自我照顧行為相關之探討。護理研究，6(1)，4-18。new window  延伸查詢new window
學位論文
1.黃嗣棻(1991)。急性心肌梗塞患者出院後之心理社會調適及其相關因素的初步探討(碩士論文)。國立台灣大學。  延伸查詢new window
2.梁淑媛(1998)。冠狀動脈繞道手術病患不確定感、社會支持與生活適應之探討(碩士論文)。國立陽明大學護理學院，台北。  延伸查詢new window
3.林素幸(2000)。心臟移植病患術後身心社會調適與社會支持探討(碩士論文)。國立陽明大學，台北。  延伸查詢new window
4.簡翠薇(1998)。腦瘤病患身心社會調適與社會支持之探討(碩士論文)。國立陽明大學，臺北。  延伸查詢new window
圖書論文
1.Barold, S. S.、Zipes, D. P.(1997)。Cardiac pacemakers and antiarrhythmic devices。Heart disease。Philadelphia：W. B. Saunders。  new window
2.Cohen, S.、Syme, S. L.(1985)。Issues in the study and application of social support。Social support and health。Academic Press。  new window
 
 
 
 
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