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題名:長期洗腎病患的主觀生活品質--質性研究觀點
書刊名:護理雜誌
作者:柯豐誠李碧娥施惠慈
作者(外文):Ko, Feng-chengLee, Bih-oShih, Hui-tzu
出版日期:2007
卷期:54:1
頁次:頁53-61
主題關鍵詞:血液透析生活品質質性研究HemodialysisQuality of lifeQualitative research
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:24
  • 點閱點閱:120
本研究旨在探討長期洗腎病患生活品質之主觀經驗,以質性研究法,深度訪談方式收集資料,在南部某地區醫院洗腎中心以立意取樣收案,利用錄音訪談14位長期洗腎病患。以內容分析法進行資料分析,最後歸納出病患的生活品質主觀經驗由五個主要主題與十個次主題所構成。主題與次主題分別為:(1) 身體功能-身體症狀干擾生活、體質虛弱有氣無力;(2) 心理功能-情緒起落意志消沉、自我形象殘缺不全;(3) 社會功能-病患角色依賴家人、生活社交囿困受限;(4) 職業經濟狀態-難尋工作影響經濟、健保給付得以生存;(5) 整體生活品質感受-幸福輪廓尚缺圓滿、安於現況珍惜僅有。本研究可提供醫護人員選擇介入措施時之參考,社會工作者建立血液透析工作實務之依據,及提供政府制訂健康保險及社會福利政策時的參考。
The purpose of this qualitative study was to explore the subjective "quality of life" experience of patients undergoing long-term maintenance hemodialysis treatment at a southern Taiwan hospital. A purposive sample of fourteen patients was selected to participate in in-depth audio-taped interviews. Data were analyzed using the content analysis method. Findings delineated five quality of life themes and ten sub-themes for hemodialysis patients. These included: (1) Physical functions (normal life disrupted by physical symptoms, lack of vigor); (2) Psychological functions (emotional instability, impaired sense of self); (3) Social functions (dependence upon family, restricted lifestyle and social life); (4) Economic status (fewer work opportunities, financial needs covered by the National Health Insurance); and (5) Overall quality of life (perceived poor quality of life, reluctant acceptance of situation). Study findings may help health professionals implement appropriate interventions as well as provide a working outline for social workers. In addition, findings may be referenced in the revision and further development of national health insurance policies.
期刊論文
1.Sensky, T.(1993)。Psychosomatic aspects of end-stage renal failure。Psychother Psychosom,59(2),56-68。  new window
2.張慈惠、黃秀梨(20000100)。生活品質評量之臨床應用。臺灣醫學,4(1),86-90。  延伸查詢new window
3.黃綺薇、吳彥英(19950700)。一位長期血液透析患者的壓力知覺之初探。腎臟與透析,7(3),228-239。  延伸查詢new window
4.Lawrence, G.(1993)。Aristotle and the ideal life。Philosophical Review,102(1),31-34。  new window
5.Martins, M. R. I.、Cesarino, C. B.(2005)。Quality of life in chronic kidney failure patients receiving hemodialysis treatment。Revista Latino-Americana de Enfermagem,13(5),670-676。  new window
6.Walters, B. A. J.、Hays, R. D.、Spritzer, K. L.、Fridman, M.、Carter, W. B.(2002)。Health-related quality of life, depressive symptoms, anemia, and malnutrition at hemodialysis initiation。American Journal of Kidney Diseases,40(6),1185-1194。  new window
7.Tyrrell, J.、Paurel, L.、Cadec, B.、Capezzali, E.、Poussin, G.(2005)。Older patients undergoing dialysis treatment: cognitive functioning, depressive mood and health-related quality of life。Aging & Mental Health,9(4),374-379。  new window
8.鈕淑芬(20041100)。透析病患之生活品質及其相關因素探討。臺灣腎臟護理學會雜誌,3(2),88-101。  延伸查詢new window
9.黃蒂(19990600)。腎移植者生活品質之研究。中華醫務社會工作學刊,7(6),105-125。  延伸查詢new window
10.Kimmel, P. L.、Emont, S. L.、Newmann, J. M.、Danko, H.、Moss, A. H.(2003)。ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity。Am J Kidney Dis,42,713-721。  new window
11.Zhan, L.(1992)。Quality of life: Conceptual and measurement issues。Journal of Advanced Nursing,17(7),795-800。  new window
12.Oleson, M.(1990)。Subjectively Perceived Quality of Life。Image: The Journal of Nursing Scholarship,22(3),187-190。  new window
13.Caress, A. L.、Luker, K. A.、Owens, R. G.(2001)。A descriptive study of meaning of illness in chronic renal disease。Journal of Advanced Nursing,33(6),716-727。  new window
14.陸玓玲(19981200)。臺灣地區生活品質研究概況。中華公共衛生雜誌,17(6),442-457。new window  延伸查詢new window
15.Ferrans, C. E.、Powers, M. J.(1992)。Psychometric Assessment of the Quality of Life Index。Research in Nursing & Health,15(1),29-38。  new window
16.陳美玲、顧乃平(19981000)。血液透析病患生活品質及其相關因素之探討。護理研究,6(5),393-404。new window  延伸查詢new window
17.Meeberg, G. A.(1993)。Quality of life: A concept analysis。Journal of Advanced Nursing,18(1),32-38。  new window
18.姚開屏(20020300)。健康相關生活品質概念與測量原理之簡介。臺灣醫學,6(2),183-192。  延伸查詢new window
19.Ferrans, C. E.、Powers, M. J.(1985)。Quality of life index: Development and psychometric properties。Advances in Nursing Science,8(1),15-24。  new window
20.Ferrans, C. E.(1996)。Development of a conceptual model of quality of life。Scholarly Inquiry for Nursing Practice,10(3),293-304。  new window
學位論文
1.林智廣(1994)。長期血液透析病患生活品質的評估(碩士論文)。中山醫學院。  延伸查詢new window
2.Hay, C. G.(2005)。Predictors of quality of life of elderly end-stage renal disease patients: An application of Roy's model(博士論文)。Georgia State University。  new window
3.張軒研(1997)。血液透析病患生活品質及其影響因素之探討(碩士論文)。國立陽明大學。  延伸查詢new window
4.謝紅桂(2001)。血液透析病人生活品質及其相關因素探討(碩士論文)。國立成功大學。  延伸查詢new window
圖書
1.McCloskey, J. C.、Bulechek, G. M.(2004)。Nursing intervention classification。St. Louis, MO:Mosby。  new window
2.Spilker, B.(1996)。Quality of life and pharmacoeconmics in clinical trials。Lippincott-Raven。  new window
3.潘淑滿(2003)。質性研究:理論與應用。臺北市:心理出版社股份有限公司。  延伸查詢new window
4.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
其他
1.中華民國腎臟基金會(2005)。九十四年度台灣地區透析總人數統計圖,http://www.kidney.org.tw/a94.gif, 2006/03/01。  延伸查詢new window
 
 
 
 
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