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題名:癌症病人眼角膜捐贈之知識、態度及意願探討
書刊名:安寧療護
作者:周佩君徐婉惠陳瓊芳金素英張鳳珍溫如玉
作者(外文):Chou, Pei-chunHsu, Wan-huiChen, Chiung-fangChin, Su-yingChang, Feng-chenWen, Ju-yun
出版日期:2012
卷期:17:1
頁次:頁36-47
主題關鍵詞:眼角膜捐贈癌症病人器官捐贈Corneal donationCancerOrgan donation
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 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:1
  • 共同引用共同引用:13
  • 點閱點閱:148
研究目的:醫療技術的進步,使得器官移植不只是一個夢想,但國人傳統的思想與移植器官來源不足是目前主要問題。本研究將探討癌症病人對於捐贈眼角膜的態度及意願,瞭解病人本身之想法與認知及對角膜捐贈之影響,以提供醫護人員臨床器官勸募的指引。材料與方法:採用橫斷式研究設計,於99年10-12月於某區域教學醫院癌症病房及門診,採方便取樣發出150份問卷,回收率93.3%,將眼角膜捐贈意願與影響因素進行積差相關分析,探討癌症病人眼角膜捐贈知識、態度與捐贈意願間的關係。結果:發現眼角膜捐贈之知識平均得分為5.58分;在自身捐贈意願方面,52.6%研究對象表示願意捐贈眼角膜;而影響因素進行積差相關分析發現器捐知識與器捐意願無顯著相關(t=0.006),但器捐經驗(t=0.365,p<0.01)與器捐意願有顯著相關,甚至年齡與器捐意願有顯著負相關(t=-.181,p<0.05)。結論:癌症病人捐贈眼角膜對於病人本身生命意義的價值與對家人的影響是一個複雜的議題,研究結果發現病人過去的器捐經驗比器捐相關知識更影響器捐意願,雖然國內的器官捐贈仍然有很長的一段路要走,但可以作為癌症病人末期照護的重要考量。
Purpose: The progress of medical technology made the organ transfer operation not just a dream. In addition of traditional thoughts to obstruct organ donation, shortage of organ source is the main difficulty. It is difficult but not impossible to encourage cancer patients for corneal donation in Taiwan. The purposes of this study were: (1).To understand the knowledge, attitude and willingness of corneal donation among cancer patients; (2).To explore the influent factors of willingness of cancer patients. Material and Method: This was a cross-sectional study using a structured questionnaire, to collect data on cancer patient's knowledge, attitude and willingness of corneal donation. The questionnaire was successfully administrated to 140 cancer patients. Results: On average, 5.58 out of 8 knowledge questions were answered correctly. The result revealed positive attitudes about corneal donation. On the personal willingness for corneal donation, 52.6% cancer patients had agreed to corneal donation. However, we found that there was no significant relationship between knowledge and willingness of corneal donation. The experience with corneal donation was significantly different. In addition, age and willingness of corneal donation had negative correlation. Conclusion: Corneal donation from cancer patients is a complex decision, not only for donors but also for their family members. We discussed about knowledge, attitude and willingness of corneal donation. Besides we also thought over whether advocating corneal donation in the hospice setting is appropriate. However, there is a long way to go in Taiwan.
Other
1.財團法人器官捐贈移植登錄中心(2012)。屍體器官捐贈統計。  延伸查詢new window
2.Hassan SS, Wilhelmus KR, Dahl P, Davis GC, Roberts RT, Ross KW(2008)。Infectious disease risk factors of corneal graft donors。  new window
3.Sque M, Payne S(1996)。Dissonant loss: the experiences of donor relatives。  new window
4.張麟、黃勝堅、蕭勝煌(2010)。腦死病人生命末期照護。  延伸查詢new window
5.柯莉珊、樓文菁、莊雯如、張瑞燕(2011)。神經加護病房護理人員對腦死知識、器官捐贈的態度、行爲意向及其相關因素之探討。  延伸查詢new window
6.韋至信、陳筠方、馮介凡、林素珍(2008)。癌末病人捐贈眼角膜。  延伸查詢new window
7.張嘉蘋、葉莉莉、溫敏杰(2002)。急重症護理人員對器官捐贈的態度與知識及其相關因素之探討。  延伸查詢new window
8.陳瑞娥、謝春滿(2008)。大學護生對器官捐贈的知識、態度及意願之探討。  延伸查詢new window
期刊論文
1.盧建中、陳琬青、林益卿、蔡佩渝(20080800)。末期癌症患者與角膜捐贈--一個案報告。安寧療護,13(3),349-356。new window  延伸查詢new window
2.杜素珍、史麗珠、廖美南、黃慈心、陳麗娟(20010100)。器官移植教育對護理人員器官捐贈觀念之影響。臺灣醫學,5(1),1-2。  延伸查詢new window
3.柯文哲(2000)。器官捐贈。臺灣醫學,4(3),275-281。  延伸查詢new window
4.黃姝文、陸洛(20051200)。遺愛人間:器官捐贈家屬之決策歷程。應用心理研究,28,163-196。new window  延伸查詢new window
5.張雅音、林惠娟、謝佳恩、林麗絲、劉貴嬌、陳堯俐(20100800)。器官捐贈勸募成功經驗之探討。中華民國重症醫學雜誌,11(2),98-105。  延伸查詢new window
6.Salame, N.、Viel, J. F.、Arveux, P.、Delbosc, B.(2001)。Cancer transmission through corneal transplantation。Cornea,20,680-682。  new window
7.Carey, I.、Forbes, K.(2003)。The experiences of donor families in the hospice。Palliat Med,17,241-247。  new window
8.López-Navidad, A.、Soler, N.、Caballero, F.、Lerma, E.、Gris, Ó.(2007)。Corneal transplantations from donors with cancer。Transplantation,83(10),1345-1350。  new window
9.Pearson, I. Y.、Bazeley, P.、Spencer-Plane, T.、Chapman, J. R.、Robertson, P.(1995)。A survey of families of brain dead patients: Their experiences, attitudes to organ donation and transplantation。Anaesthesia and Intensive Care,23,88-95。  new window
10.Niday, P.、Painter C.、Peak, J.(2007)。Family and staff responses to a scripted introduction to tissue donation for hospice inpatients on admission。Prog Transplant,17,289-294。  new window
11.杜素珍、史麗珠、廖美南(20021000)。北部某醫學中心護理人員對器官捐贈意願、態度、知識之調查。秀傳醫學雜誌,3(4),115-125。  延伸查詢new window
12.史麗珠、曾明月、陳瓊瑤、周淑娟、徐麗娟、曹傳怡(19981200)。器官捐贈量表信效度之建立。長庚護理,9(4),11-19。new window  延伸查詢new window
13.謝佳恩、陳堯俐、林惠娟、張雅音、謝清水(20100100)。器官捐贈勸募之探討。臺灣醫學,14(1),26-31。  延伸查詢new window
 
 
 
 
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