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外文摘要
引文資料
題名:
造血幹細胞移植後病人之生活品質及症狀探討
書刊名:
榮總護理
作者:
莊紫雲
/
劉淑珍
/
李宜恬
/
謝麗鳳
作者(外文):
Chuang, Tzu-yun
/
Liou, Shu-chen
/
Lee, I-tien
/
Hsieh, Lie-feng
出版日期:
2015
卷期:
32:2
頁次:
頁208-218
主題關鍵詞:
症狀嚴重度
;
生活品質
;
造血幹細胞移植
;
Symptom severity
;
Quality of life
;
Hematopoietic stem cell transplantation
原始連結:
連回原系統網址
相關次數:
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:
2
共同引用:
37
點閱:4
本研究目的為瞭解接受造血幹細胞移植後病人的症狀、生活品質及相關因素,採橫斷式描述相關性研究,於北部某醫學中心收案,以結構式問卷訪談152位個案,問卷包括基本屬性、疾病特性、症狀嚴重度及生活品質量表(FACTBMT)。結果發現病人症狀發生率前五項為疲倦、口乾、女性月經失調、皮膚脫屑、癢及精神不集中,各佔50.0%以上,症狀嚴重度平均為1.24分(SD±1.28),前三項為女性月經失調、疲倦及性生活改變,同時發現在異體移植、移植1年內、移植後收入減少及病人活動能力差者,其症狀嚴重度較高,達統計上差異。生活品質總分數為111.77分(SD±23.81),移植1年內者的生活品質總分較移植1年以上者生活品質總分為低,具統計差異(t= -2.53, p=.014)。研究發現症狀嚴重度與生活品質呈負相關,達顯著差異(r= -.71, p < .001),表示病人症狀嚴重度程度越高其生活品質越差。研究調查發現移植後病人須承受許多的症狀困擾,且需長期的門診追蹤及醫療照護,未來將研究結果運用於臨床的症狀處理,以提供病人更好的照顧品質及提升滿意度。
以文找文
This study used a descriptive-correlation design in a medical center. A total of 152 patients were enrolled in the survey. A structured questionnaire was used to obtain demographic data as well as information on symptom severity and quality of life (QoL). The results showed that the five most common symptoms were fatigue, dry mouth, menstrual disorders, skin scaling, and itching, and inattentiveness, each of which had an incidence of more than 50%. The average score was 1.24 ±1.28; the three most common symptoms among patients were menstrual disorders, fatigue, and changes in sex life. Furthermore, the results demonstrated that patients with allogeneic transplantation, transplants for less than 1 year, reduced income after transplantation, and reduced performance in physical activities had a significantly higher risk of suffering from more severe symptoms. The overall QoL score based on the FACT-BMT was 111.77±23.81. Notably, the average score of patients who were transplanted within 1 year was significantly lower than that of patients who were not transplanted within 1 year (t=-2.53, p=.014). We showed that the scores of symptom severity and those of QoL were negatively correlated (r=-.71, p < .01). Our study raised awareness of patient suffering after hematopoietic stem cell transplantation and demonstrated these patients' need for care. To address this issue, more studies are required to improve the integration of multidisciplinary professional care.
以文找文
期刊論文
1.
柯博升、姚明、唐季祿、陳耀昌(20070900)。造血幹細胞移植。當代醫學,34(9)=407,685-692。
延伸查詢
2.
Farsi, Zahra、Nayeri, Nahid Dehghan、Negarandeh, Reza(20120600)。The Coping Process in Adults with Acute Leukemia Undergoing Hematopoietic Stem Cell Transplantation。The Journal of Nursing Research,20(2),99-109。
3.
Yan, H.、Sellick, K.(2004)。Symptoms, psychological distress, social support, and quality of life of Chinese patients newly diagnosed with gastrointestinal cancer。Cancer Nursing,27(5),389-399。
4.
賴裕和(19980800)。門診接受化學治療病人之症狀困擾及居家護理需求探討。護理研究,6(4),279-289。
延伸查詢
5.
Andersson, I.、Ahlberg, K.、Stockelberg, D.、Persson, L. O.(2011)。Patients' perception of health-related quality of life during the first year after autologous and allogeneic stem cell transplantation。European Journal of Cancer Care,20(3),368-379。
6.
Bevans, M. F.、Mitchell, S. A.、Marden, S. L.(2006)。The symptom experience in the first 100 days following allogeneic hematopoietic stem cell transplantation (HSCT)。Supportive Care in Cancer,16(11),1243-1254。
7.
Byar, K. L.、Eilers, J.、Nuss, S. L.(2005)。Quality of life 5 or more years post-autologous hematopoietic stem cell transplant。Cancer Nursing,28(2),148-157。
8.
Cohen, M. Z.、Rozmus, C. L.、Mendoza, T. R.、Padhye, N. S.、Neumann, J.、Gning, I.、Cleeland, C. S.(2012)。Symptoms and quality of life in diverse patients undergoing hematopoietic stem cell transplantation。Journal of Pain and Symptom Management,44(2),168-180。
9.
Grulke, N.、Albani, C.、Bailer, H.(2012)。Quality of life in patients before and after haematopoietic stem cell transplantation measured with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire QLQ-C30。Bone Marrow Transplantation,47(4),473-482。
10.
Humphreys, C. T.、Tallman, B.、Altmaier, E. M.、Barnette, V.(2007)。Sexual functioning in patients undergoing bone marrow transplantation: A longitudinal study。Bone Marrow Transplantation,39(8),491-496。
11.
Kisch, A.、Lenhoff, S.、Zdravkovic, S.、Bolmsjö, I.(2012)。Factors associated with changes in quality of life in patients undergoing allogeneic haematopoietic stem cell transplantation。European Journal of Cancer Care,21(6),735-746。
12.
Lau, A. K. L.、Chang, C. H.、Tai, J. W. M.、Eremenco, S.、Liang, R.、Lie, A. K. W.、Lau, C. M.(2002)。Translation and validation of the Functional Assessment of Cancer Therapy-Bone Marrow Transplant(FACT-BMT) Version 4 quality of life instrument into traditional Chinese。Bone Marrow Transplantation,29(1),41-49。
13.
Lee, S. J.、Kim, H. T.、Ho, V. T.、Cutler, C.、Alyea, E. P.、Soiffer, R. J.、Antin, J. H.(2006)。Quality of life associated with acute and chronic graft-versus-host disease。Bone Marrow Transplantation,38(4),305-310。
14.
Niederbacher, S.、Them, C.、Pinna, A.、Vittadello, F.、Mantovan, F.(2012)。Patients' quality of life after allogeneic haematopoietic stem cell transplantation: Mixed-methods study。European Journal of Cancer Care,21(4),548-559。
15.
Pidala, J.、Kurland, B.、Chai, X.、Majhail, N.、Weisdorf, D. J.、Pavletic, S.、Lee, S. J.(2011)。Patient-reported quality of life is associated with severity of chronic graft-versus-host disease as measured by NIH criteria: report on baseline data from the chronic GVHD consortium。Blood,117(17),4651-4657。
16.
Pidala, J.、Anasetti, C.、Jim, H.(2009)。Quality of life after allogeneic hematopoietic cell transplantation。Blood,114(1),7-19。
17.
Schulmeister, L.、Quiett, K.、Mayer, K.(2005)。Quality of life, quality of care, and patient satisfaction: Perceptions of patients undergoing outpatient autologous stem cell transplantation。Oncology Nursing Forum,32(1),57-67。
18.
Syrjala, K. L.、Langer, S. L.、Abrams, J. R.、Storer, B.、Sanders, J. E.、Flowers, M. E.、Martin, P. J.(2004)。Recovery and long-term function after hematopoietic cell transplantation for leukemia or lymphoma。The Journal of the American Medical Association,291(19),2335-2343。
19.
Thygese, K. H.、Schjødt, I.、Jarden, M.(2012)。The impact of hematopoietic stem cell transplantation on sexuality: A systematic review of the literature。Bone Marrow Transplantation,47(5),716-724。
20.
Wiskemann, J.、Huber, G.(2008)。Physical exercise as adjuvant therapy for patients undergoing hematopoietic stem cell transplantation。Bone Marrow Transplantation,41(4),321-329。
21.
陳雅萍、葉淑惠、龔福財、何美瑤(20070600)。子宮頸癌住院病人症狀困擾、憂鬱及生活品質之相關性研究。實證護理,3(2),89-98。
延伸查詢
22.
Miedema, B.、Hamilton, R.、Easley, J.(2007)。From "invincibility" to "normalcy": Coping strategies of young adults during the cancer journey。Palliative & Supportive Care,5(1),41-49。
研究報告
1.
衛生福利部(2014)。102死因統計年報。
延伸查詢
學位論文
1.
楊錚宜(2005)。接受骨髓移植/周邊血液造血幹細胞移植後患者創傷後壓力症的危險因子與生活品質之探討(碩士論文)。國立陽明大學,台北。
延伸查詢
2.
高維菁(2004)。血液腫瘤病患接受造血幹細胞移植之醫療決策經驗及其移植後生活品質之研究(碩士論文)。國立臺灣大學,台北。
延伸查詢
3.
鄒琇珍(2011)。探討血液腫瘤病人接受造血幹細胞移植後生活品質之重要預測因子(碩士論文)。國立臺灣大學,台北。
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其他
1.
FACIT(2014)。FACT questionnaires,http://www.facit.org/FACITOrg/Questionnaires。
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