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題名:探討慢性B、C型肝炎患者之護理指導需求
書刊名:長庚護理
作者:張秀如黃瑞芬張淑娟
作者(外文):Chang, Hsiu-juHuang, Jui-fenChang, Shu-chuan
出版日期:2018
卷期:29:1=101
頁次:頁16-25
主題關鍵詞:慢性B型肝炎慢性C型肝炎護理指導需求指導方式Chronic hepatitisThe need for nursing instructionThe model of nursing instruction
原始連結:連回原系統網址new window
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  • 共同引用共同引用:1
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背景:慢性B、C型肝炎患者因病情進展與治療過程,在生理、心理與社會之生活品質皆出現負面衝擊,需要護理人員提供護理指導。瞭解哪些指導內容與方式是個案所需要且期望的,才能提供合宜的護理指導。目的:探討慢性B、C型肝炎患者,其護理指導需求內容與指導方式。方法:橫斷面調查性設計,經研究對象同意,填寫護理指導需求之結構式問卷。結果:B、C型肝炎門診患者共收案101位,研究對象之護理指導需求內容,以「營養及飲食之注意事項」之自我照護需求得分最高,其次為「疾病特性與檢查報告」之需求,最喜歡「現場個別口頭護理指導」的護理指導方式。基本屬性或疾病特性對於各項指導內容,無顯著性的影響,但性別、年齡、學歷、職業、慢性疾病及病毒肝炎種類,對「團體指導」及「資訊方式」的指導方法有差異。結論/實務應用:護理人員應對慢性B、C型肝炎患者,提供以合乎其需求的內容及所期望的個別指導方式來執行護理指導。
Background: Disease progression and treatment usually lead to impaired quality of life in chronic hepatitis B and C patients. Nursing instruction is crucial to improve chronic hepatitis B and C patient's quality of life. Understanding patient's concerns and needs are essential in providing appropriate instructions. Purpose: The objective of this research was to investigate the needs for nursing instruction in chronic hepatitis B and C patients. Methods: We developed structured questionnaires with satisfactory validity and reliability to assess the need for nursing instruction. Results: A total of 101 subjects were recruited. The highest mean score of the need for nursing instruction was for "instruction on nutrition and diet", followed by "disease characteristics and diagnostic tests for chronic hepatitis". The sex, age, education level, job, chronic disease, and viral genotype were significantly associated with "group instruction" and "informational model". Conclusions/Implications for Practice: These findings can serve as a useful reference of needs assessment for nursing personnel in developing individualized nursing instruction to improve quality of care for chronic hepatitis B and C patients.
期刊論文
1.周歆凱、林怡君、蔡明足、翁林仲、楊佩璇(20100100)。探討區域醫院候診病人對數位學習之認知及衛生教育需求。澄清醫護管理雜誌,6(1),12-20。  延伸查詢new window
2.張彩秀、吳美雯、古慧仙(20060700)。醫學中心門診候診病患之衛生教育需求探討。澄清醫護管理雜誌,2(3),31-39。  延伸查詢new window
3.Boyde, M.、Tuckett, A.、Peters, R.、Thompson, D.、Turner, C.、Stewart, S.(2009)。Learning for heart failure patients (the L-HF patient study)。Journal of Clinical Nursing,18(14),2030-2039。  new window
4.張純純、陳光文(2013)。糖尿病門診候診病患之衛生教育需求。中華民國糖尿病衛教學會會訊,9(1),20-23。  延伸查詢new window
5.黃妙珍、夏華、郭鐘隆、張萩琴(20131200)。評估醫學中心冠心病患者衛生教育需求之研究。健康促進與衛生教育學報,40,1-33。new window  延伸查詢new window
6.Arvidsson, S.、Bergman, S.、Arvidsson, B.、Fridlund, B.、Tingström, P.(2013)。Effects of a self-care promoting problem-based learning programme in people with rheumatic diseases: a randomized controlled study。Journal of Advanced Nursing,69(7),1500-1514。  new window
7.Boulhosa, R. S.、Oliveira, L. P. M.、Jesus, R. P.、Cavalcante, L. N.、Lemaire, D. C.、Vinhas, L.、Lyra, L. G.、Lyra, A. C.(2013)。The impact of nutritional supplementation on quality of life in patients infected with hepatitis C virus。Journal of Human Nutrition & Dietetics,26,7-15。  new window
8.Chang, S. C.、Yang, S. S.、Chang, C. C.、Lin, C. C.、Chung, Y. C.、Li, T. C.(2014)。Assessment of health-related quality of life in antiviral-treated Taiwanese chronic hepatitis C patients using SF-36 and CLDQ。Health & Quality of Life Outcomes,12,97。  new window
9.Grogan, A.、Timmins, F.(2010)。Patients' perceptions of information and support received from the nurse specialist during HCV treatment。Journal of Clinical Nursing,19(19/20),2869-2878。  new window
10.Kim, S. S.、Ahn, J. A.、Kang, S. M.、Kim, G.、Lee, S.(2013)。Learning needs of patients with heart failure a descriptive, exploratory study。Journal of Clinical Nursing,22(5/6),661-668。  new window
11.Pai, Y. C.(2010)。The need for nursing instruction in patients receiving steroid pulse therapy for the treatment of autoimmune diseases and the effect ofinstruction on patient knowledge。BMC Musculoskeletal Disorders,11,217-225。  new window
12.Yiu, H. Y. M.、Chien, W. T.、Lui, M. H. L.、Qin, B.(2011)。Information needs of Chinese surgical patients on discharge: a comparison of patients' and nurses' perceptions。Journal of Advanced Nursing,67(5),1041-1052。  new window
13.Yang, J.(2013)。Development and Validation of an Online Program for Promoting Self-Management among Korean Patients with Chronic Hepatitis B。Nursing Research And Practice,2013,702079。  new window
14.RØysland, I. Ø.、Dysvik, E.、Fumes, B.、Friberg, F.(2013)。Exploring the information needs of patients with unexplained chest pain。Patient Preference & Adherence,7,915-923。  new window
研究報告
1.衛生福利部統計處(2017)。104年國人死因統計結果。台北:衛生福利部統計處。  延伸查詢new window
其他
1.肝病防治學術基金會(2017)。日常保肝,http://www.liver.org.tw/index.php?option=com_content&view=article&layout=liverarticle&id=548:2009-10-28-03-14-47&catid=106。  new window
2.高嘉宏,蔡秉傑(2017)。面對副作用談BC肝灸治療,https://www.liver.org.tw/index.php?%20ption=com_content&view=article&layo%20ut=liverarticle&catid=118&id=1451&C0LUMNMODE=2。  new window
3.衛生福利部中央健康保險署(2017)。全民健康保險加強慢性B型及C型肝炎治療計畫,http://www.nhi.gov.tw/webdata/webdata.aspx?menu=20&menu_id=836&WD_ID=836&webdata_id=3264。  延伸查詢new window
4.衛生福利部國民健康署(2012)。B、C型肝炎,http://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1132&pid=2451。  延伸查詢new window
 
 
 
 
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