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題名:中風患者單側忽略的定義特徵之臨床效度測定
書刊名:長庚護理
作者:戴金英 引用關係高紀惠陳獻宗
作者(外文):Tai, C. I.Kao, C. H.Chen, S. T.
出版日期:1996
卷期:7:2=14
頁次:頁1-12
主題關鍵詞:忽略注意中風護理診斷NeglectAttentionStrokeNursing diagnosis
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:0
  • 點閱點閱:16
     本研究為一探索性研究,以42位中風病人為對象,利用自擬的「單側忽略定義特徵評量表」探討病人單側忽略的行為,利用Cronbach's alpha係數、t-test、ANOVA、及因素分析等統計方式,結果顯示12項定義特徵的Cronbach's alpha係數為0.85。病人的基本資料以患側上肢的本體感覺、輕觸覺功能、運動功能、痛覺、中風位置、視覺功能、聽覺功能等七項對單側忽略的定義特徵具有顯著的影響,而前三項的解釋變異量達44.06%,可作為單側忽略的預測因子。經因素分析後,可用「視覺空間忽略性表徵」與「患側身體忽略性表徵」二個次概念涵蓋,其總解釋量為52.0%。再依中數值、矯正單項/總項相關係數、因素固有值、因素係數等四個條件選出5項必要性定義特徵,可做為護理人員正確迅速評估之依據。
     Unilateral Neglect (UN) is a common health problem in brain deficit's patients. The purpose of this study are (1) to establish the defining characteristics (DC) of UN, (2) to establish the reliability and construct validity for the DC of UN, (3) to identify the essential DC of UN, (4) to explore the affected factors of the DC of UN. The investigator directly assessed 42 stroke patients in term of 12 DC in a 5-point rating scale. The data was collected based on observation, interview, physical examination, and chart review. Results of this study showed that 12 DC had a desirable Cronbach's alpha coefficient 0.85 and a significant average inter-item correlation 0.32. Corrected item/total correlations of all items were over 0.30. Based on factor loading ≧ 0.40 two factors were extracted from these DC in terms of orthogonal factor analysis that sharing the total explained variance 52.0%. The two factors were labeled “visual spatial neglect” and “affected body neglect”. Five DC are selected by four criteria which revealed eignvalue ≧ 1.0, significant factor loading ≧ 0.40, corrected item/total correlation ≧ 0.30, and the overall median score of the total scale.
期刊論文
1.Heilman, K. M.、Watson, R. T.(1977)。Mechanisms underlying the unilateral neglect syndrome。Advances in Neurology,18,93-106。  new window
2.Albert, M. L.(1973)。A simple test of visual neglect。Neurology,23,658-664。  new window
3.Booth, K.(1982)。The neglect syndrome。Journal of Neurosurgical Nursing,14(1),38-43。  new window
4.Comrey, Andrew L.(1978)。Common methodological problems in factor analytic studies。Journal of consulting and clinical psychology,46,648-659。  new window
5.Edmans, J. A.、Lincoln, N. B.(1989)。The frequency of perceptual deficits after stroke。British Journal of Occupational Therapy,52(7),266-270。  new window
6.Halligan, P. W.、Marshall, J. C.、Wade, D. T.(1989)。Visuospatial neglect: underlying factors and test sensitivity。The Lancet,4,908-910。  new window
7.Halligan, P. W. T.、Marshall, J. C.、Wade, D. T.(1990)。Do visual field deficits exacerbate visuo-spatial neglect?。Journal of Neurology, Neurosurgery, and Psychiatry,53(6),487-491。  new window
8.Hier, D. B.、Mondlock, J.、Caplan, L. R.(1983)。Behavioral abnormalities after right hemisphere stroke。Neurology,33,337-344。  new window
9.Kinsella, G.、Olver, J.、Ng, K.、Packer, S.、Tark, R.(1993)。Analysis of the syndrome of unilateral neglect。Cortex,29(1),135-140。  new window
10.Rapport, L. J.、Webster, J. S.、Flemming, K.、Lindberg, J. W.、Godlewskiy, M. C.、Brees, J. E.、Abadee, P. S.(1993)。Predictors of falls among right-hemisphere stroke patients in the rehabilitation setting。Arch Phys Med Rehabil,74,621-626。  new window
11.Stone, S. P.、Halligan, P. W.、Greenwood, R. J.(1993)。The incidence of neglect phenomena and related disorders in patients with an acute right or left hemisphere stroke。Age & Ageing,22(1),46-52。  new window
12.Stone, S. P.、Wilson, B.、Wroot, A.、Halligan, P. W.、Lange, L. S.、Marshall, J. C.、Greenwood, R. J.(1991)。The assessment of visuo-spatial neglect after acute stroke。Journal of Neurology, Neurosurgery and Psychiatry,54,345-350。  new window
13.Vallar, G.、Sandroni, P.、Rusconi, M. L.、Barbieri, S.(1991)。Hemianopia, hemianesthesia, and spatial neglect: A study with evoked potentials。Neurology,41,1918-1922。  new window
14.Van Deusen, J.(1988)。Unilateral neglect: Suggestions for research by occupational therapists。The American journal of occupational therapy,42(7),441-447。  new window
15.Wilsont, B.、Cockbum, J.、Halligan, P.(1987)。Development of a behavioral test of visuospatial neglect。Archives of Physical Medicine and Rehabilitation,68,98-102。  new window
16.Wyness, M. A.(1985)。Perceptual dysfunction: Nursing assessment and management。Journal of neurosurgical nursing,17(2),105-110。  new window
學位論文
1.Lo, C. H.(1985)。Construct Validity of Sleep Pattern Disturbance(博士論文)。University of Illinois at Chicago,Chicago, Illinois。  new window
圖書
1.Kim, M. J.、McFarland, G. K.、McLane, A. M.(1993)。Pocket guide to nursing diagnosis。Philadelphia, Pennsylvania。  new window
2.Burns, N.、Grove, S. K.(1987)。The practice of nursing research: Conduct, critique, and utilization。Philadelphia, Pennsylvania:W.B. Saunders。  new window
3.Nunnally, Jum C.、Bernstein, Ira H.(1978)。Psychometric Theory。McGraw-Hill。  new window
圖書論文
1.Mesulam, M. M.(1985)。Attention, confusional states, and neglect。Principles of Behavioral Neurology。Davis Company。  new window
 
 
 
 
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