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來源文獻資料
摘要
外文摘要
引文資料
題名:
結腸造口病人出院前自我照顧能力及其相關因素之探討
書刊名:
護理研究
作者:
高啟雯
/
顧乃平
作者(外文):
Kao, Chi-wen
/
Ku, Nai-ping
出版日期:
1997
卷期:
5:5
頁次:
頁413-424
主題關鍵詞:
結腸造口
;
自我照顧
;
社會支持
;
Colostomy
;
Self-care
;
Social-support
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
5
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:0
點閱:28
本研究為一描述性之研究,主要目的在探討結腸造口病人出院前自我照顧情形及其相關影響因素。於四所醫學中心及兩所準醫學中心之病房單位,以自我照顧、社會支持、自我照顧意願問卷收集資料。研究期間共有61位大腸直腸癌接受結腸造口手術的病患參與研究。結果發現結腸造口病人其出院前自我照顧在知識部份以氣味控制得分最高,其次是飲食原則,造口周圍皮膚照顧,造口自我觀察評估,得分最低的則是活動方面的知識。技能部份得分均不高,約50%-60%的患者仍缺乏造口自我照顧的能力及實際操作的經驗。病人個人屬性與自我照顧能力有關,其中以年齡、教育程度、職業、家中主要經濟來源及自覺病況的嚴重程度達顯著相關;社會支持與病人自我照顧能力呈正相關。兩者的典型相關係數為0.901,社會支持可解釋自我照顧能力變異的81.1%,社會支持中以訊息支持及情緒支持對自我照顧能力的影響最大。而病人自我照顧意願與自我照顧能力在統計分析上達顯著正相關。
以文找文
This is a discriptive study. The main purpose of this study is to explore the self-care abilities and related factors in patients with colostomy. Sixty-one colostomy patients were interviewed from six hospitals. The conclusions made: 1. The self-care of colostomy patients were: (1) knowledge: For the score of self-care scale in patients with colostomy, the first one was "odor control" and followed by "diet" , "skin care" , "colostomy self-assessment" , and the last one was "activities". (2) skill: 50%-60% of colostomy patients were short of basic skills of stoma care. 2. Colostomy Patients self-care was related to their personal characteristics. The determinants were age, education, occupation, the source of the family livelihood and those who believed the condition was severe. 3. Colostomy patients' self-care was related to social support. The relationship between self-care and social support was positive (p<0.001). 4. Colostomy patients' self-care was related to the degree of motivation about self-care. The relationship between self-care and the degree of motivation about self-care was positive (p<0.001).
以文找文
期刊論文
1.
Alterescu, K. B.(1987)。Colostomy。Nursing Clinics of North America,22(2),281-289。
2.
Antonovsky, A.、Kats, R.(1970)。The model dental patient and empirical study of preventive health behavior。Social Science and Medicine,4(4),367-379。
3.
陳玉枝(19850600)。造瘻病人的護理評估。榮總護理,2(2),118-121。
延伸查詢
4.
林繼昌、金光仁(1991)。大腸直腸癌的外科治療。國防醫學,12(1),237-248。
延伸查詢
5.
Dobkin, K. A.、Broadwell, D. C.(1986)。Nursing considerations for the patient undergoing colostomy surgery。Seminars in Oncology Nursing,2(4),249-255。
6.
Denny, P.、McCrea, H.(1991)。Stomacare: The patients perspective。Journal of Advanced Nursing,16(1),39-46。
7.
Bromley, B.(1980)。Applying Orem's self-care theory in enterostomal therapy。American Journal of Nursing,80(2),245-259。
8.
Benedict, P.、Haddad, A.(1989)。Postop teaching for the colostomy patient。RN,52(8),85-90。
9.
Hedrick, J. K.(1987)。Effects of ET nursing intervention on adjustment following ostomy surgery。Journal of Enterostomal Therapy,14(6),229-239。
10.
Hanucharurnkul, S.(1989)。Predictors of self-care in cancer patients receiving radiotherapy。Cancer Nursing,12(1),21-27。
11.
Gloeckner, M. R.(1984)。Perceptions of sexual attractiveness following ostomy surgery。Research in Nursing and Health,7(1),87-92。
12.
Ewing, G.(1989)。The nursing preparation of stoma patients of self-care。Journal of Advanced Nursing,14(5),411-420。
13.
Dodd, M. J.、Thomas, M. L.、Dibble, S. L.(1991)。Self-care for patient experiencing cancer chemotherapy side effects: A concern for home care nurses。Home Healthcare Nurse,9(6),21-26。
14.
Norris, C. M.(1979)。Self-care。American Journal of Nursing,79(3),486-489。
15.
Musci, E. C.、Dodd, M. J.(1990)。Predicting self-care with patients and family member' affective states and family functioning。Oncology Nursing Forum,17(3),394-400。
16.
Kelman, C.、Minkler, P.(1989)。An investigation of quality of life and self-esteem among individuals with ostomies。Journal of Enterostomal Therapy,16(1),4-11。
17.
Kelly, M. P.、Henry, T.(1990)。A thirst for practical knowledge。Professional Nursing,7(6),12-16。
18.
Penninger. J. I.、Moore, S. B.、Frager, S. R.(1985)。After the ostomy: Helping the patient reclaim his sexuality。RN,48(4),46-50。
19.
Ott, D. M.(1988)。Nursing management of the patient with colon and rectal cancer。Seminars in Oncology Nursing,4(4),285-292。
20.
Oberst, M. T.、Chang, A. S.、McCubbin, M. A.(1991)。Self-care burden. stress appraisal and mood among persons receiving radiotherapy。Cancer Nursing,14(2),71-78。
21.
Norbeck, J. S.、Lindsey, A. M.、Carrieri, V. L.(1981)。The development of instrument to measure social-support。Nursing Research,30(5),264-269。
22.
Wade, B.(1989)。Patients' fears after stoma surgery。Nursing Standard,3(46),23-26。
23.
Phillips-Pryse, W.(1971)。Follow-up study of patients with colostomies。The American Journal of Surgery,122(1),27-32。
24.
Wicks, L. J.(1986)。Treatment modalities for colorectal cancer。Seminars in Oncology Nursing,2(4),242-248。
25.
Schaefer, C.、Coyne, J. C.、Lazarus, R. S.(1981)。The health-related functions of social support。Journal of Behavioral Medicine,4(4),381-406。
26.
Barrera, M. Jr.、Sandler, I. N.、Ramsay, T. B.(1981)。Preliminary development of a scale of social support: Studies on college students。American Journal of Community Psychology,9(4),435-447。
27.
Thoits, Peggy A.(1986)。Social support as coping assistance。Journal of Consulting and Clinical Psychology,54(4),416-423。
圖書
1.
Orem, D. E.(1991)。Nursing: Concept of practice。St. Louis:New York:McGraw-Hill。
2.
行政院衛生署(1994)。臺灣地區生命統計與醫療設施。台北:行政院衛生署。
延伸查詢
3.
Ignatavicius, D. D.、Bayne, M. V.(1991)。Medical-Surgical Nursing。Philadelphia:W. B. Saunder。
4.
Smith, D. B.、Johnson, D. E.(1986)。Ostomy care and cancer patient: Surgical and clinical consideration。Florida:Grune & Stratton, Inc.。
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