:::

詳目顯示

回上一頁
題名:心臟移植術後病人症狀困擾、社會支持與自我照顧行為相關之探討
書刊名:護理研究
作者:汪素敏顧乃平林幸台魏崢
作者(外文):Wang, Shu-minKu, Nai-pingLin, Hsin-taiWei, Jeng
出版日期:1998
卷期:6:1
頁次:頁4-18
主題關鍵詞:心臟移植症狀困擾社會支持自我照顧行為Heart transplantationSymptom distressSocial supportSelf-care behaviors
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(12) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:11
  • 共同引用共同引用:47
  • 點閱點閱:42
     本研究係一敘述及相關性研究,目的在了解心臟移植術後病人症狀困擾、社會支 持與自我照顧行為相關情形。於北部兩所醫學中心接受正位心臟移植手術後,出院返家且術 後六個(含)以上的病人為研究對象。本研究工具為一結構式問卷,共收集63份有效問卷。 結果發現心臟移植術後病人自我照顧行為平均得62.02分(總分84分),各層面每題平均得 分,依序為定期回院檢查追蹤、按時服藥、飲食控制、規則運動、預防感染、感染與排斥現 象的觀察。症狀困擾方面,出現症狀症狀頻率平均得分46.60分,症狀困擾程度平均得分 35.36 分(總分 174 分),皆與自我照顧行為各層面呈負相關。社會支持方面平均得分 22.16 分(總分 48 分),與自我照顧行為呈正相關。心臟移植術後病例人的年齡、教育程 度、婚姻狀況、症狀困擾及社會支持可解釋自我照顧行為在整體上為 47.71% 的變異量;在 按時服約上為 35.05% 的變異量;在規則運動上為 22.95% 的變異量;在飲食控制上為 35.75% 的變異量;在感染與排斥現象的觀察上為 18.00% 的變異量;在預防感染上為 19.90% 的變異量;在定期回院檢查追蹤上無任何變項具有預測力。
     The main purpose of this research was to explore the relationships of symptom distress and social support with self-care behaviors in heart transplant recipients. This was a descriptive correlational research. Data were collected from outpatient departments of two medical center in Taipei or at patients' homes. The sample consisted of 63 adult patients who were 6 months after orthotopic heart transplantation with stable condition. The instruments were structured questionnaires. The major findings f this research were as follows: "Self-Care Scale" mean score was 62.02. Clinic visits were found to be better than others including taking medication, diet control, regular exercise, infection preventive and observation of infection and rejection signs. "Symptom Frequency Scale" mean score was 46.60 and "Symptom Distress Scale" mean score was 35.36, both showing a negative relationship with self-care behaviors. "Social Support Scale" mean score was 22.16 which showed a positive relationship with self-care behaviors. Findings indicate that 47.71% of the variance in whole self-care behaviors can be predicted by age, education, marriage of patients, symptom distress and social support; 35.05% of the variance in taking medication; 22.95% of the variance in regular exercise; 35.75% of the variance in diet control; 18.00% of the variance in observation of infection and rejection signs; 19.90% of the variance in preventive infection; no variance in clinic visits.
期刊論文
1.Lough, M. E.、Lindsey, A. M.、Shinn, J. A.、Stotts, N. A.(1987)。Impact of symptom frequency and symptom distress on self-reported quality of life in heart transplant recipients。Heart and Lung,16(2),193-200。  new window
2.McCorkle, R.、Young, K.(1978)。Development of a symptom distress scale。Cancer Nursing,1(5),373-378。  new window
3.Schweizer, R. T.、Rovelli, M.、Palmeri, D.、Vossler, E.、Hull, D.、Bartus, S.(1990)。Noncompliance in organ transplant recipients。Transplantation,49(2),374-377。  new window
4.Dew, M. A.、Roth, L. H.、Thompson, M. E.、Kormos, R. L.、Griffith, B. P.(1996)。Medical compliance and its predictors in the first year after heart transplantation。The Journal of Heart and Lung Transplantation,15(6),631-645。  new window
5.Hosenpud, J. D.、Novick, R. J.、Bennett, L. E.、Keck, B.、Fiol, B.、Daily, P.(1996)。The registry of the international society for heart and lung transplantation: Thirteenth official report--1996。The Journal of Heart and Lung Transplantation,15(7),655-674。  new window
6.Holmes, S.、Dickerson, J.(1987)。The quality of life: Design and evaluation of a self-assessment instrument for use with cancer patient。International Journal Nursing Study,24(1),14-24。  new window
7.Harvison, R. N.、Jones, B. M.、Mcbride, B. M.(1988)。Rehabilitation after heart transplantation: The Australian experience。The Journal of Heart Transplantation,7(5),337-341。  new window
8.Kiley, D. J.、Lam, C. S.、Pollak, R.(1993)。A study of treatment compliance following kidney transplantation。Tansplantation,55(1),51-56。  new window
9.Roger, K. R.(1987)。Nature of spousal supportive behaviors the influence heart transplant patient compliance。The Journal of Heart Transplantation,6(2),90-95。  new window
10.Riffle, K. L.、Yoho, J.、Sams, J.(1989)。Health promoting behavior, perceived social support and self reported health of appalachian elderly。Public Health Nursing,6(4),204-211。  new window
11.Rhodes, V. A.、Watson, P. M.、Hanson, B. M.(1988)。Patients descriptions of the influence of tiredness and weakness on self-care abilities。Cancer Nursing,11(8),186-194。  new window
12.Tishelman, C.、Taube, A.、Sachs, L.(1991)。Self-reported symptom distress in cancer patient: Reflections of disease, illness or sickness?。Social Science Medicine,33(11),1229-1240。  new window
13.Stewart, M. J.(1989)。Social support instruments created by nurse investigators。Nursing Research,38(5),268-275。  new window
14.黃光琪、顧乃平、劉雪娥、何淮中、魏崢(19961200)。心臟移植後患者生活品質及相關因素之探討。護理研究,4(4),333-344。new window  延伸查詢new window
15.Norbeck, J. S.、Lindsey, A. M.、Carrieri, V. L.(1981)。The development of an instrument to measure social support。Nursing Research,30(5),264-269。  new window
16.Cobb, Sidney(1976)。Presidential Address-1976. Social Support as a Moderator of Life Stress。Psychosomatic Medicine,38(5),300-314。  new window
17.Grady, K. L.、Russell, K. M.、Srinivason, S.、Constanzo, M. R.、Pifarre, R.(1993)。Patient compliance with annual diagnostic testing after heart transplantation。Transplantation Proceeding,25(5),2978-2980。  new window
18.Grady, K. L.、Jalowiec, A.(1995)。Predictors of compliance with diet 6 month after heart transplantation。Heart & Lung: the Journal of Critical Care,24(5),389-368。  new window
19.Grady, K. L.、Jalowiec, A.、White-Williams, C.、Pifarre, R.、Kirklin, J. K.、Bourge, R. C.、Coctanzo, M. R.(1995)。Predictors of quality of life in patients with advanced heart failure awaiting transplantation。The Journal of Heart & Lung Transplantation,14(1),2-10。  new window
學位論文
1.謝碧珠(1993)。臺灣地區心臟移植後病患的心理暨社會適應之探討(碩士論文)。東吳大學。  延伸查詢new window
2.陳秀女(1994)。老年糖尿病患之自我照顧行為與糖尿病知識、社會支持之相關性研究(碩士論文)。國防醫學院。  延伸查詢new window
圖書
1.郭靜晃、吳幸玲(1994)。發展心理學:心理社會理論與實務。台北:揚智文化。  延伸查詢new window
2.胡幼慧(1995)。社會流行病學。台北:巨流圖書。new window  延伸查詢new window
3.Miller, J. F.(1992)。Copy with chronic illness overcoming powerlessness。Philadelphia:F. A. Davis。  new window
4.Miller, J. F.(1983)。Copy with chronic illness overcoming powerlessness。Philadelphia:F. A. Davis。  new window
5.Orem, D. E.(1991)。Nursing: Concept of practice。St. Louis:New York:McGraw-Hill。  new window
6.蘇建文(1991)。發展心理學。台北:心理出版社。  延伸查詢new window
圖書論文
1.Cohen, S.、Syme, S. L.(1985)。Issues in the study and application of social support。Social support and health。Orlando:Academic press。  new window
2.Ryan, P.(1992)。Facilitating behavior change in the chronically ill。Coping with chronic illness overcoming poweriseeness。Philadelphia:F. A. Davis。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關著作
 
QR Code
QRCODE