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來源文獻資料
摘要
外文摘要
引文資料
題名:
癌症家屬對止痛劑的擔心與病人疼痛控制的相關性
書刊名:
護理研究
作者:
謝麗鳳
/
林佳靜
/
賴裕和
/
鄒宗山
作者(外文):
Hsieh, li-feng
/
Lin, Chia-chin
/
Lai, Yeur-hur
/
Tsou, Tsung-shan
出版日期:
1998
卷期:
6:4
頁次:
頁327-337
主題關鍵詞:
家屬
;
止痛劑的擔心
;
癌症病人
;
疼痛控制
;
Caregivers
;
Concerns about using analgesics
;
Cancer patient
;
Cancer pain management
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
4
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
4
共同引用:0
點閱:18
本研究的目的在瞭解家屬對止痛劑的擔心與癌症病人疼痛控制之相關性,採描述 相關性之研究設計,以簡明疼痛評估及止痛劑擔心等結構式問卷收集 52 位癌症疼痛病人及 其家屬的資料,採描述性統計及無母數統計法分析之。研究發現家屬評估病人過去 24 小時 最劇烈的疼痛低於病人的疼痛情形,家屬對止痛劑的擔心中以疾病惡化的擔心最高,而以時 間間隔、耐藥性及成癮性等擔心為次之。在過去一個月中有猶豫給藥的家屬佔 32.7 %( n = 17 ),其中猶豫給藥者在 " 成癮性 " 的擔心高於未猶豫給藥者。猶豫報告疼痛的家屬 佔 28.8 %( n = 15 ), 其中在猶豫報告疼痛者於宿命論、副作用、成癮性、分散醫師 治療疾病的注意力及耐藥性等五項擔心程度高於未猶豫報告疼痛者,達顯著性差異。此研究 發現可作為家屬及病人居家疼痛控制考慮的因素,而進一步的改善病人的疼痛控制。
以文找文
The purpose of this study was to explore the possible association between the caregiver's concerns about using analgesics and the patient's pain management. This is a descriptive correlational study. Structured questionnaires were used to interview 52 Taiwanese cancer patients and their families. This study revealed that the worst pain level assessed by the caregiver within 24 hours before completing the questionnaires was significantly lower than that reported by patients. The highest scores of caregivers' concerns were "disease progression", "time interval", "tolerance", and "addiction." Seventeen caregivers (32.7%) reported that they had hesitated to give medication to their patient in the past month. These caregivers had significantly higher scores on "fear of tolerance." Fifteen caregivers (28.8%) reported that they had hestitated to report pain in the past month. These caregivers had significantly higher scores on "fear of addiction", "fatalism", "side effects", "distracting physicians", and "tolerance." We suggested that in order to achieve optimal pain management for cancer patients, one should consider the education of patients as well as caregivers.
以文找文
期刊論文
1.
鄭澄寰、何善台、高尚志、葛魯蘋(19910900)。癌症疼痛及相關因子之探討。麻醉學雜誌,29(3),653-657。
延伸查詢
2.
彭文玲(1994)。癌症疼痛的處理。聲洋防癌之聲,67,6-9。
延伸查詢
3.
許汝寧(1994)。癌症疼痛的處理。聲洋防癌之聲,67,2-5。
延伸查詢
4.
沈振庭、何善臺(19940300)。癌症疼痛。國防醫學,18(3),187-190。
延伸查詢
5.
Cohler, B. J.(1983)。Autonomy and interdependence in the family of adulthood: A psychological perspective。Gerontologyist,23(1),33-39。
6.
Cleeland, C.(1989)。Assessment pain in cancer case: Measurement issue。Advanced Pain Research Therapy,16(1),47-55。
7.
Cleeland, C.(1987)。Barriers to the management of cancer pain。Oncology,1(2),19-26。
8.
Austin, C.、Cody, C. P.、Eyres, P. J.、Hefferin, F.、Krasnow, R.(1986)。Hospice home pain management。Cancer Nursing,9(2),58-65。
9.
Ferrell, B. R.、Cohen, M. Z.、Rhiner, M.、Rozek, A.(1991)。Pain as a metaphor for illness. Part II: Family caregivers management of pain。Oncology Nursing Forum,18(8),1315-1321。
10.
Ferrell, B. R.、Rhiner, M.、Coben, M. Z.、Grant, M.(1991)。Pain as a metaphor for illness Part 1: Impact of cancer pain on family caregivers。Oncology Nursing Forum,18(8),1303-1309。
11.
Ferrell, B. R.、Taylor. E. J.、Satterler, G. R.、Fowler, M.、Chenyney, B. C.(1993)。Searching for the meaning of pain: Cancer patients' caregivers' and nurses' perspectives。Cancer Practice,1(3),185-194。
12.
Daut, R. L.、Cleeland, C. S.(1982)。Prevalance and severity of pain in cancer。Cancer,50(9),1913-1918。
13.
Curtis, A. E.、Fernsler, J.(1989)。Quality of life in oncology hospice patients a comparison of patient and primary caregivers reports。Oncology Nursing Forum,16(1),49-53。
14.
Levin, D. N.、Cleeland, C. S.、Dar. R.(1985)。Public attitudes toward cancer pain。Cancer,56(9),2337-2339。
15.
Joranson, D. E.(1993)。Availiability of opioids for cancer pain: Recent trends, assessment of system barriers, new World Health Organization guidelines, and the risk of diversion。Journal of Pain and Symptom Management,8(6),353-360。
16.
Hinds, C.(1985)。The need of families who care patients with cancer at home: Are we meeting them?。Journal of Advanced Nursing,10(6),575-581。
17.
Ferrell, B. R.、Schneider, C.(1988)。Experience and management of cancer pain at home。Cancer Nursing,11(2),84-90。
18.
Schug, S. A.、Zech, D.、Dorr, U.(1990)。Cancer pain management acording to WHO analgesic guidelines。Journal of Pain and Symptom Management,5(1),27-32。
19.
Rankin, M. A.(1982)。Use of drugs for pain with cancer patients。Cancer Nursing,5(3),181-190。
20.
Reiss, D.(1982)。The working family: A reseaching review of Health in the household。American Journal Psychiatry,139(11),1412-1420。
21.
McMillan, S. C.(1996)。Pain and pain relief experienced by hospice patients with cancer。Cancer Nursing,19(4),298-307。
22.
Ward, S.、Gatwood, J.(1994)。Concerns about reporting pain and using analgesics: A comparison of persons with and without cancer。Cancer Nursing,17(3),200-206。
23.
VonRoenn, J. H.、Cleeland, C. S.、Gonin, R.、Hatifield, A. K.、Pandy, K. J.(1993)。Physicians attitudes and practice in cancer pain management: A survey from the Eastern Cooperative Oncology Group。Annals of International Medicine,119(2),121-126。
24.
Vortherm, R.、Ryan, P.、Ward, S.(1992)。Knowledge of attitudes tow ard and barriers to pharmacologic management of cancer pain in statewide random sample of nurses。Research Nursing Health,15(6),459-466。
25.
Ventafridda, V.、Tamburini, M.、Caraceni, A.、Decamnno, F.、Nald, F. A.(1987)。Validation of the WHO method for cancer pain relief。Cancer,59(4),850-856。
26.
Taylor, E. J.、Ferrell, B. R.、Grant, M.、Cheynney, L.(1993)。Managing cancer pain at home: The decisions and ethical conflicts of patients, family caregivers and home care nurses。Oncology Nursing Forum,20(6),919-927。
27.
Zelman, D.、Cleeland, C.、Howland, E.(1987)。Factor in appropriate pharmacologic management of cancer pain: A crossinstitutional investigation。Pain,29(4),S136。
28.
Ward, S. E.、Goldberg, N.、Miller-McCaulley, V.、Muller, C.、Nolan, A.、Pawlik-Plank, D.、Robbins, A.、Stormoen, D.、Weissman, D. E.(1993)。Patient-related barriers to management of cancer pain。Pain,52,319-324。
29.
Foley, K. M.(1985)。The treatment of cancer pain。The New England Journal of Medicine,313(2),84-95。
30.
Lin, C. C.、Ward, S. E.(1995)。Patient-related barriers to cancer pain management in Taiwan。Cancer Nursing,18(1),16-22。
研究報告
1.
行政院衛生署(1995)。中華民國八十五年衛生統計(二):生命統計。台北:行政院衛生署。
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圖書
1.
謝長堯、孫維仁(1996)。癌症疼痛治療學。台北:財圑法人大地之愛癌症基金會。
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