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引文資料
題名:
心肌梗塞病患住院期間發生不確定感內容及其相關因素之探討
書刊名:
護理研究
作者:
葉玫伶
/
邱艷芬
作者(外文):
Yeh, Mei-lin
/
Chao, Yann-fen
出版日期:
1998
卷期:
6:6
頁次:
頁501-512
主題關鍵詞:
心肌梗塞
;
住院期間
;
不確定感
;
Myocardial infarction
;
Hospital stay
;
Uncertainty
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:
4
點閱:52
本研究在探討心肌梗塞病患住院期間(加護病房、病房、出院前)出現不確定感項 目及其相關因素。以東部某區域教學醫院三名心肌梗塞病患深度訪談所得內容,經分析、歸 納後得不確定感項目製成量表,並將此量表施測於北部某醫學中心 30 名病患,以 SPSS 統 計軟體進行統計。 發現有些不確定感項目 (疾病本身、預後、檢查等 ) 持續存在於住院期 間, 有些 (家庭調適、治療、醫療作業、病病復發處理、衰弱現象 ) 隨不同階段而改變。 65 歲以下、女性、獨居、在職、健保、高中以下、未曾聽過心肌梗塞、 接受氣球擴張術或 支架或血栓溶解劑、左心梗塞等病患分別於各階段有較高不確定感得分。本研究發現將提供 心肌梗塞病患宜觀察之不確定感內容及易感族群之參考。
以文找文
The purpose of this study was to investigate the contents and related factors of uncertainty of patients with acute myocardial infarction (AMI) during their hospital stay (ICU, ordinary ward, and prior to their discharge). An in-depth interview was conducted to discover the contents of uncertainty AMI victims experienced. Three subjects from a regional hospital in Hualien were interviewed in December of 1996 and yielded 26 process recordings for content analysis. The uncertainty items obtained were:28 items during patients' ICU stay, 35 items during ward stay, and 8 items prior to discharge. Three uncertainty rating scales were developed and 30 AMI patients admitted to a medical center in Taipei city in the spring of 1997 were enrolled to validate these findings. Data were obtained by interviews which were guided by the uncertainty rating scales. SPSS/PC was used to process the data. The results indicated that some uncertainty foci (uncertainty about the disease, the prognosis, and the treatment/diagnostic procedures) were persistent during the hospital stay, and some (family adjustment, treatment/diagnostic procedures, management plan, weakness of physical status, self-care at home to handle possible recurrence of the disease) were varied in different periods. The following groups had significantly higher levels of uncertainty during their hospital stay:patients with age less than 65, female, with high school education or less, living alone, currently in a job, never heard of MI, no angina experience, left heart infarction, and receiving angioplasty, stent, or thrombolytic therapy. the findings of this study provided references to identify AMI patients who tend to experience uncertainty and the contents of uncertainty a patient might experience. It was suggested to assess and recognize patients' uncertainty to assist them in coping with AMI.
以文找文
期刊論文
1.
Peterson, M.(1991)。Patient anxiety before cardiac catheterization: An intervention study。Heart & Lung,20(6),643-647。
2.
Christman, N. J.、McConnell, E. A.、Pfeiffer, C.、Webster, K. K.、Schmitt, M.、Ries, J.(1988)。Uncertainty, Coping and distress following myocardial infarction: Transition from hospital to home。Research in Nursing and Health,11(2),71-82。
3.
Suls, J.、Mullen, B.(1981)。Life events, perceived control and illness: the role of uncertainty。Journal of Human Stress,7(2),30-34。
4.
Redeker, N. S.(1992)。The relationship between uncertainty and coping after coronary bypass surgery。Western Journal of Nursing Resesarch,14(1),48-68。
5.
Low, K. G.(1993)。Recovery from myocardial infarction and coronary artery bypass surgery in women: Psychosocial factors。Journal of Women's Health,2(2),133-139。
6.
Bennet, S. J.(1993)。Relationships among selected antecedent variable and coping effectiveness in postmyocardial infarction patients。Research in Nursing & Health,16(2),131-139。
7.
Beckerman, A.、Grossman D.、Marquez, L.(1995)。Cardiac catheterization: The patients perspective。Heart & Lung: Journal of Critical Care,24(3),213-219。
8.
Bailey, J. M.、Nielsen, B. I.(1993)。Uncertainty and appraisal of uncertainty in women with rheumatoid arthritis。Orthopaedic Arthritis,12(2),63-67。
9.
American Association of Critical Care Nurses(1993)。Commentary on patient responses to postponement of coronary artery bypass graft surgery。AACK Nursing Scan in Critical Care,3(4),2-3。
10.
Dracup, K.、Moser, D. K.(1991)。Treatmentseeking behavior among those with signs and symptoms of acute myocardial infarction。Heart & Lung,20(5),570-575。
11.
Derenowski, J. M.(1988)。The relationship of social support systems health locus of control, health value orientation, and wellness motivation in the postmyocardial infarction patient during three phase of rehabilitation。Progress in Cardiovascular Nursing,3(4),143-152。
12.
Dault, L. H.(1992)。Helping your patient through cardiac catheterlization。Nursing,22(2),52-55。
13.
Champion, V. L.(1994)。Beliefs about breast cancer and mammography by behavior stage。Oncology Nursing Forum,26(6),1009-1014。
14.
Krantz, D. S.(1980)。Cognitive processes and recovery from heart attack; A review and theoretical analysis。Journal of Human Stress,6(9),27-38。
15.
Hurt, G. J.、McQuellon, R. P.、Barrett, R. J.(1994)。After treatment ends: Neutral time. Cancer Practice: A Multidisciplinary。Journal of Cancer,2(6),417-420。
16.
Galloway, S. C.、Graydon, J. E.(1996)。Uncertainty, symptom distress, and information needs after surgery for cancer of colon。Cancer Nursing,19(2),112-117。
17.
Fuller, S. S.、Endress, M. P.、Johnson, J. E.(1978)。The effects of cognitive and behavioral control on coping with an aversive health examination。Journal of Human Stress,4(4),18-25。
18.
Markle-Reid, M. F.(1989)。Social support and perception of illness in the early discharge phase for the MI patient。Canadian Journal of Cardiovascular Nursing,1(2),9-18。
19.
Sandelowski, M.(1986)。The problem of rigor in qualitative research。Advances in Nursing Science,8(3),27-31。
20.
Shalit, B.(1977)。Structural ambiguity and limits to coping。Journal of Human Stress,3(4),32-45。
21.
Scott, C. B.、Moneyham, L.(1995)。Perceptions of senior residents about a community-based nursing center。Image: Journal of Nursing Scholarship,27(3),181-186。
22.
Hamilton, G. A.、Seidman, R. N.(1993)。A comparison of the recovery period for women and men after an acute myocardial infarction。Heart & Lung,22(4),308-315。
23.
Mishel, M. H.(1981)。The Measurement of Uncertainty in Illness。Nursing Research,30(5),258-263。
24.
Mishel, Merle H.(1984)。Perceived uncertainty and stress in illness。Research in Nursing and Health,7(3),163-171。
25.
Mishel, M. H.(1988)。Uncertainty in illness。Image: The Journal of Nursing Scholarship,20(4),225-232。
26.
柯乃熒、蕭琪、許淑蓮(19970200)。不確定之概念分析。護理雜誌,44(1),92-97。
延伸查詢
圖書
1.
Sarna, L. P.(1989)。Impact of chemotherapy on the quality of life and functional status of older adults with non-small cell lung cancer University of California。San Francisco:D.N.S.。
2.
(1993)。Merriam-Webster's collegiate thesaurus。Merriam-Webster。
其他
1.
Martin, J. L. H.(1992)。Self-directed learning and health promoting lifestyles,University of Denver。
圖書論文
1.
Oka, R, K.、Burke, L. E.、Froelicher, E. S. S.(1995)。Emotional responses and inpatient education。Cardiac Nursing。Philadephia:J. B. Lippincott Company。
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