(3.239.33.139) 您好!臺灣時間:2021/03/02 16:55
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:張敏娟
研究生(外文):min-chuan chang
論文名稱:疼痛教育對改善居家癌症疼痛病人處理的成效
論文名稱(外文):Effects of Pain Education Progrom on Improving the Pain Management of Cancer Pain for Home Care Cancer Patients
指導教授:林佳靜林佳靜引用關係
指導教授(外文):Chia-Chin Lin
學位類別:碩士
校院名稱:台北醫學院
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2001
畢業學年度:89
語文別:中文
中文關鍵詞:疼痛教育癌症疼痛
外文關鍵詞:pain educationcancer pain
相關次數:
  • 被引用被引用:3
  • 點閱點閱:353
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:97
  • 收藏至我的研究室書目清單書目收藏:7
論文摘要
論文名稱:疼痛教育對改善居家癌症病人疼痛處理的成效
研究所名稱:私立台北醫學大學護理學研究所
研究生姓名:張敏娟
畢業時間:八十九學年度第二學期
指導教授:林佳靜教授
本研究之目的是探討疼痛教育是否可以降低癌症病人對服用止痛劑的障礙因子、增進癌症病人服用止痛劑之遵從性、降低癌症病人疼痛強度及降低疼痛對生活之干擾程度。研究對象為診斷為癌症的病患,且目前正使用止痛劑,個案須七天內可能出院,並於出院後仍會繼續服用之。研究地點為台北市某治癌中心。
本研究以中文版止痛劑擔心量表、簡明疼痛量表、服藥遵從性測量問卷收集37位癌症疼痛病人資料,以隨機取樣方式將個案分為實驗組18位與控制組19位,其中實驗組予疼痛教育的措施,並予前﹑後測,控制組除未給予疼痛教育外,其餘皆與實驗組相同,資料所得以描述性統計、t-test及paired-t test統計法分析之。
研究結果發現在降低癌症病人對服用止痛劑的障礙因子方面,實驗組的平均止痛劑障礙後測顯著低於前測,控制組則未有差異;再以t-test檢定實驗組與控制組間前、後測平均差異得知,兩組間除了”好病人”此障礙因子無達顯著差異外,其餘的障礙因子於實驗組的前、後測平均差異皆大於控制組。
在服藥遵從性方面,實驗組在未接受疼痛教育措施前得分為滿分(4分)的有22%人(N=4),於接受教育措施後得滿分者則增加為72%人(N=13),而於控制組方面則無變化皆為16%人(N=3)得滿分。
在降低癌症病人疼痛強度方面,實驗組之平均疼痛強度後測顯著低於前測,控制組則未有差異;再以t-test檢定實驗組與控制組間前、後測平均差異得知,兩組間的各程度疼痛強度平均差異均未達統計上之顯著差異。
在降低疼痛對生活之干擾程度方面,實驗組與控制組之平均疼痛干擾後測皆顯著低於前測;再以t-test檢定實驗組與控制組間前、後測所得平均差異得知,兩組間的各細項的疼痛干擾之平均差異均未達統計上之顯著差異。
綜合上述,本研究發現了給予癌痛病人有關於疼痛及止痛劑的疼痛教育可促使病人改變其對止痛劑錯誤的認知、降低不必要的擔心及有良好的服藥遵從性,本研究雖未能如預期中得到接受疼痛教育的實驗組能較未接受疼痛教育的控制組,於疼痛強度及疼痛干擾上有顯著的統計上差異的結果,但研究中卻也顯示了接受疼痛教育的實驗組於疼痛強度及疼痛干擾後測得分上顯著的低於前測,此結果顯示了實驗組的癌痛病人達到了較好的疼痛控制及減低了其居家的疼痛干擾。
現今是一個講究高效率、高品質及低成本的醫療環境,而疼痛教育的措施正是符合時代潮流的低成本、有效且具有護理獨立自主性的護理措施,值得大家一同推廣及身體力行的。
Abstract
Title of Thesis: Effects of A Pain Educational Program on Improving the Pain Management of Cancer Pain for Home Care Cancer Patients
Institution: Graduate Institution of Nursing, Taipei Medical University
Author: Min-Chuan Chang.
Thesis directed by: Chia-Chin Lin, Ph.D., Professor
The purpose of this study to study whether the pain educational program could reduce the barriers to taking analgesics, improve the medication compliance, decrease the degree of pain and lower the impacts on daily life in home care cancer patients. The sample was recruited from a cancer center and who had been diagnosed as cancer and had been taking pain medications continually after discharge.
The Barriers Questionnaire—Taiwan Form (BQT), Brief Pain Inventory-Short Form (BPI) and compliance Self-report assessment tool were used in this study. Total of 37 patients were recruited by convenience sampling, including experimental group of 18 and control group of 19. Data were analyzed by descriptive, t-test and paired t-test.
The results indicated that there was a significant difference between pre-test and post-test on the barrier to taking medicine for the experimental group. There is no difference for control group in this part.
There was a difference between control group and experimental group on the barrier of taking medicine, except for “good patient” item.
Experimental group had increased the number of correct rate from 22% to 72%after pain education. The control group had no change, remained 16%.
The degree of pain was reduced after the pain educational program for the experimental group, but there was no difference for the control group.
Furthermore, there was a significant difference on pain interference for experimental group and the t-tests showed no difference for both groups. In conclusion, the pain educational program improved the knowledge, reduced the level of pain and improved medication compliance.
Pain educational program could be a valuable nursing strategy for improving the Quality of cancer pain management.
目錄
頁數
致謝…………………………………………………………… Ⅰ
中文摘要……………………………………………………… Ⅱ
英文摘要…………………………………………………….… Ⅴ
目錄…………………………………………………………… Ⅶ
圖表次目……………………………………………………… Ⅹ
第一章緒論…………………………………………………. 1
第一節研究動機……………………………………….. 1
第二節研究重要性…………………………………….. 3
第三節研究目的……………………………………….. 6
第二章文獻查證……………………………………………. 7
第一節癌症疼痛………………………………………. 7
第二節疼痛控制現況及對病人的影響………………. 10
第三節麻醉性止痛劑於癌症疼痛上所扮演的角色…. 13
第四節不良疼痛控制的原因及病人對止痛劑的迷思.. 15
第五節服藥遵從性…………………………………….. 18
第六節疼痛教育……………………………………… 20
第三章研究架構………………………………………... 26
第一節研究架構………………………………………… 26
第二節研究假設………………………………………… 27
第三節名詞解釋………………………………………… 28
第四章研究方法……………………………………………... 30
第一節研究設計………………………………………… 30
第二節研究場所與對象…………………………….…. 31
第三節研究工具………………………………………..35
第四節資料收集過程…………………………………..40
第五節資料分析………………………………………..41
第五章結果………………………………………………….. 42
第一節描述性統計……………………………………. …. 42
第二節疼痛教育措施之成效…………………………. 52
第六章討論………………………………………………… . 61
第一節癌症病人對止痛藥物的障礙因子……………. 61
第二節癌症病人服用止痛劑之遵從性……………… 64
第三節癌症病人的疼痛強度與生活的干擾程度……. 66
第四節疼痛教育是否可以降低癌症病人對
止痛藥物的障礙因子………………………… 68
第五節疼痛教育是否可以降低癌症病人疼痛強度.. 70
第六節疼痛教育是否可以降疼痛對生活之干擾程度. 72
第七章結論……………………………………………….. 74
第八章研究限制及建議………………………………….. 76
第一節研究限制…………………………………….. 76
第二節研究建議…………………………………….. 77
參考資料……………………………………………………. 80
中文部分………………………………………………. 80
英文部分………………………………………………. 82
附錄…………………………………………………………. 90
附錄一 同意書……………………………………….. 90
附錄二 基本資料…………………………………….. 91
附錄三 簡明疼痛量表……………………………….. 92
附錄四 中文版止痛劑擔心量表…………………….. 94
附錄五 服藥遵從性測量(服藥自我報告)………….. 96
圖表目次
表一 基本資料……………………………………………. 33
表二 各量表於本研究中之Cronbach’s α值一覽表……. 38
表三 癌症病人對止痛藥物的障礙因子分析一覽表…… 44
表四 服藥遵從性得分描述性統計分析…………………. 46
表五 實驗組與控制組(前測)之各項疼痛程度一覽表…. 48
表六 實驗組與控制組(前測)之各項疼痛干擾一覽表….. 50
表七 實驗組與控制組(後測)之各項疼痛干擾一覽表….. 51
表八 實驗組與控制組之止痛藥物的各障礙因子前、後測
(後測-前測)平均差異之t-test檢定………………… 54
表九 各組間(實驗組與控制組)之各類變項前、後測得分
差異之配對t檢定(paired t-test)…………………….. 55
表十 實驗組與控制組之各程度疼痛強度前、後測(後測
-前測)平均差異…………………………………….. 57
表十一實驗組與控制組之疼痛干擾得分前、後測(後測
-前測)平均差異…………………………………….. 60
參考資料
沈振庭、何善台(1994).癌症疼痛.國防醫學,18(3),187-195。
李茹萍、邱艷芬(1998).肺結核病人之服藥遵從性.護理雜誌,45(1), 63-67。
林佳靜、陳淑如、謝麗鳳(1997).疼痛護理.護理雜誌,44(1),37-47。
林佳靜(2000).止痛藥使用的問與答.台北:台北醫學大學。
邱泰源(1997).癌症末期疼痛控制.中華民國安寧照顧基金會會訊,25,29-38.
周銘霆、魏正宗、黃志峰 (1995).群醫中心與地區醫院高血壓病患順服性因子之比較研究.中華家醫誌,5(1),33-39。
吳炤樺、林文香(1994).照顧一位不遵從全身紅斑性狼瘡個案的經驗.榮總護理,11(2),158-164。
吳祥恩、鄭美玲、盧豐華、張智仁 (1995).服藥自我照顧:簡易高血壓遵醫囑性方法之評估.中華家醫誌,5(2),84-91。
林玉娟(1997).癌症疼痛的評估.護理新象,7(4),753-773。
唐秀治、陳貞秀 (1997).疼痛.癌症症狀徵候護理(pp.161-169).台北:匯華.
唐秀治(1997).癌症疼痛控制:麻醉性及非麻醉性止痛藥處理.護理新象,7(4),774-792。
陳美玲 (1997).癌症疼痛的意義.護理新象,7(4),745-752。
梁淑媛、林佳靜、陳品玲、劉淑娟(2000).癌症病人及其家屬對癌痛及其影響感受之比較.新台北護理期刊,2(2),17-28。
程培淑(1998).一位糖尿病酮酸中毒病人不遵從血糖控制之護理經驗.護理新象,8(1),833-843。
鄭澄寰、何善台、高尚志、葛魯蘋(1991).癌症疼痛及相關因子之探討.麻醉學雜誌,29(3),653-657。
劉淑娟(1999).罹患慢性病老人服藥遵從行為及相關因素之探討.護理研究,7(6),581-592。
賴裕和(2000).病人對癌痛及麻醉性止痛藥之信念探討─量表發展與現況.護理研究,8(5),557-567。
賴允亮(1994).癌症末期病人的疼痛治療,於腫瘤護理研習班,腫瘤護理研習班講義.台北:台北醫學院附設醫院。
謝麗鳳、林佳靜、賴裕和、鄒宗山(1998).癌症家屬對止痛劑的擔心與癌症病人疼痛控制的相關性.護理研究,6(4),327-336。
蕭雅竹、張媚(1996).衛生教育介入對高血壓個案認知、健康信念與行為影響之探討.長庚護理,7(4),41-51。
藍菊梅、蕭淑貞、黃瑞媛(1997).運用Peplau理論促進精神分裂病人服藥遵從行為的過程.護理雜誌,44(1),56-61。
Agency for Health Care Policy and Research. (1994). Management of cancer pain. AHCPR Publication NO. 94-0592. Rockville, MD. Agency for Health Care Policy and Research, U. S. Department of Health and Human Services.
Ahles, T. A., Blanchard, E. B., & Ruckdeschel, J. C. (1983). The multidimensional nature of cancer-related pain. Pain, 17, 277-288.
Blackwell, B. (1973). Drug therapy:Patient compliance. New England Journal of Medicine, 289.
Blck, D. M., Brand, R. J., Greenlick, M., Hughes, G., & Smith, J. (1987). Compliance to treatment for hypertension in elderly patients:The SHEP pilot study. Journal of Gerontol, 42, 552-557.
Chesney, M. A., Ickovice, J. R., Chambers, D. B., Gifford, A. L., Gifford, A. L., Neidig, J., Zwickl, B., & Wu, A. W. (2000). Self-reported adherence to antiretroviral medications participants in HIV clinical trials: the AACTG Adherence Instruments----AIDS Impact. AIDS Care, 12(3), 255-266.
Chung, T. K., French, P., & Chan, S. (1999). Patient-related barriers to cancer pain management in a palliative care setting in Hong Kong. Cancer Nursing, 22(3), 196-203.
Cleeland, C. S. (1984). The impact of pain with cancer. Cancer, 54﹕2635-2641.
Cleeland, C. S. (1989). Assessment pain in cancer case: Measurement issue. Advanced Pain Research Therapy, 16(1), 47-55.
Clotfelter, C. E. (1999). The effect of educational interventional on decreasing pain intensity in elderly people with cancer. Oncology Nursing Forum, 26(1),27-33.
Coniam, S. W., & Diamond, A. W. (1994). Practical pain management. New York:Oxford university press.
Dar, R., Beach, C. M., Barden, P. L., & Cleeland, C. S. (1992). Cancer pain in the marital system: A study of patients and their spouses. Journal of Pain & Symptom Management, 7(2), 87-93.
Edworthy, S. M., & Devins, G. M. (1999). Improving medication adherence through patient education distinguishing between appropriate and inappropriate utilization. Journal of Rheumatology, 26(8), 1793-801.
Ferrell, B. R., Borneman, T., & Juarez, G. (1998). Integration of pain education in home care. Journal of Palliative Care, 14(3), 62-69.
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.
Ferrell, B. R.,& Dean, G. (1995). The meaning of cancer pain. Seminars in Oncology Nursing, 11(1), 17-22.
Ferrell, B. R., Eberts, M. T., McCaffery, M., & Grant, M. (1991). Clinical decision making and pain. Cancer Nursing, 14(6), 289-297.
Ferrell, B. R., Ferrell, B. A., Ahn, C., & Tran, K. (1994). Pain management for elderly patients with cancer at home. Cancer Supplement, 74(7), 2139-2146.
Ferrell, B. R., Grant, M., Chan, J., Ahn, C., & Ferrell, B. A. (1995). The impact of cancer pain education on family caregivers of elderly patients. Oncology Nursing Forum, 22(8), 1211-1218.
Ferrell, B. R., & McCaffery, M. (1997). Nurses’knowledge about equianalgesia and opioid dosing. Cancer Nursing, 20(3),201-212.
Ferrell, B. R., & Rhiner, M. (1994). Managing cancer pain. Nursing, July, 56-59.
Ferrell, B. R., Rhiner, M., Cohen, M. Z., & Grant, M. (1991). Pain as a metaphor for Illness﹕Part Ι:Impact of cancer pain on family caregivers. Oncology Nursing Forum, 18(8),1303-1309.
Ferrell, B. R., Rhiner, M., & Ferrell, B. A. (1993). Development and implementation of a pain education program. Cancer supplement , 72(11), 3426-3435.
Ferrell, B. R., & Rivera, L. M. (1997). Cancer pain education for patients. Seminars in Oncology Nursing, 13(1), 42-48.
Ferrell, B. R., & Schneider, C. (1988). Experience and management of cancer pain at home. Cancer Nursing, 11,84-90.
Ferrell, B. R., Taylor, E. J., Grant, M., A. A. N., Fowler, M., & Corbisiero, R. M. (1993). Pain management at home ﹕Struggle, comfort, and mission. Cancer Nursing, 16(3), 169-178.
Ferrell, B. R., Wisdom, C. & Wenzl, C. (1989). Quality of life as an outcome variable in the management of cancer pain. Cancer, 63, 2321-2327.
Foley, K. M. (1985). The treatment of cancer pain. New England Journal of Medicine, 313(2), 84-95.
Ger, L. P., Ho, S. T., & Cherng, C. H. (1998). The prevalence and severity of cancer pain﹕A study of new-diagnosed cancer patients in Tawian. Journal of Pain and Symptom Management, 15(5), 285-293.
German, P. S. (1988). Compliance and chronic disease. Hypertension, 11(suppl. Ⅱ), 56-60.
Grond, S., Zech, D., Schug, S. A., Lynch, J.,& Lehmann,K. M. (1991). Validation of World Health Organization guidelines for cancer pain relief during the last days and hours of life. Journal of Pain & Symptom Management, 6(7), 411-421.
Haynes, R. B., Taylor, W., Sackett, D. L., Gilbson, E. S., Bernholz, C. D., & Mukherjee, J. (1980). Can simple clinical measurements detect patients non-compliance? Hypertension, 2, 757-764.
Hind, 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.
Ho, R.C.S. (1994). Pain in the cancer patient. CA: A Cancer Journal for Clinicians, 44, 259-261.
Hunt, R., Fazekas, B., Thorne, D.,& Brooksbank, M. (1999). A comparison of subcutaneous morphine and fentanyl in hospice cancer patients. Journal of Pain & Symptom Management, 18(2), 111-119.
International Association for the Study of Pain: Sub-committee on taxonomy (1979). Pain terms: A list with definitions and notes on usage. Pain, 6, 249-252.
Inui, T. S., Carter, W. B., & Pecorado, R. E. (1981). Screening for non-compliance among patients with hypertension:Is self-report the best available measure? Medication Care, 24, 1061-1064.
Kelloway, JS., Wyatt, R., DeMarco, J., & Adlis, S. (2000). Effect of salmelerol on patients’ adherence to their prescribed refills for inhaled corticosteroids. Annals of Allergy, Asthma, & Immunology, 84(3), 324-328.
Kingdon, R. T., Stanley, K. J., & Kizior, R.J. (1998). Handbook for pain management. Montreal: W.B. Saunders company.
Levin, D. N., Cleeland, C. S., & Dar, R. (1985). Public attitudes toward cancer pain. Cancer 56, 2337-2339.
Levin, D. M., Green, L. W., Deeds, S. G., Chwalow, J., Russell, R. P., & Finlay, J. (1979). Health education for hypertension patients. JAMA 241(16), 1700-1703.
Lin, C.C. (2000). Barriers to the analgesic management of cancer pain﹕A comparison of attitudes of Taiwanese patients and their family caregivers. Pain, 88, 1-7.
Lin, C.C.,& Ward, S.E. (1995). Patient-related barriers to cancer pain management in Taiwan. Cancer Nursing, 18(1), 16-22.
Lipowski, Z. J. (1970). Physical illness the individual and the coping processes. Psychiatry Medicine, 1, 91-101.
McCaffery, M.(1989). Nursing Management of Patient with Pain. St. Louis﹕C. V. Mosbi.
McCaffery, M. & Beebe. (1989). Pain﹕Clinical manual for nursing practice. St. Louis﹕Baltimore.
McClellam, W. M., Hall W. D., Brogan, D., Miles, C., & Wilber, J. A. (1998). Continuity of care in hypertension: an important correlate of bloodpressure control among aware hypertension. Arch Int Med, 148, 525-528.
McGuire, D. B. (1987). Cancer-related pain: A multidimensional approach. Dissertation Abstracts International, 48(03), Sec B, 705.
McMillan, S.C. (1996). Pain and pain relief experienced by hospice patients with cancer. Cancer Nursing, 19(4), 298-307.
Melzack, R., & Wall, P. S. (1965). Pain mechanisms﹕A new theory. Science, 150, 971-979.
Morisky, D. E., Green, L. W., & Levin, D. M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care 24(1), 67-74.
Morisky, D. E., Levin, D. M., Green, L. W., & Smith, C. R. (1982). Health education program effects on the management of hypertensive in the elderly. Arch Intern Med, 142, 1835-1838.
Padilla, G. V., Ferrell, B. R., Grant, M. M.,& Rhiner, M. (1990). Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing, 13(2), 108-115.
Pasero, C., McCaffery, M., & Gordon, D. B. (1999). Build institutional commitment to improving pain management how nurse managers can promote effective pain control. Nursing Management, 30(1), 27-34.
Pharm, R. B., Catane, R., Liviatan, N. S. & Cherny, N. I. (1999). Cancer pain: Knowledge and attitudes of physicians in Israel. Journal of Pain Symptom Management, 17(4), 266-275.
Poritenoy, R. K., & Hagen, N. A. (1990). Breakthrough pain﹕Definition, prevalence, and characteristics. Pain, 41, 273-281.
Redmond, K. (1998). Symptom management: Barriers to the effective management of pain. International Journal of Palliative Nursing, 4(6), 276-283.
Rianne, D. W., Frits, V. D., Ans, V. K., Carlien, M., & Huijer, H. A. (1999).The treatment of chronic cancer pain in a cancer hospital in the Netherlands. Journal of Pain Symptom Management, 17(5), 333-350.
Rhiner, M., & Kedziera, P. (1999). Managing breakthrough cancer pain: a new approach. Home health Nurse, (suppl.)﹕3-15.
Rimer, B. K., Levy, M. H., Keintz, M. K., Fox, L., Engstrom, P. F., & MacElee, N. (1987). Enhancing cancer pain control regimens through patient education. Patient Education and Counseling, 10, 267-277.
Rimer, B. K., Kedziera, P., & Levy, M. H. (1992). The role of patient education in cancer pain control. Hospice Journal, 8, 171-191.
Schug, S. A., Zech, D., & Dom, C. L. (1990). Cancer pain management according to WHO analgesic guidelines. Journal of Pain and Symptom Management, 5(1), 1636-1644.
Schug, S. A., Zech, D., Grond, S., Jung, H., Meuser, T., & Stobbe, B. (1992). A long-term survey of morphine in cancer pain patients. Journal of Pain Symptom Management, 7(5), 259-266.
Swenson, C. J. (1997). Pain management. In S. E. Otto (Ed.). Oncology Nursing(3th ed.) (pp.747-785). Boston﹕Mosby.
Traub Y. M., McDonald R. H., Shapiro A. P. (1988). Patients characteristics and their influence on therapy and its outcome in hypertension of olderly. Cardiology, 75, 45-55.
Ward, S. E.,& Gatwood, J. (1994). Concerns about reporting pain and using analgesics: A comparison of persons with and without cancer. Cancer Nursing, 17(3), 200-206.
Ward, S. E., Goldberg, N., McCauley, V. M., Mueller, C., Nolan, A., Plank, D. P., Robbins, A., Stormoen, D., & Weissman, D. E. (1993). Patient-related barriers to management of cancer pain. Pain, 52, 319-324.
Wills, B. S. H., & Wootton, Y. S. Y. (1999). Concerns and misconceptions about pain among Hong Kong Chinese patients with cancer. Cancer Nursing, 22(6), 408-413.
Zech, D. F. J., Grond, S., Lynch, J., Hertel, D., & Lehmann K. A. (1995). Validation of World Health Organization guidelines for cancer pain relief﹕a 10-year prospective study. Pain, 63, 65-76.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 劉淑娟(1999).罹患慢性病老人服藥遵從行為及相關因素之探討.護理研究,7(6),581-592。
2. 鄭澄寰、何善台、高尚志、葛魯蘋(1991).癌症疼痛及相關因子之探討.麻醉學雜誌,29(3),653-657。
3. 程培淑(1998).一位糖尿病酮酸中毒病人不遵從血糖控制之護理經驗.護理新象,8(1),833-843。
4. 唐秀治(1997).癌症疼痛控制:麻醉性及非麻醉性止痛藥處理.護理新象,7(4),774-792。
5. 林玉娟(1997).癌症疼痛的評估.護理新象,7(4),753-773。
6. 林佳靜、陳淑如、謝麗鳳(1997).疼痛護理.護理雜誌,44(1),37-47。
7. 李茹萍、邱艷芬(1998).肺結核病人之服藥遵從性.護理雜誌,45(1), 63-67。
8. 蕭雅竹、張媚(1996).衛生教育介入對高血壓個案認知、健康信念與行為影響之探討.長庚護理,7(4),41-51。
9. 謝麗鳳、林佳靜、賴裕和、鄒宗山(1998).癌症家屬對止痛劑的擔心與癌症病人疼痛控制的相關性.護理研究,6(4),327-336。
10. 賴裕和(2000).病人對癌痛及麻醉性止痛藥之信念探討─量表發展與現況.護理研究,8(5),557-567。
11. 李志甫,”x光吸收光譜術在觸媒特性分析上的應用”,化學專題報導,期刊53,280-293 (1995)。
12. 藍菊梅、蕭淑貞、黃瑞媛(1997).運用Peplau理論促進精神分裂病人服藥遵從行為的過程.護理雜誌,44(1),56-61。
 
系統版面圖檔 系統版面圖檔