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研究生:尚忠菁
研究生(外文):Chung-Ching Shang
論文名稱:因應技能訓練對心臟衰竭病患之成效探討
論文名稱(外文):The Effectiveness of Coping Skills Training in Patients with Heart Failure
指導教授:蔡秀鸞蔡秀鸞引用關係
指導教授(外文):Shiow-Luan Tsay
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:護理研究所
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:2002
畢業學年度:90
語文別:中文
論文頁數:148
中文關鍵詞:心臟衰竭壓力因應憂鬱自我照顧自我效能生活品質
外文關鍵詞:heart failurestresscopingdepressionself-care self-efficacyquality of life
相關次數:
  • 被引用被引用:3
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本研究旨在探討因應技能訓練對住院心臟衰竭病患壓力感受、憂鬱情緒、自我照顧自我效能及生活品質之成效。研究採實驗性設計,以方便取樣方式選取南部地區兩所區域醫院心臟內科病房之40位心臟衰竭病患為研究對象,研究對象以簡單隨機方式分派至實驗組及對照組各20人;實驗組個案於住院期間接受研究者自行設計一套六次的心臟衰竭病患個別性因應技能訓練課程,每次60分鐘,對照組個案則僅接受一般病房處置。因應技能訓練內容包括:心臟衰竭病患的疾病症狀及藥物副作用之自我照顧策略、飲食控制策略、運動復健策略、壓力處置策略及情緒因應策略。問卷內容包括視覺類比量表(壓力)、貝氏憂鬱量表、健康促進策略量表及生活品質量表(SF-36)。於病房內以訪談方式收集個案的前測資料,病患出院一週後於門診回診時再收集後測資料,分析方式以SPSS 10. 0套裝軟體,採描述性統計、卡方統計及T檢定等方法進行資料分析。
研究結果顯示實驗組病患完成因應技能訓練一週後,在自我照顧自我效能之得分顯著高於對照組(t=5.27, p=.00),而在壓力感受、憂鬱情緒及生活品質之得分則無顯著差異。本研究提供護理人員照護心臟衰竭病患之參考。
The purpose of this study is to evaluate the effectiveness of a coping skills training program on the perceived stress, self-care self-efficacy, depression and quality of life among hospitalized heart failure patients. The study is an experimental design. Forty heart failure patients who meet the inclusion criteria were randomized assign into comparison group (20 patients) or experimental group (40 patients) in two regional hospitals. Participants in the experimental group were received the coping training program, while the comparison group patients were only received routine hospital care. The coping skills training program includes an educational component, stress management, and disease specific problem solving strategies. The questionnaires include Visual Analogue Scale (VAS-stress), Beck Depression Inventory (BDI), Strategies Used by People to Promote Health (SUPPH), and Short-Form Health Survey (SF-36). Data were collected by interview for pretest and one week following the intervention. Main statistical analysis includes descriptive statistics, chi-square test, and t- test, by using SPSS 10.0. Window version. The result showed after coping skills training program, the experimental group improved their scores for self-care self-efficacy (t=5.27, p=.00) than comparison group, but weren’t different on the perceived stress, depression and quality of life. The findings of this study provide important information for nurses in caring patients with heart failure.
誌 謝………………………………………………………………………I
中文摘要……………………………………………………………………II
英文摘要……………………………………………………………………IV
目 錄……………………………………………………………………VI
圖表目次……………………………………………………………………IX
第一章 緒論
第一節 研究動機………………………………………………………1
第二節 研究之重要性…………………………………………………1
第三節 研究目的………………………………………………………2
第二章 文獻探討
第一節 心臟衰竭…………………………………………………………3
第二節 壓力………………………………………………………………5
第三節 因應………………………………………………………………8
第四節 憂鬱………………………………………………………………18
第五節 自我照顧自我效能………………………………………………21
第六節 生活品質…………………………………………………………25
第七節 文獻總結…………………………………………………………30
第三章 研究架構與假設
第一節 研究架構 ………………………………………………………32
第二節 名詞定義…………………………………………………………33
第三節 研究問題與研究假設……………………………………………34
第四章 研究設計與方法
第一節 研究對象及場所…………………………………………………36
第二節 實驗處置…………………………………………………………36
第三節 研究工具…………………………………………………………37
第四節 研究步驟…………………………………………………………45
第五節 研究設計…………………………………………………………47
第六節 資料分析…………………………………………………………48
第五章 研究結果
第一節 個案背景資料之描述……………………………………………49
第二節 心臟衰竭病患之壓力感受、憂鬱情緒、自我照顧自我效能及生
活品質狀態之描述………………………………………………54
第三節 因應技能訓練對心臟衰竭病患壓力感受、憂鬱情緒、自我照顧
自我效能及生活品質之成效探討………………………………58
第四節 心臟衰病患因應技能訓練課程評值與成效之探討……………66
第六章 討論
第一節 研究對象背景資料之描述………………………………………69
第二節 心臟衰竭病患之壓力感受、憂鬱情緒、自我照顧自我效能及生
活品質狀態………………………………………………………70
第三節 因應技能訓練對心臟衰竭病患壓力感受、憂鬱情緒、自我照顧
自我效能及生活品質之成效……………………………………72
第四節 心臟衰病患因應技能訓練課程之評值與成效………………75
第七章 結論與建議
第一節 結論………………………………………………………………77
第二節 建議………………………………………………………………78
參考資料
中文部分……………………………………………………………………80
英文部分……………………………………………………………………83
附錄
附錄一 健康促進策略量表(SUPPH)同意…………………………………94
附錄二 健康促進策略量表(SUPPH)中文版同意書………………………95
附錄三 生活品質量表(SF-36))中文版同意書…………………………96
附錄四 參與研究同意書…………………………………………………97
附錄五 心臟衰竭病患的因應技能訓練課程表…………………………98
附錄六 心臟衰竭病患的因應技能訓練教學活動設計(一) …………100
附錄七 心臟衰竭病患的因應技能訓練教學活動設計(二) …………101
附錄八 心臟衰竭病患的因應技能訓練教學活動設計(三) …………102
附錄九 心臟衰竭病患的因應技能訓練教學活動設計(四) …………103
附錄十 心臟衰竭病患的因應技能訓練教學活動設計(五) …………104
附錄十一心臟衰竭病患的因應技能訓練教學活動設計(六) …………105
附錄十二心臟衰竭病患基本資料問卷表………………………………106
附錄十三壓力視覺類比量表 ……………………………………………107附錄十四貝氏憂鬱量表…………………………………………………108
附錄十五健康促進策略量表(SUPPH)……………………………………111
附錄十六生活品質量表(SF-36)…………………………………………113
附錄十七心臟衰竭病患因應技能訓練課程評值表………………………117
附錄十八專家效度名單……………………………………………………118
附錄十九心臟衰竭病患因應技能訓練手冊………………………………119
一、中文部分
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柯慧貞、陸汝斌、柯永河(1995)・生活壓力、年齡、迪皮質醇壓制測試異常反應與憂鬱症亞型之關係 ・中華精神醫學,9(4),223-230。
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柯慧貞(1988)・內因性憂鬱症與非內因性憂鬱症在腎上腺皮質素抑制反應、認知偏差及生活壓力之比較・未發表之博士論文,台北:臺灣大學。
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