(3.236.82.241) 您好!臺灣時間:2021/04/13 02:25
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:巫春蓮
研究生(外文):Wu Chun-Lien
論文名稱:接受可癒性與緩和性治療癌症病人之主要照顧者生活品質的比較
論文名稱(外文):A comparison of the quality of life of family caregivers of cancer patients under curative or palliative treatment
指導教授:唐秀治唐秀治引用關係
指導教授(外文):Siew Tzuh Tang
學位類別:碩士
校院名稱:長庚大學
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:2007
畢業學年度:95
語文別:中文
論文頁數:131
中文關鍵詞:可癒性治療緩和性治療主要照顧者生活品質
外文關鍵詞:Curative therapyPalliative therapyPrimary caregiverQuality of life
相關次數:
  • 被引用被引用:6
  • 點閱點閱:393
  • 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:0
  • 收藏至我的研究室書目清單書目收藏:5
由文獻得知,接受緩和性治療癌症病人之照顧者在照顧病人過程中必須承擔病人病情不穩定、照顧需求大、照顧負荷沉重及生活品質降低的現象;接受可癒性治療癌症病人之照顧者,除承受病人罹患癌症之痛苦外,並在短時間內必須學習照顧的技巧,以及面對治癒成效的壓力,其生活品質亦受到影響。故無論接受可癒性或緩和性治療癌症病人之照顧者各自均有其困境,因此臨床護理人員毋須主觀判斷兩組照顧者之生活品質孰輕孰重,應可透過實證研究瞭解接受不同治療方式之癌症病人照顧者生活品質有無顯著差異,並探討影響照顧者生活品質的因素,以給予接受可癒性或緩和性治療癌症病人之照顧者實質協助。
因此,本研究除了比較接受可癒性與緩和性治療癌症病人之照顧者的生活品質之外,並分析於控制病人社會人口學、疾病及治療相關資料、執行日常活動的依賴程度、症狀困擾程度、主要照顧者社會人口學及健康狀況、照顧工作強度及照顧負荷等因素之後,接受不同治療方式之癌症病人照顧者其生活品質有無真正差異?期望藉由此研究結果有助於護理人員暸解兩組照顧者生活品質的差異,以及治療方式是否真為影響照顧者生活品質的因素,以作為護理人員提供接受可癒性或緩和性治療癌症病人之照顧者實質協助之依據。
本研究採橫斷性問卷調查,以方便取樣進行。自95年12月6日至96年2月14日於北部某醫學中心共收集接受可癒性與緩和性治療癌症病人之照顧者各50位的資料。研究工具包含(一)病人社會人口學、疾病及治療相關資料;(二)Enforced Socal Dependency Scale-執行日常活動的依賴程度(三)Symptom Distress Scale-症狀困擾程度;(四)主要照顧者社會人口學及健康資料表;(五)照顧工作強度;(六)Caregiving Reaction Assessment-照顧負荷;及(七)Caregiver Quality of Life Index-Cancer—主要照顧者的生活品質。研究者以查閱病歷及親自訪談方式收集資料,並使用描述性統計及多變項中之複迴歸統計方法進行統計分析。
本研究結果發現,雖然單變項分析中接受可癒性治療癌症病人之照顧者生活品質顯著比接受緩和性治療癌症病人之照顧者好,但多變項統計分析卻發現控制其他影響因素之後,「治療方式」非影響照顧者生活品質的因素。因此,癌症病人照顧者的生活品質與治療方式無關,癌症病人症狀困擾、照顧者的照顧負荷、教育程度及經濟運作等變項為影響照顧者生活品質的因素。病人的症狀困擾愈嚴重,照顧者的生活品質愈差;照顧者教育程度為高中以下、經濟運作不足者,及照顧負荷愈重,其生活品質愈差。故護理人員需對所有接受治療的癌症病人及其照顧者,都賦予全心的照顧之責,並且對於症狀困擾程度高之癌症病人、教育程度較低、經濟狀況較差及照顧負荷沉重之照顧者,更應留意其需要及困難,並適時給予照顧者最好的照顧及護理。

關鍵字:可癒性治療、緩和性治療、主要照顧者、生活品質
The literature has shown that those who take care of cancer patients receiving palliative therapy must accept the situations that accompany the patient’s unstable illness, such as the high demand for care, the heavy burden of care, and a reduced quality of life. On the other hand, those who take care of cancer patients receiving curative therapy must bear the suffering due to the patient’s illness, acquire the skills required for providing care in a limited period of time, face the stress owing to treatment efficacy, and accept the compromised quality of life as well. Therefore, caregivers face difficulties whether patients receive curative or palliative treatments. Clinical nurses should not subjectively judge the level of quality of life between these two caregiver groups, but should understand if there are any differences in the quality of life between these two groups through evidence-based research. Moreover, clinical nurses should investigate factors influencing the quality of life of caregivers in order to offer them practical assistance.
Therefore, this study not only compared the quality of life of those caring for patients receiving curative therapy with those caring for patients receiving palliative therapy, but also investigated, after adjusting for the impact of the social demographics, disease-related factors, level of dependence in daily activities, and level of symptom distress of the patients, as well as the social demographics, health status, work intensity, and subjective caregiving burden of the family caregivers, whether there were any differences in quality of life between these two types of caregivers. The purpose of this study was to help nursing staff understand the differences in quality of life between these two caregiver groups and to determine if the type of therapy was really a factor impacting the quality of life of the caregivers, and further, to be a source of evidence for nurses in providing pracital assistance to caregivers.
A cross-sectional survey was conducted by using a convenience sample of 50 caregivers who had patients receiving curative therapy and 50 caregivers who had patients receiving palliative therapy from a northern medical center between 6 December 2006 and 14 Feburary 2007. Instruments used in this study included the following: (1) the social demographics, and disease- and treatment-related data of the patients; (2) the Enforced Social Dependency Scale—for measuring the level of dependence of daily activities of the patients; (3) the Symptom Distress Scale—for the level of symptom distress of the patients; (4) the demographics and health data of the primary caregivers; (5) the work intensity of the primary caregivers; (6) the Caregiver Reaction Assessment—for the subjective caregiving burden of the primary caregivers; and (7) the Caregiver Quality of Life Index-Cancer—for the quality of life of the primary caregivers. Medical chart reviews and personal interviews were used for data collection. Descriptive statistics and multiple regression were used for statistical analysis.
The results of this study suggested that in univariate analysis, caregivers who have patients undergoing curative therapy had a significantly better quality of life than their counterparts who provided palliative care to patients. However, the “type of treatment” was not an influencing factor of the caregiver’s quality of life when multiple regression analysis was conducted and other influencing factors were controlled. Therefore, the quality of life of a cancer patient’s caregiver was not associated with the type of treatment, but was influenced by the patient’s level of symptom distress, as well as educational level, financial status and subjective caregiving burden of family caregivers. When patients suffered from a higher level of symptom distress, and their family caregivers had an educational level less than high school, reported that their financial status could not make ends meet, as well as experienced greater subjective caregiving burden, the quality of life of family caregivers would be lower. Nurses should provide the best care and services to cancer patients as well as to their caregivers, on an equal basis, no matter what kind of treatments the patients received. In addition, nurses should pay special attention to those caregivers who are at a disadvantaged status, such as with lower educational level and insufficient financial status, and make every effort to appropriately manage symptom distress of the patients and relieve the subjective caregiving burden of family caregivers. With these efforts, the quality of life of family caregivers may be improved to achieve the optimual level.

Key words:
Curative therapy, Palliative therapy, Primary caregiver, Quality of life
指導教授推薦書………………………………………………………..
口試委員會審定書……………………………………………………..
授權書………………………………………………………………..… iii
誌謝……………………………………………………………………. iv
中文摘要………………………………………………………………. v
英文摘要…………………………………………………………….…. xi
目錄…………………………………………………………………..… xi
第一章 研究動機與重要…………………………………………… 1
第一節 研究動機…………………….…………………….. 1
第二節 研究重要性………………………………………… 9
第二章 文獻查證…………………………………………………….. 14
第一節 可癒性與緩和性治療之定義……………………… 14
第二節 生活品質的定義…………………………………… 15
第三節 癌症病人之照顧者的生活品質………………….. 17
第四節 接受可癒性治療之癌症病人照顧者的生活品質… 23
第五節 接受緩和性治療之癌症病人照顧者的生活品質… 24
第六節 比較癌症病人接受可癒性與緩和性治療之照顧者的生活品質……………………………………….. 26
第七節 影響癌症病人照顧者生活品質的因素…………… 28
第八節 研究問題…………………………………………… 37
第三章 研究方法…………………………………………………….. 38
第一節 研究架構…………………………………………… 38
第二節 名詞界定…………………………………………… 39
第三節 研究設計…………………………………………… 39
第四節 研究場所及對象…………………………………… 40
第五節 研究工具…………………………………………… 41
第六節 資料收集步驟……………………………………… 49
第七節 統計方法…………………………………………… 53
第四章 研究結果與分析………………………………………..…… 60
第五章 討論………………………………………………………… 82
第六章 結論與建議…………………………………………………. 95
參考文獻………………………………………………………………. 104
附錄……………………………………………………………………. 120
附錄一 病人社會人口學及醫療資料表……………………………. 120
附錄二 被迫性社會依賴量表………………………………………. 121
附錄三 症狀困擾評估表……………………………………………. 123
附錄四 照顧工作強度量表…………………………………………. 125
附錄五 照顧者反應量表…………………………………………….. 126
附錄六 家屬生活品質量表………………………………………… 128
附錄七 主要家屬照顧者之社會人口學及健康資料表……………. 130













圖表目錄

圖3-1 研究架構…………………………………………………….. 38
圖3-2 生活品質之標準化殘差值的次數分配直方圖…………….. 56
圖3-3 生活品質之標準化殘差值的常態機率分佈圖…………….. 56
圖3-4 生活品質之預測值與殘差散佈圖………………………….. 57
圖3-5 生活品質變項之盒狀圖…………………………………….. 57
表3-1 Edwards與Ung(2002)提出CQOLC各層面生活品質之題號及內容………………………………………………….. 48
表4-1 接受可癒性與緩和性治療之病人特性…………………….. 61
表4-2 接受可癒性與緩和性治療病人之照顧者特性…………….. 65
表4-3 接受可癒性與緩和性治療病人之照顧者照顧負荷的比較 69
表4-4 接受可癒性與緩和性治療病人之照顧者生活品質的比較(依據Weitzner, Jacobson等(1999)提出CQOLC生活品質及次量表) 71
表4-5 接受可癒性與緩和性治療病人之照顧者生活品質的比較(依據Edwards與Ung(2002)提出CQOLC生活品質及次量表)………………………………………………… 73
表4-6 以t /F檢定病人特性與照顧者生活品質之相關性………... 75
表4-7 以Pearson’s correlation檢定病人特性與照顧者生活品質之相關性……………………………………………………………… 75
表4-8 主要照顧者特性與生活品質的相關分析結果……………. 77
表4-9 主要照顧者特性與生活品質的相關分析結果…………….. 79
表4-10 主要照顧者生活品質之預測變項………………………….. 81
參考文獻
一、中文部份
王保進(1999)‧視窗版SPSS與行為科學研究‧台北:心理。
王英偉(1998)‧緩和醫療照顧模式‧中華醫學雜誌,61(6),S137。
朱立寧(2002)‧癌患配偶照顧者之生活品質及其相關因素‧未發表的碩士論文,桃園:長庚大學護理研究所。
江季蓁、駱麗華(2002)‧新診斷白血病兒童住院期間主要照顧者之生活品質‧護理雜誌,49(2),42-50。
行政院衛生署(2007年6月14日)‧台灣地區主要死亡原因‧2007年6月16日取自http://www.doh.gov.tw/statistic/index.htm
吳聖良、胡杏佳、姚克明(1991),台灣地區居家照護老人主要照顧者負荷情形及其需求之調查研究.公共衛生,18,281-293。
李英芬(2006)‧住院腸胃道癌症病人之主要照顧者負荷及相關因素‧未發表碩士論文,台北醫學大學護理研究所。
李淑真、劉雪娥、蔡培葵、賴裕和(2003)‧接受安寧住院療護期間主要照顧者生活品質的變化‧安寧療護雜誌,8(3), 259-268。
李雅玲、高碧霞、曾紀瑩、駱麗華(2000)‧癌症兒童主要照顧者所關注的居家健康照護需求‧護理研究,8(6), 673-684。
周桂如(1998)‧照顧者負荷—以結構公式模式探討‧護理研究,6(5),358-371。
林金蘭、賴惠玲(2002)‧居家喘息服務對照顧者負荷之成效‧長期照護雜誌,60(1),81-88.)。
林玲華、林佳蓉、陳美伶(2004)‧癌症與非癌症手術後住院病患照顧者的負荷及其相關因素之初探‧長庚護理,15(2),141-155。
林梅香、顧乃平、劉仲冬、陳政友、林麗嬋(1996)‧肝癌患者家屬主要照顧者的壓力、健康狀況及其相關因素之探討,護理研究,4(2),171-184。
林麗英、余幸澄、張碧華(2001)‧血液腫瘤病患家屬生活品質之探討,榮總護理,18(3),281-293。
邱啟潤、許淑敏、吳淑如(2002)。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊,1(5),12-25。
邱啟潤、許淑敏、吳瓊滿(2002)‧主要照顧者負荷、壓力與因應之國內研究文獻回顧‧醫護科技學刊,4(4),273-290。
邱皓政(2000)‧量性研究與統計分析‧台北:五南。
姚建安、邱泰源、胡文郁、莊榮彬、程劭儀、李龍騰等(1997)‧以病人家屬角度探討緩和醫療初次評估‧中華民國家庭醫學雜誌,7(4),174-181。
姚開屏(2002)‧健康相關生活品質概念與測量原理之簡介‧台灣醫學會,6(2),183-191.
胡文郁、邱泰源、莊榮彬、陳慶餘、戴玉慈、陳月枝(1999)‧居家緩和醫療家庭主要照顧者之需求與滿意度‧台灣醫學,3(5),527-537。
胡綾真(1999)‧居家照顧癌症轉移病患之主要照顧者的照顧負荷、憂鬱與生活品質之探討‧未發表碩士論文,桃園:長庚大學護理研究所。
胡綾真、陳美伶、陳明岐、林佳靜、林玲華(2001)‧轉移性癌症病患之居家主要照顧者的照顧負荷及其影響因素‧長庚護理,12(4),282-293。
徐秀琹、林梅香(2003)‧白血病患者家屬主要照顧者的壓力、健康狀況及其相關因素之探討‧新臺北護理期刊,5(2),13-24。
張碧華、林麗英、楊克平、陳品玲(2001)‧癌症病患家屬需求及其影響因素探討‧榮總護理,18(4),416-428。
曹愛蘭(1997)‧從照顧者角色談婦女福利需求2005年11月26日取自http://taiwan.yam.org.tw/nwc/nwc2/care.html
許禮安(1999)‧安寧療護是一種預防醫學‧安寧照顧會訊,32,44。
陳秀娟、陳美伶(2004)‧癌症病患家屬照顧者照顧工作之探討‧長庚護理,15(3),258-270。
陳素燕(1997)‧一位住院鼻咽癌患者主要照顧者之壓力及因應‧榮總護理,14(3),295-303。
陳敏鋑、趙子傑、黃秀英、陳秋惠、陳瑞儀、胡文郁等(2002)‧癌症護理學‧台北:華杏。
陳惠津、李怡娟、吳肖琪(1998)‧影響居家癌病患者家庭照顧者需要因素之研究‧中華衛誌,17(5),412-422。
黃寶珠(2007)‧腸胃道癌症手術病人主要照顧者的負荷及相關因素‧未發表碩士論文,台北醫學大學護理研究所。
楊克平、杜友蘭、毛新春、鄭曉江、杜異珍、翁益強等(1999)‧安寧與緩和療護學概念與實務‧台北:華都。
楊美玲、林佳靜、陳靜敏(2002)‧居家安寧療護家屬主要照顧者照顧經驗之探討‧慈濟護理雜誌,1(3),48-56。
楊嘉玲、孫惠玲(2003)‧「照顧者負荷」概念分析‧馬偕學報‧3,15-27。
蔡麗雲、賴允亮、顧乃平、李英芬、劉佳祈、劉景萍等(2002)‧安寧緩和護理學‧台北‧華格那。
戴金英、唐秀治(2006)‧影響癌末病人主要照顧家屬正向與負向照顧經驗之因素探討‧新臺北護理期刊,8(1),17-31。
羅靜心(1992).住院癌症病患照顧者的壓力及其因應策略之探討.中華民國醫務社會工作學刊,2,41-54。
釋宗惇、釋法成、陳慶餘、釋會焜、釋天琳(2004)‧信仰認知對癌末病人與其照顧者之影響‧安寧療護,9(2),124-132。

二、英文部份
Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., & et al. (1993). The European orangization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365-376.
Allen, S. M., Goldscheider, F., & Ciambrone, D. (1999). Gender roles, marital intimacy, and nomination of spouse as primary caregiver. Gerontologist, 39(2), 150-158.
Aranda, S. K., & Hayman-White, K. (2001). Home caregivers of the person with advanced cancer: A Australian perspective. Cancer Nursing, 24(4), 300-307.
Arno, P. S., Levine, C., & Memmott, M. M. (1999). The economic value of informal caregiving. Health Affairs, 18(2), 182-188.
Axelsson, B. & Sjoden, P. O. (1998). Quality of life of cancer patients and their spouses in palliactive home care. Palliactive Medicine, 12(1), 29-39.
Bakas, T., Lewis, R. R., & Parsons, J. E. (2001). Caregiving task among family caregiver of patient with lung cancer. Oncology Nursing Forum, 28(5), 847-854.
Barsevuck, A., Pasacreta, J., & Orsi, A. (1995). Psychological distress and functional dependency in colorectal cancer patients. Cancer Practice, 3(2), 105–110.
Blank, J. J., Clark, L., Longman, A. J., & Atwood, J. R. ( 1989). Perceived home-care needs of cancer patients and their caregivers. Cancer Nursing, 12(2), 78-84.
Borneman, T., Chu, David, Z. J., Wagman, L., Ferrell, B., Juarez, G., McCahill, L. E., & et al. (2003). Concerns of family caregivers of patients with cancer facing palliative surgery for advanced malignancies. Oncology Nursing Forum, 30(6), 997-1005.
Boyle, D., Blodgett, L., Gnesdiloff, S., White, J., Bamford, A. M., Sheridan, M., & Beveridge, R. (2000). Caregiver quality of life after autologous bone marrow transplantation. Cancer Nursing, 23(3), 193-203.
Brazil, K., Bédard, M., Willison, K., & Hode, M. (2003). Caregiving and its impact on families of the terminally ill. Aging & Mental Health, 7(5), 376-382.
Calman, K. C. (1984). Quality of life in cancer patients: An hypothesis. Journal of Medical Ethics, 10,124-127.
Carter, P.A. (2002). Caregivers’ descriptions of sleep changes and depressive symptoms. Oncology Nursing Forum, 29(9), 1277–1283.
Cella, D. F., &Tulsky, D.S. (1993). Quality of life in cancer: Definition, purpose, and method of measurement. Cancer Investigation, 11(3), 327-336.
Chen, M. L., Chu, L., & Chen, H . C. (2004). Impact of cancer patient’s quality of life on that of spouse caregivers. Support Care Cancer, 12, 469–475.
Clipp, E. C., & Georage, L. K. (1990). Caregiver needs and patterns of social support. Journal of Geronyology,45s(3), 102-111.
Cohen, S. R., Mount, B. M., Bruera, E., Provost, M., Rowe, J., & et al. (1997). Validity of the McGill Quality of Life Questionnaire in the palliative care setting: A multi-centre Canadian study demonstrating the importance of the existential domain. Palliactive Medicine, 11(1), 3-20.
Colgrove, L. A., Kim, Y., & Thompson, N. (2007). The effect of spirituality and gender on the quality of life of spousal caregivers of cancer survivor. Annals of Behavioral Medicine, 33(1), 90-98.
Covinsky, K. E., Goldman, L., Cook, E. F., Oye, R., Desbiens, N., Reding, D., & et al. (1994). The impact of serious illness on patients' families. Journal of American Medical Association, 272(23), 1839-1844.
Crowe, H., & Costello, A. J. (2003). Prostate cancer: Perspectives on quality of life and impact of treatment on patients and their partners. Urologic Nursing, 23(4), 279–285.
Curtis, A. E. & Fernsler, J. I. (1989). Quality of life of oncology hospice patients: A comparison of patient and primary caregiver reports. Oncology Nursing Forum, 16(1), 49-53.
Davis-Ali, S. H., Chesler, M. A., & Chesney, B. K. (1993). Recgnizing cancer as a family disease: Worries and support repored by patient and spouses. Social Work in Health Care, 19(2), 45-65.
Edwards, B. & Ung, L. (2002). Quality of life instruments for caregivers of patients with cancer: A review of their psychometric properties. Cancer Nursing. 25(5), 342-349.
Emanuel, E. J., Fairclough, D. L., Slutsman, J., & Emanuel, L. L. (2000). Understanding economic and other burdens of terminally illness: The experience of patients and their caregivers. Annals of Internal Medicine, 132(6), 451-459.
Emanuel, E. J., Fairclough, D. L., Slutsman, J., Alpert, H., Baldwin, D., & Emanuel, L. L. (1999). Assistance from family members, friends, paid caregivers, and volunteers in the care of terminally ill patients. New England Journal Medicine, 341(13), 956-963.
Ferrans, C. E. (1990a). Development of a quality of life index for patients with cancer. Oncology Nursing Forum, 17s(3),15-21.
Ferrans, C. E. (1990b). Quality of life: Conceptual issues. Seminars in Oncology Nursing, 6(4), 248-254.
Ferrans, C. E., & Power, M. J. (1985). Quality of life index development and psychometric properties. Advances in Nursing Science, 8(1), 15-24.
Ferrans, C. E., & Power, M.J. (1992). Psychometric assessment of the quality of life index. Research in Nursing & Health,15(1), 29-38.
Ferrell, B. R., Funk, B. M., & Garcia, N. J. (1998). Quality of life in breast cancer. PartⅡ: Psychological and spiritual well-being. Cancer Nursing, 21(1), 1-9.
Ferrell, B. R., Grant, M. M., Funk, B. M., Otis-Green, S. A., & Garcia, N. J. (1998). Quality of life in breast cancer surviors: Implications for developing support services. Onchology Nursing Forum, 25(5), 887-895.
Gaston-Johansson, F., Lachica, E. M., Fall-Dickson, J. M., & Kennedy, M. J. (2004). Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncology Nursing Forum, 31(6), 1161-1169.
Given, B. A., Given, C. W., & Kozachik, S. (2001). Family support in advanced cancer. Ca--A Cancer Journal for Clinicians, 51(4), 213-231.
Given, B., & Given, C. W. (1996). Family caregiver burden from cancer. In R. McCorkle. (Ed.). Cancer nursing : A comprehensive textbook. (2nd ed.) (Chapter 9). Philadelphia: Saunders.
Given, B., Wyatt, G., Given, C., Sherwood, P., Gift, A., DeVoss, D., & Rahbar, M. (2004). Burden and depression among caregivers of patients with cancer at the end of life. Oncology Nursing Forum, 31(6), 1105-1117.
Given, C. W., Given, B., Stommel, M., Collins, C., King, S., & Franklin, S. (1992). The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Research in Nursing & Health, 15(4), 271-283.
Goldstein, N. E., Concato, J., Fried, T. R., Kasl, S. V., Johnson-Hurzeler, R., & Bradley, E. H. (2004). Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. Journal of Palliative Care, 20(1), 38-43.
Grov, E. K., Dahl, A. A., Fossa, S. D., Wahl, A. K., & Moum, T. (2006). Global quality of life in primary caregivers of patients with cancer in palliative phase staying at home. Support Care Cancer, 14(9), 943-951.
Grov, E. K., Dahl, A. A., Moum, T., & Fossa, S. D. (2005) Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Annals of Oncology, 16(7), 1185-1191.
Grunfeld, E., Coyle, D., Whelan, T., Clinch, J., Reyno, L., Earle, C. C., & et al. (2004). Family caregiver burden: Results of a longitudinal study of breast cancer patients and their principal caregivers. Canadian Medical Association Journal, 170(12), 1795-1801.
Hayman, J. A., Kenneth, M., Langa, K. M., Kabeto, M. U., Katz, S. J., DeMonner, S. M., Chernew, M. E., Slavin, M. B., & Fendrick, A. M. (2001). Estimating the cost of informal caregiving for elderly patients with cancer. Journal of Clinical Oncoogy. 19(13), 3219-3225.
Hileman, J. W., Lackey, N. R., & Hassanein, R. S. (1992). Identifying the needs of home caregivers of patients with cancer. Oncology Nursing Forum, 19(5), 771-777.
Houts, P. S., Yasko, J. M., Harvey, H. A., Kahn, B., Hartz, A. J., Hermann, J. F., & et al. (1988).Unmet needs of persons with cancer in Pennsylvania during the period of terminal care. Cancer, 62(3), 627–634.
Hunt, G. (2004). Comparison of caregiver burdens among cancer caregivers and noncancer caregivers. Unpublished raw data from the Caregiving in the U.S, Bethesda, MD: National Alliance for caregiving and AARP.
Iconomou,G., Viha, A., Kalofonos, H. P., & Kardamakis, D. (2001). Impact of cancer on primary caregivers of patients receiving radiation therapy. Acta Oncology, 40(6),766-771.
Jansen, C., Halliburton, P., Dibble, S., & Dodd, M. J. (1993). Family problems during cancer chemotherapy. Oncology Nursing Forum, 20(4), 689–696.
Kershaw, T., Northouse, L., Kritpracha, C., Schafenacker, A., & Mood, D. (2004). Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychology and Health, 19(2), 139-155.
Kim, A., Fall, P., & Wang, D. (2005). Palliactive care: Optimizing quality of life. The Journal of the American Osteopathic Association, 105s(11), 9-14.
Kitrungrote, L., & Cohen, M. Z. (2006). Quality of life of family caregivers of patients with cancer: A literature review. Oncology Nursing Forum, 33(3), 625-632.
Koot, R. W., Heer, K. de., Oortb, F. J., Hulshofc, M. C. C. M., Boscha, D.A., & de Haes, J. C. J. M. (2004). Quality of life after brachytherapy in patients with glioblastoma multiforme. European Journal of Cancer, 40(7), 1013-1020.
Kornblith, A.B., Herr, H.W., Ofman, U.S., Scher, H.I., & Holland, J.C. (1994). Quality of life of patients with prostate cancer and their spouses: The value of a database in clinical care. Cancer, 73(11), 2791–2802.
Kosberg, J. I., Cairl, R. E., & Keller, D. M. (1990). Components of burden: interventive implications. The Gerontologist, 30(2), 236-242.
Kurtz, M., Kurtz, J., Stommel, M., Given, C.W., & Given, B. (2002). Predictors of depressive symptomatology of geriatric patients with lung cancer—A longitudinal analysis. Psycho-Oncology, 11(1), 12–22.
Laizner, A.M., Yost, L.M., Barg, F.K., & McCorkle, R. (1993). Needs of family caregivers of persons with cancer: A review. Seminars in Oncology Nursing, 9, 114–120.
Le, T., Leis.A., Pahwa, P., Wrught, K., Ali, K., Reeder, B., & et al. (2004). Quality of life evaluations of caregivers of ovarian cancer patients during chemotherapy treatment. Journal of Obstetrics and Gynaecoly Canada, 26(7), 627-631.
Lewis, F. M. (1989) Strengthening family supports: Cancer and the family. Cancer, 65, 752-759.
Longman, A. J., Atwood, J. R., Sherman, J. B., Benedict, J., & Shang, T. C. (1992). Care needs of homebased cancer patients and their caregivers. Cancer Nursing, 15(3), 182-190.
Mathieson, C. M., Stam, H. J., & Scott, J. P. (1991). The impact of a laryngectomy on the spouse: Who is better off ? Psychology and Health, 5, 153-163.
Matthews, B. A. (2003). Role and gender differences in cancer-related distress: A comparison of survivor and caregiver self-reports. Oncology Nursing Forum, 30(3), 493-499.
Matthews, B. A., Baker, F., & Spillers, R. L. (2004). Family caregivers’ quality of life: Influence of health protective stance and emotional strain. Psychology and Health, 19(5), 625-641.
McCorkle, R., Benoliel, J. Q., Donaldson, G., Georgiadou, F., Moinpour, C., & Goodell, B. (1989). Randomized clinical trial of home nursing care for lung cancer patient. Cancer, 64(6), 1375–1382.
McMillan, S. C. & Weitzner, M. (2000). How problematic are various aspects of quality of life in patients with cancer at the end of life? Oncology Nursing Forum, 27(5), 817-823.
McMillan, S. C. (1996). Quality of life of primary caregivers of hospice patients with cancer. Cancer Practice, 4(4), 191-198.
McMillan, S. C., & Mahon, M. (1994). The impact of hospice services on the quality of life of primary caregivers. Oncology Nursing Forum, 21(7), 1189-1195.
Meeberg G. M. (1993). Quality of life: A concept analysis. Journal of Advanced Nursing, 18(1), 32-38.
Mellon, S. (2002). Comparisons between cancer survivors and family members on meaning of the illness and family quality of life. Oncology Nursing Forum, 29(7), 1117-1125.
Meyers, J. L., & Gray, L. N. (2001). The relationships between family primary caregiver characteristics and satisfaction with hospice care, quality of life, and burden. Oncology Nursing Forum, 28(1), 73-82.
National Alliance for Caregiving, & AARP. (2004). Caregiving in the U.S. Retrieved May 23, 2005, from http://www.caregiving.org/data/04fi nalreport. Pdf
Nijboer, C., Triemstra, M., Tempelaar, R., Sanderman, R., & van den Bos, G. A. M. (1999a). Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer, 86(4), 577-588.
Nijboer, C., Triemstra, M., Tempelaar, R., Sanderman, R., van den Bos, G. A. M. (1999b). Measuring both negative and positive reactions to giving care to cancer patients: Psychometric qualities of the Caregiver Reaction Assessment (CRA). Social Science and Medicine, 48(9):1259-1269.
Northouse, L. L. (2005). Helping families of patients with cancer. Oncology Nursing Forum, 32(4), 743-750.
Northouse, L. L., Dorris, G., & Charron-Moore, C. (1995). Factors affecting couples’ adjuatment to recurrent breast cancer. Social Science & Medicine, 41(1), 69-76.
Northouse, L.L., Mood, D., Kershew, T., Schafenacker, A., Mellon, S., Walker, J., & et al. (2002). Quality of life of women with recurrent breast cancer and their family members. Journal of Clincal Oncology, 20(19), 4050-4064.
Northouse, L.L., Mood, D., Templin, T., Mellon, S. & George, T. (2000). Couples’ patterns of adjustment to colon cancer. Social Science and Medicine, 50(2), 271–284.
Padilla, G. V., Mishel, M. H., & Grant, M. M. (1992). Uncertainty, appraisal and quality of life. Quality of Life Research, 1(3), 155-165.
Rabow, M. W., Hauser, J. M., & Adams, J. (2004). Supporting family caregivers at the end of life: “They don’t know what they don’t know.” Journal of American Medical Association. 291(4), 483-491.
Rolland, J. S. (2005). Cancer and the family: an integrative model. Cancer, 104(11 Suppl):2584-2595.
Rosner, B., & Bernard, A. (2000). Fundamentals of biostatistics. Pacific Grove, CA: Duxbury.
Schonwetter, R. S. (1996). Overview of hospice and palliative care in oncology. Cancer Control, 3(3), 197-203.
Schumacher, K. (1996). Reconceptualizing family caregiving: Family-based illness care during chemotherapy. Research in Nursing and Health, 19(4), 261–271.
Siegel, K., Raveis, V. H., Houts, P., & Mor, V. (1991). Caregiver burden and unmet needs. Cancer 68(5):1131-1140.
Smith, M. C., Kemp, J. Hemphill, L., & Vojir, C. P. (2002). Outcomes of therapeutic massage for hospitalized cancer patients. Journal of Nursing Scholarship, 34(3), 257-262.
Sprangers, M. A. & Aaronson, N. K. (1992). The role of health care providers and significant others in evaluating the quality of life of patients with chronic disease: A review. Journal of Clinical Epidemiology, 45(7), 743-760.
Tang, S. T. (2006). Concordance of quality-of-life assessments between terminally ill cancer patients and their primary family caregivers in Taiwan. Cancer Nursing, 29(1), 49-57.
Tuinman, M. A., Fleer, J., Hoekstra, H. J., Sleijfer, D. T., & Hoekstra-Weebers, J. E. (2004). Quality of life and stress response symptoms in long-term and recent spouses of testicular cancer survivors. European Journal of Cancer, 40(11), 1696–1703.
Van Kleffens, T., Van Baarsen, B., Hoekman, K., & Van Leeuwen, E. (2004). Clarifying the term “palliative” in clinical oncology. European Journal of Cancer Care, 13(3), 263-271.
Wanger, C. D., Bigatti, S. M., & Storniolo, A. M. (2006). Quality of life of husbands of women with breast cancer. Psycho-Oncology, 15(2),109-120.
Weitzner, M. A., Jacobson, P. G., Wagner, H., Cox, C., & Friedland, J. (1999). The Caregiver Quality of Life Index-Cancer (CQOL-C) Scale: Development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Quality of Life Research, 8(1-2), 55–63.
Weitzner, M. A., McMillan, S. C., & Jacobsen, P. B.(1999). Family caregiver quality of life differences between curative and palliative cancer treatment settings. Journal of Pain and Symptom Management, 17(6), 418-428.
Wilson, I. B. & Cleary, P D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Jouunal of the American Medical Association, 273(1), 59-65.
Yun,Y. H., Rhee,Y. S., Kang, I. O., & Lee, J. S. (2005). Economic burdens and quality of life of family caregivers of cancer patients. Oncology, 68(2-3), 107-114.
Zacharias, D. R., Gilg, C. A., & Foxall, M. J. (1994). Quality of life and coping in patients with gynecologic cancer and their spouses. Oncology Nursing Forum, 21(10), 1699–1706.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 林金蘭、賴惠玲(2002)‧居家喘息服務對照顧者負荷之成效‧長期照護雜誌,60(1),81-88.)。
2. 李雅玲、高碧霞、曾紀瑩、駱麗華(2000)‧癌症兒童主要照顧者所關注的居家健康照護需求‧護理研究,8(6), 673-684。
3. 李淑真、劉雪娥、蔡培葵、賴裕和(2003)‧接受安寧住院療護期間主要照顧者生活品質的變化‧安寧療護雜誌,8(3), 259-268。
4. 吳聖良、胡杏佳、姚克明(1991),台灣地區居家照護老人主要照顧者負荷情形及其需求之調查研究.公共衛生,18,281-293。
5. 江季蓁、駱麗華(2002)‧新診斷白血病兒童住院期間主要照顧者之生活品質‧護理雜誌,49(2),42-50。
6. 林玲華、林佳蓉、陳美伶(2004)‧癌症與非癌症手術後住院病患照顧者的負荷及其相關因素之初探‧長庚護理,15(2),141-155。
7. 林梅香、顧乃平、劉仲冬、陳政友、林麗嬋(1996)‧肝癌患者家屬主要照顧者的壓力、健康狀況及其相關因素之探討,護理研究,4(2),171-184。
8. 林麗英、余幸澄、張碧華(2001)‧血液腫瘤病患家屬生活品質之探討,榮總護理,18(3),281-293。
9. 邱啟潤、許淑敏、吳淑如(2002)。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊,1(5),12-25。
10. 邱啟潤、許淑敏、吳瓊滿(2002)‧主要照顧者負荷、壓力與因應之國內研究文獻回顧‧醫護科技學刊,4(4),273-290。
11. 胡綾真、陳美伶、陳明岐、林佳靜、林玲華(2001)‧轉移性癌症病患之居家主要照顧者的照顧負荷及其影響因素‧長庚護理,12(4),282-293。
12. 張碧華、林麗英、楊克平、陳品玲(2001)‧癌症病患家屬需求及其影響因素探討‧榮總護理,18(4),416-428。
13. 陳秀娟、陳美伶(2004)‧癌症病患家屬照顧者照顧工作之探討‧長庚護理,15(3),258-270。
14. 陳素燕(1997)‧一位住院鼻咽癌患者主要照顧者之壓力及因應‧榮總護理,14(3),295-303。
15. 楊美玲、林佳靜、陳靜敏(2002)‧居家安寧療護家屬主要照顧者照顧經驗之探討‧慈濟護理雜誌,1(3),48-56。
 
系統版面圖檔 系統版面圖檔