跳到主要內容

臺灣博碩士論文加值系統

(100.28.231.85) 您好!臺灣時間:2024/11/09 02:57
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:陳佩盈
研究生(外文):Pei-Ying Chen
論文名稱:運動衛生教育介入對於慢性腎衰竭透析前期病患之成效研究
論文名稱(外文):The Effects of Exercise and Health Education Intervention for Chronic Renal Failure Predialysis patients
指導教授:高毓秀高毓秀引用關係
指導教授(外文):Yu-Hsiu Kao, Ph.D.
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:醫護教育研究所
學門:教育學門
學類:專業科目教育學類
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:130
中文關鍵詞:慢性腎衰竭透析前期疲憊憂鬱運動行為
外文關鍵詞:The chronic renal failure predialysisfatiguedepressionexercise behavior
相關次數:
  • 被引用被引用:4
  • 點閱點閱:656
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:8
研究主要目的在探討慢性腎衰竭透析前期病患之運動衛教介入對實驗組研究對象之血液生化值、憂鬱、疲憊及運對行為的成效。採用實驗設計法,實驗組、對照組前後測方式進行。實驗處理是實驗組接受運動衛教,而對照組則不接受任何的實驗處理。於北部某一家醫學中心腎臟科門診篩選診斷為慢性腎衰竭尚未接受透析治療的病患為研究對象,並隨機分派至實驗組與對照組,研究期間因故流失,最後實際收案,實驗組45人,對照組49人。研究工具包括個人基本資料、運動行為量表、憂鬱評量表、疲憊評量表及血液生化值記錄表。運動衛教介入的內容包括疾病與運動、腎臟病患者的運動建議及腎臟病患者的運動計畫等。所得資料以卡方檢定、t檢定、配對t檢定、Bowker,s test of symmetry及共變數分析(analysis of covariance, ANCOVA)等方法進行分析。結果顯示運動衛教介入能顯著降低病患血中的膽固醇數值,改善憂鬱及疲憊情形,並增加運動人數與每週運動量,而在紅血球、血色素、血比容及血糖數值則無顯著差異。本研究結果可以提供慢性腎病患者運動衛教之參考,並且將運動實際融入慢性腎病患者整體照護計畫中,以提升照護之品質。
The main purpose of this study was to investigate the effects of health education on exercise as an intervention upon the predialytic phase of chronic renal failure, i the areas of blood biochemistry, depression, fatigue and exercise behavior. Experimental design and a pre-test/post-test comparison group design between a study group and control group were used in this study. The study group received health education in exercise and the control group didn't. Patients with chronic renal failure without undergoing hemodialysis were selected as the study subjects in the nephrology clinics of a medical center in northern Taiwan. Subjects were randomly distributed into the study group or control group. The total number of valid sample was 94; 45 persons in the study group and 49 in the control group. The study tool included questionnaires on personal information, exercise behavior scale, depression rating scale and fatigue rating scale and blood biochemistry test record. The content of health education on exercise included the relation between disease and exercise, suggestion of exercise and exercise program for patients with renal diseases. The data were analyzed using chi-square test, t-test, paired t-test, Bowker’s test of symmetry, and analysis of covariance (ANCOVA). Results of the study showed that exercise and health education intervention reduced fasting plasma total cholesterol level, improved depression and fatigue, and increased exercise population and amount of exercise per week. However, no significant differences were found for red blood cell(RBC), hemoglobin(Hb), hematocrit (Hct) and blood sugar. The results of this research can provide information for health education intervention on exercise in patients with chronic renal diseases. Adopting exercise as an integral part of a care program for patients with chronic renal diseases can improve the quality of care.
致 謝................................................Ⅱ
中文摘要..............................................III
英文摘要...............................................IV
目 錄................................................V
圖表目次...............................................Ⅷ

目錄
第一章 緒論
第一節 研究動機及重要性.................................1
第二節 研究目的........................................4
第三節 研究問題........................................5
第四節 研究假設........................................5
第五節 名詞界定........................................6
第六節 研究限制........................................8
第二章 文獻查證
第一節 慢性腎衰竭概述...................................9
第二節 延緩照護策略....................................11
第三節 運動對血液生化值的效應...........................15
第四節 運動對憂鬱的效應................................17
第五節 運動對疲憊的效應................................20
第六節 運動介入的成效..................................25
第三章 研究設計與方法
第一節 研究設計.......................................35
第二節 研究架構.......................................37
第三節 研究對象.......................................38
第四節 研究工具及信效度檢定............................39
第五節 資料收集過程...................................42
第六節 資料分析與處理.................................44
第七節 研究對象權益維護...............................44
第四章 研究結果
第一節 研究對象之背景資料分析..........................46
第二節 運動衛教介入前,研究對象之血液生化值、憂鬱、疲憊及運動行為的分佈情形
............................................51
第三節 運動衛教介入前後之差異.........................54
第四節 運動衛教介入之成效.............................61
第五章 討論
第一節 研究對象之背景資料.............................65
第二節 研究對象之血液生化值、憂鬱、疲憊及運動行為........66
第三節 運動衛教介入之效果.............................68
第六章 結論與建議
第一節 結論..........................................70
第二節 建議..........................................71
參考文獻
中文部分.............................................75
英文部分.............................................81
附 錄
附錄一 慢性腎衰竭透析前期病患之運動衛教成效調查問卷........93
附錄二 血液生化記錄表.................................100
附錄三 慢性腎病患者運動衛教手冊........................101
附錄四 參與研究同意書.................................114
附錄五 「貝氏憂鬱量表第二版」研究工具使用申請函...........115
附錄六 「疲憊評量表」研究工具使用同意函..................116
附錄七 「過去一年運動習慣量表」研究工具使用同意函.........117
附錄八 「運動階段量表」研究工具使用同意函................118
附錄九 研究工具內容效度之專家名單......................119
附錄十 慢性腎病患者運動衛教手冊內容效度之專家名單........120
附錄十一 人體試驗委員會同意書............................121
附錄十二 同意臨床試驗證明書..............................122

圖表目次
圖3-2-1 研究架構……………………………………………………………37
圖3-5-1 資料收集流程圖..…………………………………………………42
表2-1-1慢性腎臟疾病的分期及盛行率………………………………………9
表2-2-1 生活型態修正建議表 ……………………………………………15
表2-3-1 跨理論模式的建構~以運動為例 …………………………………32
表2-3-2 跨理論模式應用於運動衛生教育…………………………………34
表3-1-1 研究設計……………………………………………………………35
表3-4-1 Canada Fitness Surver(1983)MET換算值………………41
表3-6-1 研究目的、研究假設與統計方法…………………………………45
表4-1-1 研究對象之基本資料與卡方檢定…………………………………49
表4-2-1 前測血液生化值與兩組t檢定 ……………………………………51
表4-2-2 前測心理層面與兩組t檢 定………………………………………52
表4-2-3 前測運動階段的分佈與兩組卡方檢定……………………………53
表4-2-4 前測過去三個月運動習慣與兩組t檢定 …………………………53
表4-3-1 兩組於血液生化值前後測比較……………………………………55
表4-3-2 兩組於心理層面前後測比較………………………………………56
表4-3-3 實驗組於各運動階段前後測之比較………………………………57
表4-3-4 實驗組於各運動階段前後測之改變………………………………57
表4-3-5 對照組於各運動階段前後測之比較………………………………58
表4-3-6 對照組於各運動階段前後測之改變………………………………59
表4-3-7 兩組於過去三個月運動習慣前後測比較…………………………60
表4-4-1 各變項之組內迴歸係數同質性檢定………………………………62
表4-4-2 以兩組前測為共變項之後測共變數分析及調節後之平均值……63
中文部分
中華民國腎臟基金會(2006)。九十四年度台灣地區透析總人數統計。摘自2月18日,2006,http://www.kidney.org.tw/a94.gif
王智賢、黃建鐘(2002)。腎臟病的保護性療法-多重風險因子介入治療。腎臟與透析,14(3),136-140。
王雅容(2002)。白血病患者之希望、憂鬱與生活品質之相關性探討。國立台北護理學院護理研究所碩士論文,未出版,台北市。
王憲奕、黃志強(2004)。貧血、紅血球生成素和心腎保護。腎臟與透析,16(4),197-200。
台灣腎臟醫學會(2006)。九十四年度第四季洗腎總額支付制度醫療服務品質指標報告。摘自8月18日,2006,http://www.tsn.org.tw
曲天尙(2004)。更年期婦女的運動階段、身體活動與知覺運動利益和障礙之探討。台北醫學大學護理研究所碩士論文,未出版,台北市。
江惠英、鍾信心(1997)。血液透析病人疲倦感與社會支持、憂鬱傾向及血液生化檢查值相關性探討。護理雜誌,5(2),115-126。
江慧珣(2004)。多媒體式護理指導對慢性腎功能不全患者知識、態度、行為意向與行為之成效。國防醫學院護理研究所碩士論文,未出版,台北市。
朱宗信(1997)。慢性腎衰竭之診斷與處置。當代醫學,24(12),1027-1030。
朱德容(2002)。類風濕性關節炎病患憂鬱與日常活動狀況對生活品質影響之探討。國立台北護理學院護理研究所碩士論文,未出版,台北市。
池汾玫(2002)。冠狀動脈心臟病患憂鬱程度和自我照顧效能之相關研究。國立台灣師範大學衛生教育研究所碩士論文,未出版,台北市。
行政院衛生署(2006)。衛生統計資訊網。摘自2月18日,2006,http://www.doh.gov.tw/statistic/data/死因摘要/94年/表1.xls
行政院衛生署全民健康保險爭議審議委員會(2005)。慢性腎衰竭患者於洗腎期間用藥問題之探討。台灣醫學,9(1),84-86。
吳佩蓉、許淑蓮、蔡敦仁、黃秀梨(1997)。個別衛教對慢性腎衰竭患者疾病認知、態度、自我照顧之成效。台灣醫學,1(1),23-34。
吳佳儀(2002)。社區老人睡眠品質與身體活動、憂鬱之相關性探討。國立臺灣大學護理研究所碩士論文,未出版,台北市。
沈玲純、丘周萍(2003)。照護一位慢性腎衰竭合併體液容積過量患者的護理經驗。台灣腎臟護理學會雜誌,2(1),40-47。
李穗倫、劉文德、周偉倪(2000)。透析病患與運動。中華民國血液淨化醫學會雜誌,9(3/4),16-18。
李瑜弘、王瑞霞(2001)。長期血液透析病患之無助感社會支持與自我照顧行為之相關探討。護理研究,9(2),147-158。
李碧霞(2001)。中年人運動階段、身體活動及其影響因素之研究~以台北市中山區居民為例。國立臺灣師範大學衛生教育研究所博士論文,未出版,台北市。
李芸湘、蔡芸芳、賴裕和、高瑞和(2002)。肺癌病患在化學治療期間疲憊程度及其相關因素。台灣醫學,6(6),797-804。
李碧娥、林秋菊(2002)。疲憊的概念分析。長庚護理,13(4),339-344。
李裕菽(2003)。台北市立醫院臨床護理人員身體活動及其相關因素研究。國立台北護理學院醫護教育研究所碩士論文,未出版,台北市。
李武雄(2004)。宜蘭縣南陽義學銀髮族學員運動行為之研究─跨理論模式的應用。國立台北師範學院教育政策與管理研究所碩士論文,未出版,台北市。
呂昌明、林旭龍、黃奕清、李明憲、王淑芳(2001)。身體活動自我報告量表之效度及信度的研究-以Tritrac-R3D以三度空間加速器為校標。衛生教育學報,15,99-114。
呂昌明、郭曉文、王淑芳、林旭龍、李碧霞(2003)。應用跨理論模式於學童母親運動行為之研究。衛生教育學報,19,57-70。
杜幸芳、馬素華、黃明達、莊峻鍠(1998)。衛教合併行為修正策略對糖尿病人代謝控制的影響。台灣醫學,2(1),8-17。
周偉倪、張光遜、龍淑慧、高木榮、郭振楠(1998)。尿毒病患血液透析中之運動訓練:病例報告。中華復健醫誌,26(2),95-101。
卓宜靜(2002)。穴位指壓對末期腎臟疾病患之者疲憊感、生活品質和憂鬱之成效探討。台北護理學院護理研究所碩士論文,未出版,台北市。
卓宜靜、蔡秀鸞(2004)。穴位指壓合併按摩對末期腎疾病患者的疲憊感和憂鬱之成效。護理研究,12(1),51-59。
林玉娟(1997)。癌症疼痛評估。護理新象,7,9-29。
林清山(1997)。心理與教育統計學。台北:東華。
林旭龍(2000)。應用跨理論模式於大學女生身體活動之主客觀評價的研究。國立台灣師範大學衛生教育研究所博士論文,未出版,台北市。
林秋菊、賴曉蓉、周偉倪(2000)。運動對血液透析患者生理、心理之效應。中華公共衛生雜誌,19(3),161-169。
林恆騰、林秋菊、王鈺霖、洪榮斌、林孟輝、黃文君等(2001)。末期腎病患者血液透析中之運動訓練。中華民國復健醫學會雜誌,29(2),91-98。
林玲華(2002)。癌症住院病患憂鬱狀態的盛行率及預測因素。台灣醫學,6(4),
535-545。
林美良(2002)。慢性腎衰竭。於盧美秀翻譯總校閱,拉克曼內外科護理學(2nd ed.,pp.1234-1238)。台北:華杏。
林雁秋(2003)。慢性腎衰竭患者透析前醫療利用行為之探討。國立成功大學護理研究所碩士論文,未出版,台南市。
林靜皓(2004)。實證醫學對延緩腎功能惡化之保守性療法的建議。腎臟與透析,16(1),42-46。
洪魁宏、陳靖博(2004)。抽煙與腎病變。腎臟與透析,16(3),134-138。
胡潔瑩、邱啟潤、陳鴻鈞、林秋菊(2005)。團體衛教合併行為修正對血液透析病患體重控制知識、體重及血壓之成效。實證護理,1(4),302-310。
高毓秀、黃奕清(2000)。成人運動行為影響因素之徑路分析。護理研究,8(4),435-445。
高毓秀(2002)。職場員工運動行為改變計劃之實驗研究:跨理論模式之應用。國立臺灣師範大學衛生教育研究所博士論文,未出版,台北市。
孫宜孜、徐邦治、楊福麟、廖進興、林崇舜、李茹萍(2005)。血液透析患者之憂鬱狀態及影響因素探討。慈濟護理雜誌,4(3),47-54。
陳清惠(1996,11月)。老年人運動行為之研究。於教育部主辦,八十五年度師範學院教育學術論文發表會。台東:台東師範學院。
陳美玲、顧乃平(1998)。血液透析病患生活品質及其相關因素之探討。護理研究,6(5),393-404。
陳淑子(2004,10月)。慢性腎病患者飲食管理之新趨勢。於台灣腎臟護理學會主辦,慢性腎臟疾病之照護策略研習會。台北:馬偕醫院九樓大禮堂。
陳建銘、陳建良(2005)。糖尿病腎病變。腎臟與透析,17(2),117-122。
張碧華(2003)。走路方案對急性骨髓性白血病病患接受化學治療期間疲憊改善之效果。台北醫學大學護理研究所碩士論文,未出版,台北市。
張淑紅、蕭芝殷、吳思儀、張嫚純、林婉如(2005)。運動與憂鬱症狀相關之研究-以台大學生為例。醫護科技學刊,7(3),258-266。
黃毓華(1997)。大學生健康促進生活型態及其預測因子。中華民國公共衛生學會雜誌,16(1),24-36。
黃文君、林恒騰、周偉倪(2004)。末期腎病患者洗腎中之運動訓練及成效—病例報告。物理治療,29(3),196-201。
黃美貞(2004)。運動訓練方案對食道癌病患疲憊程度改善成效之探討。長庚大學護理研究所碩士論文,未出版,台北市。
黃智英、楊郁(2004)。慢性腎臟病衛教簡介。台灣腎臟護理學會雜誌,3(2),81-86。
黃小倩(2006)。血液透析患者身體活動量與相關因素探討。台北醫學大學護理研究所碩士論文,未出版,台北市。
曾月霞、林岱樺、陳秀萍(2003)。跨理論模式於改變老人運動行為之應用。護理雜誌,50(4),76-80。
曾美娟(2006)。國中生體型意識、身體活動及飲食行為相關之探討。國立台北護理學院醫護教育研究所碩士論文,未出版,台北市。
董萃英(1996)。慢性腎衰竭的營養治療。健康世界,131,78-80。
葉俊東、唐德成、黃東波(2005)。末期腎病變之貧血探討。腎臟與透析,17(1),1-10。
楊紹佑(2004)。血脂異常與腎臟疾病。健康世界,217,41-45。
雷秀麗(2001)。台灣地區慢性透析病患醫療利用及死亡率之分析。陽明大學公共衛生研究所碩士論文,未出版,台北市。
蔡佳宏(2002)。應用跨理論模式於老人運動行為之研究--以臺北市中山區長青學苑學員為例。國立臺灣師範大學衛生教育研究所碩士論文,未出版,台北市。
劉明謙、嚴崇仁(1999)。尿毒症之毒素。腎臟與透析,11(1),32-36。
劉淑樺(2000)。運動訓練對血液透析病患運動耐力、血液生化值、疲憊與健康控制歸因之成效。高雄醫學大學護理研究所碩士論文,未出版,高雄市。
劉淑樺、周偉倪、王鈺霖、林恆騰、黃文君、沈靜枝(2000)。運動訓練對尿毒血液透析患者在心肺耐力與憂鬱狀態之效果。中華民國復健醫學會雜誌,28(4),237-145。
劉淑樺(2001)。疲憊之概念分析。護理雜誌,48(4),73-77。
劉淑樺、陳彰惠(2002)。血液透析患者疲憊、憂鬱與運動耐力及其相關性探討。護理雜誌,49(4),53-62。
劉淑樺、林秋菊、葉淑惠、周偉倪、陳彰惠(2002)。運動訓練對血液透析病患之成效。台灣醫學,6(2),129-142。
劉影梅(2004)。國際身體活動量表台灣中文版之發展與信效度驗證。國立台灣大學護理研究所博士論文,未出版,台北市。
歐倫君(2004)。團體衛教對慢性腎衰竭透析前期病患飲食及運動行為之成效探討。長庚大學護理研究所碩士論文,未出版,台北市。
鍾麗娟、高紀惠(1995)。血液透析患者疲憊定義特徵及相關因素之臨床效度測定。長庚護理,6(2),13-25。
戴秀津(2003)。高中職學生網路成癮之相關因素及其身心健康影響探討。台北醫學大學護理研究所碩士論文,未出版,高雄市。
簡盟月、吳英黛、關永基、簡辰霖(2003)。中文版七日活動回憶量問卷之信度及其與疾病和功能容量之相關。物理治療,28(1),1-8。
蕭志彥、王明誠(2004)。降血脂藥物(Statins)與慢性腎病。腎臟與透析,16(4),191-196。
顏如佑、柯志鴻、楊明仁、施春華、黃維仲、廖英鈿等(2005)。台灣人憂鬱量表與簡氏症狀量表使用於大規模社區憂鬱症個案篩選之比較。北市醫學雜誌,2(8),52-59。
英文部分
Aaron, D. J., Kriska, A. M., Dearwater, S. R., Anderson, R. L., Olsen, T. L., & Cauley, J. A., et al. (1993). The epidemiology of leisure physical activity in an adolescent population. Medicine Science of Sports Exercise, 25, 847-853.
Aaronson, L. S., Teel, C. S., Cassmeyer, V., Neuberger, G. B., Pallikkathayil, L., & Pierce, J., et al. (1999). Defining and Meassuring. Image-the Journal of Nursing Scholarship, 31(1), 45-50.
American Diabetes Association. (2002). Standards of medical care for patients with diabetes mellitus. Diabetes Care, 25, 213-229.
Boyce, M. L., Robergs, R. A., Avasthi, P. S., Roldan, C., Foster, A., & Montner, P., et al. (1997). Exercise training by individuals with predialysis renal failure: Cardiorespiratory endurance, hypertension, and renal function. American Journal of Kidney Diseases, 30(2), 180-192.
Botton, W. K., & Kliger, A. S. (2000). Chronic renal insufficiency: Current understanding and their implications. American Journal of Kidney Diseases,36(6), 4-12.
Borchardt, G. L. (2000). Role models for health promotion: The challenge for nurses. Nursing Forum, 35(3), 29-32.
Bouchard, C., Trembly, A., Leblanc, C., Lortie, G., Savard, R., & Theriault, G. (1983). A method to assess energy expenditure in child and adults. American Journal of Clinical Nutrition, 37, 461-467.
Brink, T. L., Yesavage, J. A., Lum, O., Heersema, P. H., Adey, M., & Rose, T. L.(1982). Screening tests for geriatric depression. Clinical Geronyologist, 1, 37-43.
Brunier, G. M., & Graydon, J. (1993). The influence of physical activity on fatigue in patients with ESRD on hemodialysis. American Nephrology Nurses, Association, 20(4), 457-461.
Cases, A., & Coll, E. (2005). Dyslipidemia and the progression of renal disease in chronic renal failure patient. Kidney nternational, 68(Suppl. 99), S87-S93.
Callaghan, P., Eves, F., Norman, P., Chang, A. M., & Cheung, Y. L. (2002). Applying the transtheoretical model of change to exercise in young chinese people. British. Journal of Health Psychology, 7, 267-282.
Cardinal, B. J. (1997). Construct validity of stages of change for exercise behavior. American Journal of Health Promotion, 12(1), 68-74.
Canada Fitness Survey (1983). Fitness and lifestyle in Canada. Ottawa: Canada Fitness Survey.
Caspersen, C. J., Bloemberg, B. P., Saris, W. H., Merritt, R. K., & Krombout, D.(1985). The prevalence of selected physical activites and their relation with coronary heart-disease risk factor in elderly men: The Zutphen Study, American Journal of Epidemiology, 133(11), 1078-1092.
Chen, M. L., Chang, H. K., & Yen, C. H. (2000). Anxiety and depression in Taiwanese cancer patients with and without pain. Journal of Advanced Nursing, 32(4), 944-951.
Clyne, N. (2004). The importance of exercise training in predialysis patients with chronic kidney disease. Clinical Nephrology, 61(Suppl.1), S10-S13.
Curtin, R. B., Bultman, D. C., Thomas-Hawkins, C., Walters, B. A., & Schatell, D.(2002). Hemodialysis patients' symptom experiences: Effects on physical and mental functioning. Nephrology Nursing Journal, 29(6), 562, 567-574.
Daul, A. E., Schafers, R. F., Daul, K., Philipp, T. (2004). Exercise during hemodialysis. Clinical Nephrology, 61(Suppl. 1), S26-S30.
Deligiannis, A. (2004). Cardiac adaptations following exercise training in hemodialysis patients. Clinical Nephrology, 61(Suppl. 1), S39-S45.
Deligiannis, A., Kouidi, E., & Tourkantonis, A. (1999). Effects of physical training on heart rate variability in patients on hemodialysis. American Journal of Cardiology, 84(2), 197-202.
Di, F., Soderberg, J., Choi, T., Hansen, C. R., & Schapiro, R. T. (1998). Extended outpatient rehabilitation: Its influence on symptom frequency, fatigue, and functional status for persons with progressive multiple sclerosis. Archives of Physical Medicine & Rehabilitation, 79(2), 141-146.
Dugan, W., McDonald, M. V., Passik, S. D., Rosenfeld, B. D., Theobald, D., & Edgerton, S. (1998). Use of the Zung Self-Rating Depression Scale in cancer patients: Feasibility as a screening tool. Psycho-Oncology, 7(6), 483-93.
Eknoyuan, G. (2003). Meeting the Challenge of the New K/DOQI guidelines. American Journal of Kidney Diseases, 6(5), S3-S10.
Eknoyan, G., Levin, N. W., & Steinberg, E. (1997). The National Kidney Foundation Dialysis Outcomes Quality Initiative. Current in Opinion Nephrology and Hypertension, 6(6), 520-523.
Eschbach, J. W. (2003). Anemia in chronic renal failure. In R. J. Johnson, & J. Feehally(Eds.), Clinical Nephrology(2nd ed., pp. 905-912). St Louis: Mosby.
Fried, L. F., Orchard, T. J., & Kasiske, B. L. (2001). Effect of lipid reduction on the progression of renal disease: A meta-analysis. Kidney International, 59(1), 260-269.
Gazmararian, J., Baker, D., Parker, R., & Blazer, D. G. (2000). A multivariate analysis of factors associated with depression: Evaluating the role of health literacy as a potential contributor. Archives of Internal Medicine, 160(21), 3307-3314.
Glanz, K. , Lewis, F. M. & Rimer, B. K. (2002). Health Behavior and Health Education (3rd ed., pp. 60-84). Jossey-Bass : San Francisco.
Goldberg, A. P., Geltman, E. M., Gavin, J. R., Carney, R. M., Hagberg, J. M., & Delmez, J. A., et al. (1986). Exercise training reduces coronary risk and effectively rehabilitates hemodialysis patients. Nephron, 42(4), 311-316.
Heiwe, S., Tollback, A., & Clyne, N. (2001). Twelve weeks of exercise training increases muscle function and walking capacity in elderly predialysis patients and healthy subjects. Nephron, 88(1), 48-56.
Hebert, L. A., Wilmer, W. A., Falkenhain, M. E., Ladoson-Wofford, S. E., Nahman, N. S., & Rovin, B. H. ( 2001). Renoprotection: One or many therapies. Kidney International, 59(4), 1211-1226.
Hordam, V. W., & Hutton, J. J. (1983). Anemia of chronic disease: Basic concepts and management. Geriatrics, 38(1), 51-58.
Horl, M. P., & Horl, W. H. (2002). Hemodialysis–associated hypertension: Pathophysiology and therapy. American Journal of Kidney Diseases, 39(2), 227-244.
Hsu, C. Y., & Chertow, G. M. (2000). Chronic real confusion: Insufficiency, failure,dysfunction,or disease. American Journal of Kidney Diseases, 36(2), 415-418.
Irvine, D. M., Vincent, L., Graydon, J. E., & Bubela, N. (1998). Fatigue in women with breast cancer receiving radiation therapy. Cancer Nursing, 21(2), 127-135.
Johansen, K.L. (2005). Exercise and chronic kidney disease: Current recommendations. Sports Medicine, 35(6), 485-499.
Katz, R., Shaw, B. F.,Vallis, T. M., & Kairser, A. S. (1995). The assessment of severity and symptom pattern in depression. In E. E. Beckham & W. R. Leber(Eds.), Handbook of depression(pp.61-85). New York: 72 Spring Stress.
Klahr, S., Levey, A. S., Beck, G. J., Caggiula, A. W., Hunsicker, L., & Kusek, J. W., et al. (1994). The effects of dietary protein restriction and blood-pressure control on the progression of chronic renal disease. New England Journal of Medicine, 330(13), 877-84.
Klang, B., Bjorvell, H., Berglund, J., Sundstedt, C., & Clyne, N. (1998). Predialysis patient education: Effects on functioning and well-being in uremic patients. Journal of Advanced Nursing, 28(1), 36-44.
Kouidi, E., Grekas, D., Deligiannis, A., & Tourkantonis, A. (2004). Outcomes of long-term exercise training in dialysis patients: comparison of two training programs. Clinical Nephrology, 61(Suppl. 1), S31-S38.
Kouidi, E., Iacovides, A., Iordanidis, P., Vassiliou, S., Deligiannis, A., & Ierodiakonou, C., et al. (1997). Exercise renal rehabilitation program: Psychosocial effects. Nephron, 77(2), 152-158.
Krause, R. (2004). Nephrologists’ view on exercise training in chronic kidney disease. Clinical Nephrology, 61(Suppl. 1), S2-S4.
Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale application to patients with multiple sclerosis and systemic lupus erythematosus. Archives Neurology, 46(10), 1121-1123.
Kurlowicz, L. (1999). The Geriatric Depression Scale (GDS). Journal of Gerontological Nursing, 25(7), 8-9.
Laforge, R. G., Velicer, W. F., Richmond, R. L., & Owen, N. (1999). Stage distributions for five health behaviors in the United States and Australia, Preventive Medicine, 28(1), 61-74.
Lamb, E. J., O'Riordan, S. E., & Delaney, M. P. ( 2003). Kidney function in older people: Pathology, Assessment and Management. Clinica Chimica Acta, 334(1/2), 25-40.
LaPorte, R. E., Montoye, H. J., & Caspersen, C. J. (1985). Assessment of physical activity in epidemiologic research: Problems and prospects. Public Health Reports, 100(2), 131-146.
Lee, K. A., Hicks, G., & Nino-Murcia, G. (1991). Validity and reliability of a scale to assess fatigue. Psychiatry Research, 36, 291-298.
Lee, M. B., Liao, S. C., Lee, Y. J., Wu, C. H., Tseng, M. C., & Gau, S. F., et al. (2003). Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. Journal of the Formosan Medical Association, 102, 687-694.
Lee, Y., Yang, M. J., Lai, T. J., Chiu, N. M., & Chau, T. T. (2000). Deveiopment of the Taiwanese depression questionnaire. Chang Gung Medical Journal, 23, 688-694.
Levey, A. S., Beto, J. A., Coronedo, B. E., Eknoyan, G., Foley, R. N., & Kasiske, R. L., et al. (1998). Controlling the epidemic of cardiovascular disease in chronic renal disease: What do we know? What do we need to learn? Where do we go from here? American Journal of Kidney Diseases, 32, 853-906.
Levin, A. ( 2001). Identification of patients and risk factors in chronic kidney disease: Evaluating risk factors and therapeutic strategies. Nephrology Dialysis Transplantation, 16(Suppl. 7), 57-60.
Mackenzie, H. S., & Brenner, B. M. (1998). Current strategies for retarding progression of renal disease. American Journal of Kidney Diseases, 31(1), 161-170.
Marcus, B. H., Emmons, D. M., Simkin-Silverman, L. R., Linnan, L. A., Taylor, E. R., & Bock, B. C., et al. (1998). Evaluation of motivationally tailored vs standard self-help physical acitivity interventions at the workplace. American Journal of Health Promotion, 12(4), 246-253.
Marcus, B. H., Rossi, J. S., Selby, V. C., Niaura, R. S., & Abrams, D. B. (1992). The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11(6), 386-95.
McNair, D. M., Lorr, M., & Droppleman, L. F. (1992). Profile of Mood States Manual(2nd ed.). San Diego: Educational and Industrial Testing Service.
Montoye, H. J. (2000). Introduction: Evaluation of some measurements of physical activity and energy expenditure. Medicine & Science in Sports & Exercise,32(Suppl. 9), S439-S441.
Mui, A. C. (1996). Geriatric depression scale as a community screening instrument for elderly Chinese immigrants. International Psychogeriatrics, 8(3), 445-458.
Murray, R. B., & Huelskoetter, M. M. W. (1991). Psychiatric/mental health nursing: Giving emotional care. Norwalk, CT: Appleton & Lange.
National Kindney Foundation. (2001). K/DQOI: Clinical practice guideline for the treatment of anemia of chronic renal disease:Update 2000. American Journal of Kidney Diseases, 37, S182-S238.
National Kindney Foundation. (2002). K/DQOI: Clinical practice guideline for chronic kidney disease. American Journal of Kidney diseases, 39(Supp1. 1), S1-S266.
National Kindney Foundation. (2004). K/DQOI: Clinical practice guideline on hypertension and antihypertensive agents in chronic kidney disease. American Journal of Kidney Diseases, 43(Supp1. 1), S1-S290.
National Kindney Foundation. (2005). United States Renal Data System: 2004 Annual Data Report. American Journal of Kidney Diseases, 45(Supp1. 1), S1-S217.
Nickolas, T. L., Frisch, G. D., Opotowsky, A. R., Arons, R., & Radhakrishnan, J.(2004). Awareness of kidney disease in the US population: Findings from the national health and nutrition examination survey (NHANES) 1999 to 2000. American Journal of Kidney Diseases, 44(2), 185-197.
Nordgren, J. C. (1995). Instrument for assessing depression in adults. In E. E. Beckham, & W. R. Leber(Eds.), Handbook of depression(pp.147-199). New York: 72 Spring Stress.
Okuyama, T., Akechi, T., Kugaya, A., Okamura, H., Shima, Y., & Maruguchi, M., et al. (2000). Development and validation of the cancer fatigue scale: A brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. Journal of Pain and Symptom Management, 19(1), 5-14.
Orth, S. R. (2002). Smoking and the kidney. Journal of the American Society of Nephrology, 13(6), 1663-1672.
Paffenbarger, R. S., Hyde, R. T., Wing, A. L., Lee, I. M., Jung, D. L., & Kampert, J. B. (1993). The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. New England Jourmal of Medicine, 328(8), 538-545.
Painter, P., Carlson, L., Carey, S., Paul, S. M., & Myll, J. (2000). Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. American Journal of Kidney Diseases, 35(3), 482-492.
Palsson, S., & Skoog, I. (1997). The epidemiology of affective disorders in the elderly: A review. International Clinical Psychopharmacol, 12(7), S3-13.
Parmar, M. S. (2002). Chronic renal disease. British Medical Journal, 325, 85-90.
Pereira, M. A., FitzerGerald, S. J., Gregg, E. W., Joswiak, M. L., Ryan, W. J., & Suminski, R. R., et al. (1997). A collection of physical activity questionnaires for health-related research. Medicine and Science in Sports and Exercise, 29(Suppl. 6), S1-S205.
Piper, B. F., Lindey, A. M., & Dodd, M. J. (1987). Fatigue mechanisms in cancer patients: Developing nursing theory. Oncology Nursing Forum, 14(6), 17-23.
Piper, B. F., Lindey, A. M., Dodd, M., Ferketich, S., Paul, S., & Weller, S. (1989). Development of an instrument to measure the subjective dimensiom of fatigue. In S. Funk, E. Tournquist, M. Champagen, L. Copp, & R. Weise(Eds.), Key aspects of comfort: Management of pain,fatigue and nausea(pp.199-208). New York: Springer.
Piper, B. F., Dibble, S. L., Dodd, M. J., Weiss, M. C., Slaughter, R. E., & Paul, S. M. (1998). The revised Piper Fatigue Scale: Psychometric evaluation in women with breast cancer. Oncology Nursing Forum, 25(4), 677-684.
Prochaska, J. O., & DiClement, C. C. (1982). The transtheoretical therapy: Toward a more integrative modle of change. Psychotherapy: Theory Research and Practice, 19, 276-288.
Rhoten, D.(1982). Fatigue and the post-surgical patient. In C. M. Norris(Ed.), Concept clarification in nursing(pp.277-300). Rockvilte, Md: Aspen Publishers Inc.
Ream, E., & Richardson, A. (1996). Fatigue: A concept analysis. International Journal of Nursing Studies, 33(5), 519-529.
Remuzzi, G., Schieppati, A., & Ruggenenti, P. ( 2002) Nephropathy in patients with type 2 diabetes. New England Journal of Medicine, 346(15), 1145-1151.
Rimmer, J. H., & Wang, E. (2005). Aerobic exercise training in stroke survivors.
Topics in Stroke Rehabilitation, 12(1), 17-30.
Rybarczyk, B., DeMarco, G., DeLaCruz, M., Lapidos, S., & Fortner, B. (2001). A classroom mind/body wellness intervention for older adults with chronic illness: Comparing immediate and 1-year benefits. Behavioral Medicine, 27(1), 15-27.
Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., & Blair, S. N., et al. (1985). Physical activity assessment methodology in the five-city project. American Journal of Epidemiology, 121(1), 91-106.
Schwartz, A. L., Nail, L. M., Chen, S., Meek, P., Barsevick, A. M., & King, M. E., et al. (2000). Fatigue patterns observed in patients receiving chemotherapy and radiotherapy. Cancer Investigation, 18(1), 11-19.
Scott, P. J., & Huskisson, E. C. (1977). Measurement of functional capacity with visual analogue scales. Rheumatology and Rehabilitation, 16(4), 257-259.
Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale.recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165-173.
Shephard, R. J. (1997). Exercise and relaxation in health promotion. Sports Medicine,23(4), 211-217.
Silverberg, D. S., Blum, M., Agbaria, Z., Deutsch, V., Irony, M., & Schwartz, D., et al. (2001). The effect of i.v. iron alone or in combination with low-dose erythropoietin in the rapid correction of anemia of chronic renal failure in the predialysis period. Clinical Nephrology, 55(3), 212-219.
Silverberg, D. S., Wexler, D., Blum, M., Keren, G., Sheps, D., & Leibovitch, E., et al. (2000).The use of subcutaneous erythropoietin and intravenous iron for the treatment of the anemia of severe, resistant congestive heart failure improves cardiac and renal function and functional cardiac class, and markedly reduces hospitalizations. Journal of the American College of Cardiology, 35(7), 1737-1744.
Simon, T. R., Powell, K. E., & Swann, A. C. (2004). Involvement in physical activity and risk for nearly lethal suicide attempts. American Journal of Preventive Medicine, 27(4), 310-315.
Smeltzer, S. C., & Bare, B. G. (2000). Medical Surgical Nursing(9th ed.). New York: Lippincott.
Srivastava, R. H. (1986). Fatigue in the renal patient. American Nephrology Nurses, Association, 13(5), 246-249.
Stewart, P. (1999). Exercise and a cycle of life: Help us help ourselves. Advances in Renal Replacement Therapy, 6(2), 184-186.
Suh, M. R., Jung, H. H., Kim, S. B., Park, J. S., & Yang, W. S. (2002). Effects of regular exercise on anxiety, depression, and quality of lift in maintenance hemodialysis patients. Renal Failure, 24(3), 337-345.
Szromba, C., Thies, M. A., & Ossman, S. S. (2002). Advancing chronic kidney disease care: New imperatives for recognition and intervention. Nephrology Nursing Journal, 29(6), 547-559.
Tergerson, J. L., & King, K. A. (2002). Do perceived cues,benefits, and barriers to physical activity differ between male and female Adolescents. Journal of School Health, 7(9), 374-380.
Troidle, L., Watnick, S., Wuerth, D. B., Gorban-Brennan, N., Kliger, A. S., & Finkelstein, F. O. (2003). Depression and its association with peritonitis in long-term peritoneal dialysis patients. American Journal of Kidney Diseases, 42(2), 350-354.
Uhlig, K., Sarnak, M. J., & Singh, A. K. ( 2001). New approaches to the treatment of calcium and phosphorus abnormalities in patients on hemodialysis. Current Opinion in Nephrology and Hypertension, 10(6), 793-798.
U.S. Department of Health and Human Services. (1996). Physical activity and health: A report of the surgeon general Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. International Medical Publishing, 149-150.
van Vilsteren, M. C., de Greef, M. H., & Huisman, R. M. (2005). The effects of a low-to-moderate intensity pre-conditioning exercise programme link with exercise counselling for sedentary haemodialysis patients in The Netherlands: Results of a randomized clinical trial. Nephrology Dialysis Transplantation, 20(1), 141-146.
Ware, J. E., Grandek, B., & the IQOLA Project Group. (1994). The SF-36 Health Survey. International Journal of Mental Health, 23(2), 49-73.
Winningham, M. L., Nail, L. M., Burke, M. B., Brophy, L., Cimprich, B., & Jones, L. S., et al. (1994). Fatigue and the cancer experience: The state of the knowledge. Oncology Nursing Forum, 21(1), 23-36.
Winningham, M. L. (2000). Reader clarifies concepts of structured exercise programs in managing fatigue. Oncology Nursing Forum, 27(3), 425-426.
Woods, C., Mutrie, N., & Scott, M. (2002). Physical activity intervention: A transtheoretical model-based intervertion designed to help sedentary young adults become active. Health Education Research, 17(4), 451-460.
Wu, H. S., & McSweeney, M. (2001). Measurement of fatigue in people with cancer. Oncology Nursing Forum, 28(9), 1371-1384.
Yoshitake, H. (1971). Relations between the symptoms and the feeling of fatigue. Ergonomics, 14(1), 175-186.
Zigmond, A. S., & Sanith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 蕭志彥、王明誠(2004)。降血脂藥物(Statins)與慢性腎病。腎臟與透析,16(4),191-196。
2. 鍾麗娟、高紀惠(1995)。血液透析患者疲憊定義特徵及相關因素之臨床效度測定。長庚護理,6(2),13-25。
3. 劉淑樺、陳彰惠(2002)。血液透析患者疲憊、憂鬱與運動耐力及其相關性探討。護理雜誌,49(4),53-62。
4. 劉淑樺(2001)。疲憊之概念分析。護理雜誌,48(4),73-77。
5. 劉淑樺、周偉倪、王鈺霖、林恆騰、黃文君、沈靜枝(2000)。運動訓練對尿毒血液透析患者在心肺耐力與憂鬱狀態之效果。中華民國復健醫學會雜誌,28(4),237-145。
6. 劉明謙、嚴崇仁(1999)。尿毒症之毒素。腎臟與透析,11(1),32-36。
7. 楊紹佑(2004)。血脂異常與腎臟疾病。健康世界,217,41-45。
8. 葉俊東、唐德成、黃東波(2005)。末期腎病變之貧血探討。腎臟與透析,17(1),1-10。
9. 董萃英(1996)。慢性腎衰竭的營養治療。健康世界,131,78-80。
10. 曾月霞、林岱樺、陳秀萍(2003)。跨理論模式於改變老人運動行為之應用。護理雜誌,50(4),76-80。
11. 張淑紅、蕭芝殷、吳思儀、張嫚純、林婉如(2005)。運動與憂鬱症狀相關之研究-以台大學生為例。醫護科技學刊,7(3),258-266。
12. 陳建銘、陳建良(2005)。糖尿病腎病變。腎臟與透析,17(2),117-122。
13. 陳美玲、顧乃平(1998)。血液透析病患生活品質及其相關因素之探討。護理研究,6(5),393-404。
14. 高毓秀、黃奕清(2000)。成人運動行為影響因素之徑路分析。護理研究,8(4),435-445。
15. 胡潔瑩、邱啟潤、陳鴻鈞、林秋菊(2005)。團體衛教合併行為修正對血液透析病患體重控制知識、體重及血壓之成效。實證護理,1(4),302-310。