(3.227.249.155) 您好!臺灣時間:2021/05/07 06:54
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:吳幸娟
研究生(外文):Hsin-Chuan Wu
論文名稱:兒童晚期轉換為青少年早期之睡眠品質:縱貫性研究
論文名稱(外文):The Sleep Quality in the Transition from Late Childhood to Early Adolescence:A Longitudinal Study
指導教授:蔣立琦蔣立琦引用關係
指導教授(外文):Li-Chi Chiang
學位類別:碩士
校院名稱:中國醫藥大學
系所名稱:護理學系碩士班
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:2009
畢業學年度:97
語文別:中文
論文頁數:108
中文關鍵詞:兒童晚期青少年早期轉換睡眠品質家庭功能自覺健康狀態自覺學業成績狀態
外文關鍵詞:Late childhoodearly adolescencetransitionsleep qualityfamily functionself-perceived health statusself-perceived academic status
相關次數:
  • 被引用被引用:9
  • 點閱點閱:423
  • 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:2
背景:兒童晚期轉換到青少年早期,由依賴到自主性的健康照護,此轉換是一個危險的情境與關鍵階段,此階段青少年心智尚未成熟,易受同儕及家庭環境影響,又須面對學業壓力,睡眠品質將受影響;睡眠障礙在兒童是非常普遍的,睡眠受干擾或不充足會導致認知不足、行為問題和學校成績差;很少研究長期追蹤兒童轉換為青少年期對睡眠品質之影響。
目的:(一) 探討兒童晚期轉換至青少年早期睡眠品質之影響因素。(二)追蹤比較兒童晚期轉換至青少年早期睡眠品質之差異。
方法:採縱貫式問卷調查法,研究工具為匹茲堡睡眠品質量表、家庭環境量表及自編結構式問卷;立意選取台中市93位兒童參與,由國小六年級追蹤至國中一年級,分二階段資料收集。以SPSS for Window 12.0套裝軟體進行資料建檔與統計分析,採描述性與推論性統計分析。
結果:(一)睡眠品質與家庭凝聚力(r= -0.251,p<0.001)、衝突(r= -0.251,p<0.001)、組織性(r= -0.218,p=0.003)、自覺健康狀態(r= -0.311,p<0.001)、自覺學業成績(r= -0.237,p<0.001)達統計上之相關。。(二)控制干擾因素(年齡、性別、家庭環境、自覺健康狀態及自覺學業成績狀態)後,兒童晚期轉換為青少年早期階段之「睡眠品質」無統計上顯著差異,兒童晚期及青少年早期學童都有睡眠品質差的問題存在,兒童晚期睡眠品質為6.713分、青少年早期睡眠品質6.883分 (PSQI ≦ 5,表示睡眠品質佳;PSQI > 5,表示睡眠品質差 );睡眠品質與自覺健康狀態(r= -0.311,p<0.001)、自覺學業成績達統計上之負相關(r= -0.237,p<0.001)。而睡眠品質七個次面向之「睡眠潛伏期」(p<0.001)、「睡眠效率」(p<0.001)及「睡眠困擾」(p =0.015)於兒童晚期轉換為青少年早期「階段」達統計上之顯著差異。家庭功能中之「活動-娛樂取向」與「自覺睡眠品質的滿意度」有輕度正相關(r=0.061,p=0.048)、情感表達與「實際睡眠時數」為輕度正相關(r=0.071,p=0.027)、衝突與「日間功能障礙」亦為輕度之正相關(r=0.083,p=0.045),自覺健康狀態與「自覺睡眠品質的滿意度」(r=-0.060,p<0.001)、「睡眠困擾」(r=-0.047,p<0.01)及「日間功能障礙」有重度負相關(r=-0.083,p<0.001),自覺學業成績狀態與「睡眠效率」有輕度負相關(r=-0.032,p=0.049);而性別與「實際睡眠時數」為中度負相關(r=-0.325,p<0.01)。兒童晚期實際睡眠時數平均為6.98小時/天,青少年早期實際睡眠時數平均為6.58小時/天。
討論:兒童晚期轉換為青少年早期階段之「睡眠品質」無統計上顯著差異,但七個次面向之「睡眠潛伏期」、「睡眠效率」及「睡眠困擾」在兒童晚期轉換為青少年早期都達統計上之顯著差異,且兒童晚期及青少年早期之睡眠品質都差,亦未達建議之睡眠時數9小時,故建議護理同仁及家長應注重兒童晚期及青少年早期睡眠品質之評估,能在兒童階段即建立好的睡眠品質,必要時應儘早予早期介入措施,避免造成青少年睡眠延遲症候群發生,進而影響學校適應及衍生出的行為問題;協助兒童能健康的轉換至青少年早期,才能促進其他領域的轉換。
應用:期望能提供臨床護理同仁轉換理論及概念的重視與推廣,促進每個人在任何階段都能健康的轉換。
Background:Late childhood transits to early adolescence are a changeable and the critical phase, the mental status of this period is not yet mature. His/her behavior may influence by the peer group, the family environment functions, school actives, academic score, and social relationship. However, those things change it also influence adolescent sleep patterns. Sleep disturbance in children are common, it can be persistent and recurrent. Sleep issue may effect the adolescence,s behavior and school score. Yet vvery little studies to investigate the sleep issue of the late childhood transits to the early adolescence for a longitudinal time.
Objective (1) To investigate the related factors of sleep quality between the late childhood transits to the early adolescence period. (2) To compares the differences of sleep quality between the late childhood transits to the early adolescence period.
Method: This is a longitudinal study, use Pittsburgh sleep quality index scale, the family environment scale and self-perceived health status structural formula questionnaire; 93 sixth grade children participated, traces to the seven grade. The analyzed were using the Mixed Model in SPSS (12.0).
Result: (1)The related factors of sleep quality were the family cohesive(r=-0.251,p<0.001), conflict(r=-0.251,p<0.001), organization(r=-0.218,p=0.003), the self-perceived health status(r=-0.311,p<0.001) , and the self-perceived academic status(r=-0.237,p<0.001) had the significant difference. (2) There were no statistic differences between the late childhood transits to the early adolescence period, will control the confounding factors (age, sex, family environment , self-perceived health status and self-perceived academic status ), both of late childhood and early adolescence have sleep disturbances. The late childhood Pittsburgh Sleep Quality Index (PSQI) is 6.713 points, the early adolescence Pittsburgh Sleep Quality Index is 6.883 points (PSQI≦5, sleep quality is good; PSQI > 5, sleep quality bad); The better of the self-perceived health status and self-perceived academic status who was the better of sleep quality.
Conclusions: Both of late childhood and early adolescence bad sleep disturbances, also did not amount to 9~11 hours that the recommend. Common types of sleep problems are presented, and recommendations for screening tools are included to help nurses better assess sleep problems in children and make appropriate referrals. Therefore suggested that clinical nurses and the families should pay attention to the late childhood and the early adolescence support them to establish the good sleep pattern, avoids causing the adolescence delayed sleep phase syndrome (DSPS) occurrence, then affects the school adaptation and behavior.
目錄 頁數

致謝
中文摘要----------------------------------------------------------------------Ⅰ
英文摘要----------------------------------------------------------------------Ⅳ
目 錄----------------------------------------------------------------------Ⅶ
圖表目次----------------------------------------------------------------------Ⅸ
第一章 緒論
第一節 研究背景、動機與重要性------------------------------------------1
第二節 研究目的與假設------------------------------------------------------3
第三節 名詞界定 -------------------------------------------------------------5
第二章 文獻探討
第一節 轉換理論---------------------------------------------------------------7
第二節 童期轉換為青少年期面臨的挑戰-------------------------------12
第三節 兒童及青少年之睡眠----------------------------------------------14
第四節 影響睡眠品質之因素----------------------------------------------21
第三章 研究方法
第一節 研究設計與架構----------------------------------------------------26
第二節 研究對象與場所---------------------------------------------------28
第三節 研究工具------------------------------------------------------------30
第四節 資料收集步驟-------------------------------------------------------36
第五節 資料處理與分析----------------------------------------------------37
第六節 倫理考量-------------------------------------------------------------39
第四章 研究結果
第一節 研究對象之基本屬性及研究變之分析-------------------------40
第二節 兒童晚期轉換為青少年早期之睡眠品質----------------------49
第三節 比較兒童晚期轉換至青少年早期睡眠品質之差異----------53
第五章 討論
第一節 兒童晚期轉換至青少年早期睡眠品質之影響因素----------71
第二節 兒童晚期轉換至青少年早期睡眠品質差異之比較----------74
第六章 結論與建議
第一節 結論-------------------------------------------------------------------80
第二節 應用-------------------------------------------------------------------82
第三節 研究限制與建議----------------------------------------------------84

參考資料
一、 中文部分----------------------------------------------------------------85
二、 英文部分----------------------------------------------------------------87

附錄
附錄一問卷翻譯內容效度之專家名單------------------------------------97
附錄二研究問卷---------------------------------------------------------------98
附錄三 人體試驗委員會人體試驗計畫同意書------------------------107
附錄四 參與研究計畫志願同意書 -------------------------------------108


圖表目錄
圖2-2-1 Antecedents, attributes, and consequences of the concept of transition when applied to siblings of children with cancer. (Wilkins & Woodgate, 2006)-------------------------------------------11
圖3-1-1 研究設計圖----------------------------------------------------------26
圖3-1-2 研究概念架構-------------------------------------------------------27
圖3-2-1 第一階段收集流程-------------------------------------------------29
圖3-2-2 第二階段收集流程-------------------------------------------------29
圖3-3-1 家庭環境量表英文版翻譯為中文版流程----------------------33
圖3-4-1 資料收集流程-------------------------------------------------------36
表3-3-2 原始英文版問卷與本研究中文版問卷之家庭環境量表整體與次量表之信度比較----------------------------------------------34
表3-5-1資料處理分析方法--------------------------------------------------38
表4-1-1青少年基本屬性-----------------------------------------------------42
表4-1-2年齡自覺健康與自覺學校成績狀況之分佈-------------------45
表4-1-3家庭環境量表各次量表分布-------------------------------------47
表4-1-4 兒童晚期、青少年早期平均每晚實際入睡時間-------------48
表4-2-1睡眠品質與年齡、自覺健康狀態及自覺學業成績狀態之相關-------------------------------------------------------------------------49
表4-2-2家庭環境量表之各次量表與睡眠品質之相關----------------51
表4-3-1以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期個人自覺睡眠品質的滿意度----------------------55
表4-3-2以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期睡眠潛伏期-------------------------------------------57
表4-3-3.以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期實際睡眠時數-------------------------------------59
表4-3-4.以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期睡眠效率-------------------------------------------61
表4-3-5.以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期睡眠困擾-------------------------------------------63
表4-3-6.以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期助眠藥物的使用----------------------------------65
表4-3-7.以線性混合模式分析,控制干擾因素,評估兒童晚期轉換為青少年早期日間功能障礙-------------------------------------67
表4-3-8. 以線性混合模式分析,控制干擾因素後評估兒童晚期轉換為青少年早期之睡眠品質-------------------------------------69
參考資料
一、中文部分:
李宇宙(2000)•身心疾病之睡眠障礙•台灣醫學,4(6),673-680。
李孟峰(2002)•淺談夜間氣喘(Nocturnal asthma)•台灣兒童過敏氣喘及免疫學會會訊,3(3),7-8。
邱史珊(2006)•大學生的睡眠品質及其相關因素之研究-以中部地區某國立
立大學生為例•未發表的碩士論文.亞洲大學健康管理學研究所。
林天送(2001)•你的睡眠時間足夠嗎?•健康世界,183,30-32。
陳美娟、楊志良(2008)•大學生睡眠品質及其相關因素之研究-以中部某私立大學為例•學校衛生,53,35-55。
曾齡慧(2002)•社區老人睡眠品質,失眠類型與求助方式之探討—以台北市基督長老教會松年大學為例•未發表的碩士論文.台北:台灣師範大學衛生教育研究所。
黃文俐(2003)•影響某完全中學學生睡眠品質之相關因素研究•未發表的碩士論文.台北:國立台灣師範大學衛生教育研究所。
鄒秀菊(1994)•敬老院老人睡眠品質與健康狀況之探討•未發表的碩士論文.台北:國防醫學大學院護理學研究所。
葉曉萍(2006)•氣喘學齡兒童睡眠品質及其相關因素探討之研究•未發表的碩士論文.台灣大學醫學院護理研究所。
蔡政楒(2001)•認識睡眠障礙•台北:宏欣文化。
楊健明(2000)•失眠行為及心理治療•台灣醫學,4(6),694-730。
廖士程、李明濱、李宇宙(2000)•睡眠的生物學基礎及臨床意義•台灣醫學,4(6),652-664。
蔣立琦(2008)國科會計畫:「長期追蹤氣喘兒童轉換為青少年期的家庭與個人因素對生活品質與肺功能之影響,以及家庭充能計畫之成效」,編號:NSC-97-2314-B-039-034-MY3。
鄭智銘(2002)•睡眠監測與評估系統•未發表的碩士論文.桃園:私立元智大學。
羅孝穗(2005)•天天睡好覺•台北:如何。








二、英文部分
Abidin, R. R. (1990). Introduction to the special issue: the stresses of parenting. Journal of Clinical Child Psychology, 19(4), 298-301.
Anders, T. F., Carskadon, M., & Dement, W. (1980). Sleep and sleepiness in children and adolescents. Pediatric Clinics of North America, 27, 29-43.
Ayala, G. X., Miller, D., Zagami, E., Riddle, C., Willis, S., & King, D. (2006). Asthma in middle schools: what students have to say about their asthma. J.Sch Health, 76, 208-214.
Blum, R., Garell, D., Hodgman, C, et al. (1993). Transition from child-centered to adult health-care: systems for adolescents with chronic conditions. Journal Adolescent Health, 14, 570-576.
Bridges, W.(2003). Managing transitions(2nd ed.). Cambridge, MA: Perseus Publishing.
Buysse, D. J., Reynolds, C. F., & Monk, T. H. (1989). The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213.
Camhi, S. L., Morgan, W. J., Pernisco, N., & Quan, S. F. (2000). Factors affecting sleep disturbances in children and adolescents. Sleep Medicine. 1, 117-123.
Carskadon, M. A. (1990). Patters of sleep and sleepiness during adolescense. Pediatrician, 17(5), 5-12.
Carskadon, M. A., Acebo, C., Richardson, G. S., Tate, B. A., & Seifer, R. (1997). An approach to studing circadian rhythms of adolescent humans. Journal of Biological Rhythms, 12, 278-298.
Carskadon, M., & Dement, W. (2000). Normal human sleep. In M. Kryger, T. Roth, W.Dement(Eds.) Principles and practice of sleep medicine. 3rd ed. Philadelphin: W. B. Saunders.
Carskadon, M. A.,Wolfson, A. R., Acebo, C., Tzischinsky, O., & Seifer, R. (1998). Adolescent slep patterns, circadian timing, and sleepiness at a trnsition to early school days. Sleep, 21, 871-881.
Cauter, E. V. (1999). Impact of sleep debt metabolic and endocrine function. Lancet, 354, 1435-1439.
Chick, N., & Meleis, A. (1986). Transitions: A nursing concern. In P. L. Chinn (Ed.), Nursing research methodology (pp. 237-257). Gaithersburg, MD: Aspen Publishers.
Chiang, L. C. (2005). Exploring the health-related quality of life among children with moderate asthma. J.Nurs.Res., 13, 31-40.
Chiang, L. C., Huang, J. L., Yeh, K. W., & Lu, C. M. (2004). Effects of a self-management asthma educational program in Taiwan based on PRECEDE-PROCEED model for parents with asthmatic children. J.Asthma, 41, 205-215.
Chiang, L. C., Ma, W. F., Huang, J. L., Tseng, L. F., & Hsueh, K. C. (2009). Effect of relaxation-breathing training on anxiety and asthma sign/symptoms of children with morderate-to-sever asthma: A randomized controlled trail. International journal of Nursing Studies, Ns-1446;1-10.
Chick, N. & Meleis, A. I. (1986). Transitions: a nursing concern, In Nursing Research Methodology: Issues and Implementation (Chinn P.L., ed.), Aspen,
Clarke-Steffen, L. (1997). A model of the family transition to living with childhood cancer. Cancer Practice, 1, 285-292.
Cohen, M.H. (1995). The stages of the prediagnostic period in chronic, life-threatening childhood illness: A process analysis. Research in Nursing & Health, 18, 39-48.
Cohen, D. C., Eisdorfer, C., Prize, P., Breen, A., Davis, M. & Dadsby, A. (1993). Sleep disturbances in the institutionalized aged. Journal of the American Geriatrics Society, 31, 79-82.
Couriel, J. (2003a). Asthma in adolescence. Paediatr.Respir.Rev., 4, 47-54.
Cunningham, R. D., Jr. (1994). Family-centered care. Pediatrics, 93, 1023-1024.
Davies, B. (1999). Shadows in the sun: Experience of sibling bereavement in childhood. Philadelphia, PA: Brunner/ Mazel.
Erickson, J. M. (2008). Approaches to measure sleep-wake disturbances in adolescents with cancer. Journal of Pediatric Nursing, 00, (00). 1-15
Erickson, E. H. (1963). Childhood and society (2nd ed.). New York, NY: Norton.
Eyres, P. J. (1972). The role of the nurse in family-centered nursing care. Nurs.Clin.North Am., 7, 27-39.
Franck, L. S., Johnson, L. M., Lee, K., Hepner, C., Lambert, L., Passeri, M., et al. (1999). Sleep disturbances in children with human immunodeficiency virus infection. Pediatrics, 104(5), e62.
Franko,D.L., Thompson, D., Bauserman, R., Affenito, S.G., & Striegel-Moore,R.H. (2008). What''s love got to do with it? Family cohesion and healthy eating behaviors in adolescent girls. The International Journal of Eating Disorders 41 (4), 360–367.
Hergenroeder, A. C. (2002). The transition into adulthood for children and youth with special health care needs. Tex.Med., 98, 51-58.
Howard, B. J., Wong, J. (2001). Sleep disorder. Pediatrics in Review. 22(10), 327-342.
Kass, L. J.(2006). Sleep Problem. Pediatrics in Review. 27(1), 455-461
Kohyama, J. (1998). Sleep as a window on the developing brain. Current Problems in Pediatrics, 28, 69-92.
Kushida, C. A., Chang, A., Gadkary, C., Guilleminault, C., Carrillo, O., & Dement, W. C.(2001). Comparison of actigraphic, polysomnographic and subjective assessment of sleep parameters in sleep-disordered patients. Sleep Medicine, 2(5), 389-396.
Liu, X., Sun, Z., Uchiyama, M., Shibui, K., Kim, K., & Okawa, M. (2000). Prevalence and correlates of sleep problems in Chinese schoolchildren. Sleep, 23(8), 1053-1062
Lyte, G., Milnes, L., Keating, P., & Finke, A. (2007). Review management for children with asthma in primary care: a qualitative case study. J.Clin.Nurs., 16, 123-132.
McClellan, C. B. & Cohen, L. L. (2006). Family functioning in children with chronic illness compared with healthy controls: A critical review. Journal of Pediatric, 150, 21-223.
Meleis, A. I., Sawyer, L. M., Im, E. O., Hilfinger Messias, D. K., & Schumacher, K. (2000). Experiencing transitions: an emerging middle-range theory. ANS Adv.Nurs Sci, 23, 12-28.
Meleis, A. I., & Trangenstein, P. A. (1994). Facilitating transitions: Redefinition of the nursing mission. Nursing Outlook, 42,255-259.
Mindell, J., Carskadon, M. Chervin, R., & Melter, L. (2004). Sleep in Available at: www.sleepfoundation.org/_content//hottopice/2004SleepPollFnalReport.pdf.
Moos, R.(1974).Combined prelimirary manual for the family, work, and groonp environment scales. Palo Alto, CA: Consulting Psychologists Press.
Moos, R., Moos, B.(1994) Family Environment Scale. Consulting Psychologists Press: Palo Alto, CA.
Morgan, J., & Aldridge, J. (2002). Parenting stress and externalizing child behavior. Child & Family Social Work, 7(3), 219-225.
Mu, P. F. (2004). Maternal role transition experiences of women hospitalized with PROM: a phenomenological study. Int.J.Nurs.Stud., 41, 825-832.
Mu, P. F. (2006). Transition experience of parents caring of children with epilepsy: A phenomenological study. International Journal Nursing Studies, 41, 825-832.
Nayagam, T. (1985). The role of the professional nurse in family centered care. Emphasis.Nurs., 1, 55-56.
Owens, J. A. (2001). The practice of pediatric sleep medicine: Result of a community survey. Pediatrics, 108, E51.
Parish, S.L., & Cloud, J. M. (2006). Child care for low-income school-age children: disability and family structure effects in a national sample. Children and Youth Services Review, 28(8), 927-940.
Reiss, J. G., Gibson, R. W., & Walker, L. R. (2005). Health care transition: Youth, Family, and Provider Perspectives. Pediatrics., 115(1), 112-121.
Rogers, A. E., Caruso, C. C., & Aldrich, M. S., (1993). Reliability of sleep diares for assessment of sleep/wake patterns. Nursing Research, nov/dec, 368-371.
Sadeh, A. , Raviv, A. , & Gruber, R.(2000). Sleep, neurobehavioral functioning, and behavior problems in school-age children. Children Development, 73, 405-417.
Schlossberg N. K. (1981). A model for analyzing human adaptation to transition. The Counseling Psychologist, 9, 2-18.
Schumacher, K. L. & Meleis, A. I. (1994). Transitions: a central concept in nursing. Image J.Nurs.Sch, 26, 119-127.
Steenari, M. R.,Vuontela, V., Paavonen, E. J., Carlson, S., Fjallber, M., & Aronen, E. (2003). Working memory and sleep in 6- to 13-year-old schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 42(1), 85-92.
Szymczak, J., Jasinska, M., Pawlak, E., & Zwierzykowsa, M. (1993). Annual and weekly changes in sleep-wake rhythm of school children. Sleep, 16, 433-435.
Taylor, D. J., Jenni, O. G., Acebo, C., & Carskadon, M. A.(2005). Sleep tendency during extended wakefulness: Insights into adolescent sleep regulation and behavior. Journal of Sleep Research, 14, 239-244.
Thunstrom, M. (1999). Severe sleep problems among infants in normal population in Sweden: Prevalence, severity, and correlates. Acta Paediatrics, 88, 1356-1363.
Togeio,S. M. & Smith, A. K. (2005). 〔Diagnostics methods for sleep disorders.〕Revita Brasileira de Psiquiatria, 27(Suppl 1), 8-15.
Touchette, É., Petit, D., Paquet, J., Boivin, M., Japel, C., Tremblay, R. E., & Montplaisir, J.Y.(2005) Factors Associated With Fragmented Sleep at Night Across Early Childhood. Archives Pediatrics Adolescent & Medicine. 159, 242-249.
Toumbourou, J. W. & Gregg, M. E. (2002). Impact of an empowerment-based parent education program on the reduction of youth suicide risk factors. Journal of Adolescent Health, 31, 277-285.
Transition of care provided for adolescents with special health care needs. American Academy of Pediatrics Committee on Children with Disabilities and Committee on Adolescence (1996a). Pediatrics, 98, 1203-1206.
Transition of care provided for adolescents with special health care needs. American Academy of Pediatrics Committee on Children with Disabilities and Committee on Adolescence (1996b). Pediatrics, 98, 1203-1206.
Transition planning for youth with special health care needs: results from the National Survey of Children with Special Health Care Needs. Pediatrics, 115, 1562-1568.
Tsai, P. S., Wang, S. Y., Wang, M. Y., Su, C.T., Yang, T. T., Huang, C. J., et al. (2005). Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Quality of Life Research, 14(8), 1943-1952.
Wallis, C. (2007). Transition of care in children with chronic disease. BMJ, 334, 1231-1232.
Ward, T. M., Rankin, S. R., & Kathryn, L. A. (2007). Caring for children with sleep problems. Journal of Pediatric Nursing, 22(4). 283-296.
Wilkins, K. L. & Woodgate, R. L. (2006). Transition: a conceptual analysis in the context of siblings of children with cancer. Journal of Pediatric Nursing, 21, 256-265.
White, P. H. (2002). Transition: a future promise for children and adolescents with special health care needs and disabilities. Rheum.Dis.Clin.North Am., 28, 687-703, viii.
Wojciechowski, E. A., Hurtig, A., & Dorn, L.(2002). A natural history study of adolescents and young adults with sickle cell disease as they transfer to adult care:A need for case management services. Journal of Pediatric Nursing, 17(1). 18-27.
Wood, B. L., Lim, J., Miller, B. D., Cheah, P. A., Simmens, S., Stern, T. et al. (2007). Family emotional climate, depression, emotional triggering of asthma, and disease severity in pediatric asthma: examination of pathways of effect. Journal Pediatric Psychological, 32, 542-551.
Yarcheski, A., & Mahon, N. (1994). A study of sleep during adolescence. Journal of Pediatric Nursing, 9, 357-367.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔