跳到主要內容

臺灣博碩士論文加值系統

(100.28.2.72) 您好!臺灣時間:2024/06/22 19:57
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:宋佳純
研究生(外文):Chia Chun Sung
論文名稱:運用「賦能模式」介入措施於初次施行全髖關節置換術老年患者之成效
論文名稱(外文):The effects of using the Empowerment Model Intervention in Primary Total Hip Replacement surgery in elders
指導教授:黃子庭黃子庭引用關係
指導教授(外文):T. T. Huang
學位類別:碩士
校院名稱:長庚大學
系所名稱:護理學系
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:2015
畢業學年度:103
論文頁數:170
中文關鍵詞:全髖關節置換術賦能老人介入措施
外文關鍵詞:Total hip replacementEmpowermentelderlyintervention
相關次數:
  • 被引用被引用:0
  • 點閱點閱:229
  • 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:0
退化性關節炎不僅是老年常見的疾病,更是一種嚴重危害老年人生活品質之慢性疾病,當關節持續性地退化導致嚴重疼痛、關節僵硬,致影響日常生活活動就須考量全髖關節置換手術,然而手術後的疼痛與暫時失能均可能帶給病患衝擊與壓力而影響術後的恢復及生活品質。
本研究之目的為探討賦能模式介入措施對於初次接受全髖關節置換手術老年患者於術後一個月及三個月在日常生活功能、移動力、自我照顧能力、生活品質、家庭功能、憂鬱及賦能程度之成效。研究採類實驗性研究(Quasi-experimental design),收案對象為北台灣某醫學中心骨科病房接受初次全髖關節置換術50歲以上之病患,共116位,對照組(n=54)提供病房常規之手術前後照護;實驗組(n=62)接受賦能模式照護措施包括手術前後衛教、術後賦能諮商討論及出院後每個月一次之電訪諮商,追蹤時間為介入措施後立即及術後一個月與三個月。研究工具包含基本資料量表、日常生活功能量表、Tinetti平衡及步態評估表、自我照顧能力量表、老人憂鬱量表、生活品質量表(Short From-36,SF-36)、家庭功能量表及賦能量表。
研究結果顯示介入措施對實驗組在自我照顧能力方面的影響達統計顯著差異(p&;lt;.001),兩組在術後立即測量之自我照顧能力最佳;術後1個月及3個月實驗組均較對照組有顯著較低程度之憂鬱(p&;lt;.05);較佳之生活品質(p&;lt;.01)及賦能狀態(p&;lt;.01)。在日常生活功能、移動力及家庭功能方面兩組雖無顯著差異,但日常生活功能、移動力均隨著時間顯著改善(p&;lt;.001),此外,實驗組之步態表現則顯著優於對照組(p&;lt;.05)。
本研究在髖關節手術後3個月之追蹤均顯示介入措施具有相當之成效,包括可提升患者之步態、自我照顧能力、生活品質、賦能與降低憂鬱。然而本研究之研究對象平均年齡為65.42歲,且65歲以上患者佔41.9%,老人患者受限於生理特性對於學習的影響,仍可能會遺忘部分衛教內容,因此建議可同時將主要照顧者納入介入之對象,以家庭賦能為基礎,更可藉由家人及主要照顧者的幫忙達到良好之介入成效。

Degenerative arthritis is not only a common disease in elders, but also a serious chronic illness that influence the quality of life of elderly adults. While joint degenerate continuingly and hip has been damaged by arthritis, it will lead to severe hip pain, joint stiffness, and difficult to perform activities of daily living, so hip replacement surgery should be considered.
The aim of this study is to investigate the effect of the Empowerment Model Intervention program on activities of daily living, mobility, self-care ability, the quality of life, family function, depression and the level of empowerment among older patients 1 and 3 months after primary total hip replacement. A true experimental design study was conducted in age 50 or older patients undergoing primary total hip replacement surgery in a medical center in Northern Taiwan. This experiment was to compare the effectiveness between two interventions (control, and intervention group). The Control group (n = 54) received no extra care by the researcher, while the intervention group (n = 62) received the Empowerment Model Intervention program including education course before surgery, empowerment consultative discussions and monthly telephone follow up. Participants were assessed with Barthel index, the Tinetti Gait and Balance Instrument, Self-Care Scale, the Family APGAR questionnaire, the Geriatric Depression Scale, the 36-Item Short Form Health Survey (SF-36) and empowerment questionnaire at baseline, 4 weeks and 12 weeks after intervention.
The results indicated that the intervention reached statistical significant difference (p &;lt;.001) in the self-care ability of intervention group, the best performance status was measured immediately after intervention of two groups;At 4 weeks and 12 weeks after intervention, the intervention group presented significantly lower degree of depression (p &;lt;.05); better quality of life (p &;lt;.01) and better empowerment status (p &;lt;.01) than the control group. No significant difference was noted between the two groups in activities of daily living, mobility, family function. However, the activities of daily living and mobility significantly improved over time (p &;lt;.001) in both groups. In addition, gait performance of patients in the experimental group was significantly better than those in the control group (p &;lt;.05).
In this study, intervention was quite effective in enhancing patients’ self-care ability, quality of life, empowerment, gait, and in reducing the degree of depression. However, the average age of this study was 65.42 years old, and 41.9% of patients were over 65, elderly patients were limited by the physiological characteristics and may forget the health education content easily. Therefore, the intervention including both patients and caregivers is recommended for better impact.

指導教授推薦書
口試委員審定書
致謝……………………………………………………………iii
中文摘要……………………………………………………………iv
英文摘要 ……………………………………………………………vi
第一章 緒論…………………………………………………………1
第一節 研究背景…………………………………………………1
第二節 研究動機…………………………………………………3
第三節 研究目的…………………………………………………5
第四節 研究問題…………………………………………………5
第五節 名詞界定…………………………………………………6
第二章 文獻查證……………………………………………………8
第一節 全髖關節置換術…………………………………………8
一、全髖關節置換術之適應症………………………………10
二、全髖關節置換術之手術方式……………………………11
三、全髖關節置換術之合併症………………………………12
四、全髖關節置換術之相關因素探討………………………13
五、全髖關節置換術之照護策略……………………………21
第二節 賦能之概念及理論應用……………………………… 27
一、賦能之概念………………………………………………27
二、賦能理論之策略…………………………………………28
三、賦能介入措施之運用……………………………………31
第三章 研究方法及步驟………………………………………… 39
第一節 研究設計……………………………………………… 39
第二節 研究架構……………………………………………… 40
第三節 研究對象及場所……………………………………… 45
第四節 資料收集過程………………………………………… 46
第五節 研究工具……………………………………………… 54
第六節 信效度檢定…………………………………………… 60
第七節 資料分析……………………………………………… 61
第八節 倫理考量……………………………………………… 62
第四章 研究結果………………………………………………… 63
第一節 研究對象之描述性資料分析………………………… 63
一、研究對象之人口學特性…………………………………63
二、預後資料分析……………………………………………72
三、結果變項之前測資料分析………………………………73
四、賦能與各測量變項間之相關分析………………………80
第二節 賦能介入模式之成效分析 ………………………………81
一、各變項後測資料分析……………………………………81
二、賦能介入措施對各依變項的影響………………………92
第五章 討論………………………………………………………102
第一節 賦能模式介入措施之成效探討………………………102
第二節 介入措施對各變項之影響……………………………107
第六章 結論與建議………………………………………………119
第一節 研究結論………………………………………………119
第二節 研究限制………………………………………………121
第三節 研究建議………………………………………………122
參考文獻 …………………………………………………………125
附錄 ………………………………………………………………141


圖目錄
圖2-1-1 髖關節…………………………………………………9
圖2-1-2 人工髖關節……………………………………………9
圖3-2-1 概念架構圖………………………………………… 41
圖3-2-2 研究架構圖………………………………………… 44
圖3-4-1 資料收集流程圖…………………………………… 49
圖4-1-1 研究對象取樣、追蹤及分析流程………………… 67


表目錄
表3-1-1 研究設計表………………………………………… 39
表3-2-1 認知評估量表之分數判定………………………… 46
表3-4-1 賦能介入方案執行計畫…………………………… 51
表4-1-1 研究對象之社會人口學特性……………………… 68
表4-1-2 完成個案與流失個案之社會人口學特性………… 70
表4-1-3 兩組研究對象之預後分析………………………… 73
表4-1-4 兩組研究對象日常生活功能前測分析…………… 74
表4-1-5 兩組研究前測Tinetti平衡及步態評估量表分析 75
表4-1-6 兩組研究前測自我照顧能力量表分析…………… 76
表4-1-7 兩組研究前測家庭功能量表分析………………… 77
表4-1-8 兩組研究前測老人憂鬱量表分析………………… 77
表4-1-9 兩組研究前測生活品質量表分析………………… 79
表4-1-10 兩組研究前測賦能量表分析………………………80
表4-1-11 賦能與各變項間之皮爾森積差(r)相關矩陣… 81
表4-2-1 兩組研究對象日常生活功能後測分析…………… 82
表4-2-2 兩組研究對象Tinetti平衡及步態評估量表後測
分析…………………………………………………83
表4-2-3 兩組研究對象自我照顧能力量表後測分析……… 85
表4-2-4 兩組研究對象家庭功能量表後測分析…………… 86
表4-2-5 兩組研究對象老人憂鬱量表後測分析…………… 87
表4-2-6 兩組研究對象生活品質量表後測分析…………… 90
表4-2-7 兩組研究對象賦能量表後測分析………………… 92
表4-2-8 兩組研究對象於前測、後測1、後測2、後測3日
常生活功能分析……………………………………93
表4-2-9 兩組研究對象於前測、後測1、後測2、後測3
Tinetti平衡及步態分析…………………………94
表4-2-10 兩組研究對象於前測、後測1、後測2、後測3
自我照顧能力量表分析……………………………95
表4-2-11 兩組研究對象於前測、後測1、後測2、後測3
家庭功能量表分析…………………………………96
表4-2-12 兩組研究對象於前測、後測1、後測2、後測3
老人憂鬱量表分析…………………………………97
表4-2-13 兩組研究對象於前測、後測1、後測2、後測3
生活品質分析………………………………………99
表4-2-14 兩組研究對象於前測、後測1、後測2、後測3
賦能量表分析………………………………………101
表5-1-1 實驗組順從與無順從個案之結果變項比較……… 107

參考文獻
中央健康保險署(2014).全民健康保險自付差額「金屬對金屬介面人工髖關節」作業彙編(民眾篇).取自 http://www.nhi.gov.tw/webdata/webdata.aspx?menu=21&;menu_id=713&;webdata_id=3867
王怡儀(2000).老年人自殺與憂鬱症.基層醫學,15(3),59-63。
內政部(2012).人口政策白皮書.台北市:陳毓璟。
內政部統計處(2015).內政統計查詢網-人口數三段年齡組.取自
http://statis.moi.gov.tw/micst/stmain.jsp?sys=100
吳佳珍、林秋菊(2014).融滲充能概念於病人為中心的協同照護模式—以糖尿病照護為例.護理雜誌,61 (6),87–90。
周文欽(2004).研究方法:實徵性研究取向(第二版).台北市:心理。
林萬億(2003).當代社會工作-理論與方法.台北市:五南。
高佳霙、丁紀台、葉明珍、張彩秀(2008) .全面性照護計畫改善心臟衰竭患者自我照顧、生活品質及再住院之成效探討.實證護理,4(3),233-242。
許竹君、潘雪幸(2015).心臟衰竭病人之自我管理.源遠護理,9(1),65-71。
莊艷妃、宋惠娟、林麗萍(2005).偏遠礦區老人健康狀況及健康醫療資源使用之調查研究.慈濟護理雜誌,4(1),34-41。
郭嘉琪、王瑞霞(2013).充能概念的要素與策略應用之評析—以代謝相關慢性病為例.護理雜誌,60(1),78-86。
陳俞琪(2012)。慢性腎臟病患者照護之充能。臺灣腎臟護理學會雜誌,11,29-33。
陳美芳、王瑞霞、唐善美(2011).以系統性文獻回顧檢視賦權介入在糖尿病個案的應用及成效.台灣衛誌,30(2),93-109。
陳美芳、王瑞霞、金繼春、陳重元、陳宇清(2011).糖尿病個案之賦權內涵:一個質性導向的研究.新臺北護理期刊,13(2),9-20。
陳美芳、王瑞霞(2012).賦權於糖尿病個案自我照顧行為的應用—魔力策略.護理雜誌,59(5),68-73。
陳雲霞、尹裕君、簡姿娟(2008).下肢骨骼手術者肌力復原影響因素之探討.志為護理,7(5),74-84。
陳毓璟(2011).退化性膝關節炎中老年病人之疾病認知與因應.健康促進與衛生教育學報.36,1-33。
陳永娟、袁素娟(2003).全髖關節置換術病患經臨床介入計畫之成效.中山醫學雜誌,14(1),109-118。
曾孆瑾(2005).從老年的家庭照顧支持系統思考老年人口照顧問題.社區發展季刊,110,274-283。
曾孆瑾(2004).由家庭結構與功能變遷之影響論老年社區照顧問題.社區發展季刊,106,150-158。
張麗春(2008).健康素養-評價衛生教育計畫成效的新指標.護理雜誌,55(1),81-86。
張麗春、黃松元(2003).顛覆或省思?充能理念與衛生教育.學校衛生,43,77–90。
張靜芬(2015).居家彈力帶運動介入對改善髖關節置換術病人的下肢肌力、動態平衡、有氧耐力、髖關節功能、髖關節活動範圍與生活品質的成效(未出版之博士論文).國立臺北護理健康大學,台北市。
張家銘、蔡智能(2003).老年人之周全性評估.老年醫學,7(3),364-374。
葉宗烈、廖以誠、柯慧貞、駱重鳴、盧豐華(1995).老年憂鬱量表-中譯版之信效度初步研究.彰基醫學雜誌,1,11-17。
黃靜君(2014).運動充能方案改善關廟社區婦女運動行為之研究(未出版之碩士論文).國立成功大學,台南市。
黃金蓮、車慧蓮、葉美玉(2010).賦能病人教育與護理指導:文獻回顧.醫護科技期刊,12(2),149-159。
廖振焜、侯勝茂(2009).微創人工髖關節置換術.臺灣醫學,13(2),147-150。
衛生福利部(2014).老人狀況調查報告.台北市:行政院衛生福利部。
衛生福利部(2014).102年度全民健康保險醫療統計年報—門、住診主要手術處置統計.取自
http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&;fod_list_no=5339
蔡秀欣、徐亞瑛(2002).SF-36生活品質問卷於髖骨骨折老年患者之適用性探討.新臺北護理期刊,4(1),53-63。
蔡雨涵、陳玉如(2013).慢性阻塞性肺病者之自我管理.台灣醫學,13(2),195-201。
盧瑞芬、曾旭明、蔡益堅(2002).國人生活品質評量(I):SF-36台灣版的發展及心理計量特質分析.台灣衛誌,22(6),501-510。
謝玉芳(2014).探討初次全人工髖關節置換術時間趨勢及醫療資源利用與存活分析(未發表之碩士論文).高雄醫學大學,高雄市。
蕭妤伶(2003).以家庭為對象之護理過程.摘自陳靜敏等合著,社區衛生護理學(pp.465-504) .台北:偉華書局有有限公司。
戴玉慈、羅美芳(1996).身體功能評估的概念與量表.護理雜誌, 43(2),63-68。
Agency for Healthcare Research and Quality. (2012). Healthcare Cost and Utilization Project. Retrieved from
http://www.hcup-us.ahrq.gov/reports/projections/2012-03.pdf
Adolfsson, E. T., Starrin, B., Smide, B., &; Wikblad, K. (2008). Type 2 diabetic patients’ experiences of two different educational approaches-A qualitative study. International Journal of Nursing Studies, 45(7), 986-994.
American Academy of Orthopaedic Surgeons.(2015). Total Hip Replacement. Retrieved from http://orthoinfo.aaos.org/topic.cfm?topic=A00377
Anderson, R. M., &; Funnell, M. M. (2010). Patient empowerment: Myths and misconceptions. Patient Educationand Counseling, 79(3), 277-282. doi:10.1016/j.pec.2009.07.025
Bagarić, I., Šarac, H., Borovac, J.A., Vlak, T., Bekavac, J. &; Hebrang, A. (2014). Primary total hip arthroplasty:health related quality outcome. International Orthopaedics, 38, 495-501.
Bitton, R. (2009). The economic burden of osteoarthritis. The American Journal of Managed Care, 15(8). S230-235.
Clement, N.D., Muzammil, A., Macdonald, D., Howie, C.R.& Biant, L.C. (2011). Socioeconomic status affects the early outcome of total hip replacement. The Journal of bone and joint surgery, 93(4), 464-469.
Coulter, C.L., Scarvell, J.M., Neeman, T.M.&; Smith, P.N. (2013). Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: a systematic review. Journal of Physiotherapy, 59(4), 219-226.
Duivenvoorden, T., Vissers, M.M., Verhaar, J.A.N., Busschbach, J.J.V., Gosens, T., Bloem, R.M., ...Reijman, M. (2013). Anxiety and depressive symptoms before and after total hip and knee arthroplasty:a prospective multicentre study. Osteoarthritis and Cartilage, 21(12), 1834-1840.
Faber, M. J., Bosscher, R. J. &; Wieringen, P.CW. V. (2006). Clinimetric properties of the performance orientated mobility assessment. Physical Therapy, 86(7), 944-954.
Fahlberg, L.L., Poulin A.L., Girdano,A.D., &; Dusek, D.E. (1991). Empowerment as an emerging approach in health education. Journal of Health Education, 22(3), 185-193.
Gill, S.D.&; McBurney, H. (2013). Does Exercise Reduce Pain and Improve Physical Function Before Hip or Knee Replacement Surgery? A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 94(1), 164-176.
Gutierrez, C. (2013). Rising demand for total hip arthroplasty. Today’s Geriatric Medicine, 6(6), 30.
Hawkins, S. Y. (2010). Improving glycemic control in older adults using a videophone motivational diabetes self-management intervention. Research and Theory for Nursing Practice,24(4), 217-232.
Hermansson, E., &; Mårtensson, L. (2010). Empowerment in the midwifery context- A concept analysis. Midwifery, 27(6), 811-816. doi:10.1016/j.midw.2010.08.005
Hernández, C., Alonso, A., Garcia-Aymerich, J., Serra, I., Marti, D., Rodriguez-Roisin, R., ...Roca, J. (2015). Effectiveness of community-based integrated care in frail COPD patients: a randomised controlled trial. NPJ Primary Care Respiratory Medicine, 25, 1-6. doi:10.1038/npjpcrm.2015.22
Husby, V.S., Helgerud, J., Bjorgen, S., Husby, O.S., Benum, P. &; Hoff, J. (2010). Early postoperative maximal strength training improves work efficiency 6-12 months after osteoarthritis-induced total hip arthroplasty in patients younger than 60 years. American Journal of Physical Medicine &; Rehabilitation, 89(4),304-314.
Iorio, R., Robb, W.J., Healy, W.L., Berry, D.J., Hozack, W.J., Kyle, R.F., ...Parsley, B.S. (2008). Orthopaedic surgeon workforce and volume assessment for total hip and knee replacement in the United States:Preparing for an epidemic. The Journal of Bone & Joint Surgery, 90-A(7), 1598-1602.
Jeong, Y.W.&; Kim, J.A. (2014). Development of computer-tailored education program for patients with total hip replacement. Healthcare Informatics Research, 20(4), 258-265.
Johansson, K., Hupli, M.&; Salanterä (2002). Patients’ learning needs after hip arthroplasty. Journal of Clinical Nursing, 11, 634-639.
Johansson, K., Salanterä, S. &; Katajisto, J.(2007). Empowering orthopaedic patients through preadmission education: Results from a clinical trial. Patient Education and Counseling 66, 84-91.
Judge, A., Cooper, C., Williams, C., Dreinhoefer, K. &; Dieppe, P. (2010). Patient-reported outcomes one year after primary hip replacement in a European collaborative cohort. Arthritis Care &; Research, 62(4), 480-488.
Malak, T.T., Beard, D. &; Glyn-Jones, S. (2014). Total hip arthroplasth:recent advances and controversies. Arthritis Research UK, 4,1-9.
McDonald, S., Page, M.J., Beringer, K., Wasiak, J. &; Sprowson, A. (2014). Preoperative education for hip or knee replacement (Review). The Cochrane Library, 5, 1-88.
Meyer, E., Weitzel-Kage, D., Sohr, D. &; Gastmeier, P. (2011). Impact of department volume on surgical site infections following arthroscopy, knee replacement or hip replacement. BMJ Quality &; Safety, 20(12), 1069-1074.
Mota, R.E., Tarricone, R., Ciani, O., Bridges, J.F. &; Drummond, M. (2012). Determinants of demand for total hip and knee arthroplasty: a systematic literature review. BMC Health Services Research, 12(225).
Mui, A. C. (1996). Geriatric Depression Scale as a community screening instrument for elderly Chinese immigrants. International Psychogeriatrics, 8(3), 445-458.
National Joint Registry(2012). 9th Annual Clinical Report. Retrieved from
http://www.njrcentre.org.uk/njrcentre/Portals/0/Documents/England/Reports/9th_annual_report/NJR%209th%20Annual%20Report%202012.pdf
Olsson, L., Karlsson, J., Berg, U., Kärrholm, J. &; Hansson, E. (2014). Person-centred care compared with standardized care for patients undergoing total hip arthroplasty—a quasi-experimental study. Journal of Orthopaedic Surgery and Research, 9(95), 1-7.
Park, C., Song, M., Cho, B., Lim, B., Song, W., Chang, H.K. &; Park, Y.H. (2015). Effects of a multi-disciplinary approached, empowerment theory based self-management intervention in older adults with chronic illness. Journal of Korean Academy of Nursing, 45(2), 192-201.
Peña-Purce, N.C., Boggess, M.M. &; Jimenez, N. (2011). An empowerment-based diabetes self-management education program for Hispanic/Latinos: a quasi-experimental pilot study. The Diabetes Education, 37(6), 770-779.
Pfeiffer, E. (1975). Ashort portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433-441.
Pinto, P.R., McIntyre, T., Ferrero, R., Almeida, A. &; Araújo-Soares, V. (2012). Predictors of Acute Postsurgical Pain and Anxiety Following Primary Total Hip and Knee Arthroplasty. The Journal of Pain,14(5), 502-515.
Pivec, R., Johnson, A.J., Mears,S.C. &; Mont, M.A.(2012). Hip arthroplasty. The Lancet, 380(9855), 1768-1777.
Polit, F.D., &; Beck, T. C. (2004). Nursing Research: Principles and Methods. Philadelphia: Lippincott Williams &; Wilkins.
Rankin, S. H., Stallings, K. D., &; London, F. (2005). Patient education in health and illness. New York: Lippincott.
Rubenstein, L. Z. (2006). Falls in older people: Epidemiology, risk, factors and strategies for prevention. Age Ageing, 35(suppl_2), 37-41.
Rodwell, C. M. (1996). An analysis of the concept of empowerment. Journal of Advanced Nursing, 23, 305-313.
Schäfer, T., Krummenauer, F., Mettelsiefen, J., Kirschner, S. &; Günther, K.P. (2010). Social, educational, and occupational predictors of total hip replacement outcome. Osteoarthritis and Cartilage, 18(8), 1036-1042.
Schärli, M., Hantikainen, V. &; Bischofberger, I. (2013). Hospital discharge preparation: enhancing self-care competence of patients after minimally invasive hip arthroplasty. Pflege, 26(5), 303-310.
Şendir, M., Büyükyılmaz, F. &; Muşovi, D. (2014). Patients' discharge information needs after total hip and knee arthroplasty: a quasi-qualitative pilot study. Rehabilitation Nursing, 30(6), 1253-1258.
Shearer, N. B. C. (2009). Health empowerment theory as aguide for practice. Geriatric Nursing, 30(2, Suppl.), 4–10. doi:10.1016/j.gerinurse.2009.02.003
Showalter. A., Burger, S., &; Salver, J. (2000). Patient’s and their spouses’ needs after total joint arthroplasty: A pilot study. Orthopaedic Nursing, 19(1), 49-57.
Shi, H.Y., Khan, M., Culbertson, R., Chang, J.K., Wang, J.W.& Chiu, H.C. (2009). Health-related quality of life after total hip replacement: a Taiwan study. International Orthopaedics, 33(5), 1217-1222.
Singh, J.A. (2011). Smoking and outcomes after knee and hip arthroplasty: a systematic review. The Journal of Rheumatology, 38(9), 1824-1834.
Singh, J.A., Kundukulam, J., Riddle, D.L., Strand, V. &; Tugwell, P. (2011). Early postoperative mortality following joint arthroplasty: a systematic review. The Journal of Rheumatology, 38(7), 1507-1513.
Singh, J.A. &; Lewallen,D.G. (2010). Predictors of activity limitation and dependence on walking aids after primary total hip arthroplasty. Journal of the American Geriatrics Society, 58(12), 2387-2393.
Swearingen, M. L. (2007). Musculoskeletal Disorders. IN M.L. Swearingen (6th ed.), Manual of Medical-Surgical Nursing Care. Amsterdam:Elsevier.
Szöts, K., Konradsen, H., Solgaard, S., Bogø, S., &; Østergaard, B. (2015). Nurse-led telephone follow-up after total knee arthroplasty – content and the patients’ views. Journal of clinical Nursing. Advance online publication. doi: 10.1111/jocn.12905
Tang, T.S., Funnell, M.M., Brown, M.B. &; Kurlander, J.E. (2010). Self-management support in "real-world" settings: an empowerment-based intervention. Patient Education and Counselling, 79(2), 178-184.
Temple, J. (2004). Total hip replacement. Nursing Standard, 19(3), 44-51.
Van Aslst, M.J.H., Oosterhof, J., Nijhuis-van der Sanden, M.W.G. &; Schreurs, B.W. (2014). Can the length of hospital stay after total hip arthroplasty be predicted by preoperative physical function characteristics? American Journal of Physical Medicine &; Rehabilitation, 93(6), 486-492.
Villadsen, A., Overgaard, S., Holsgaard-Larsen, A., Christensen, R. &; Roos, E. (2014). Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty: a randomised controlled trial. Annals of the Rheumatic Diseases, 73(6),1130-1137.
Vissers, M.M., Bussmann, J.B., Verhaar, J.A.N., Arends, L.R., Furlan, A.D. &; Reijman, M. (2011). Recovery of physical functioning after total hip arthroplasty: Systematic review and meta-analysis of the literature. Physical Therapy, 91(5), 615–629.
World Health Organization(2015). What is the evidence on effectiveness of empowerment to improve health? Retrieved from
http://www.euro.who.int/__data/assets/pdf_file/0010/74656/E88086.pdf
Williams. A., Dunning. T. &; Manias, E. (2007). Continuity of care and general wellbeing of patients with comorbidities requiring joint replacement. Journal of Advanced Nursing,57(3),244-256.
Wyldem, V., Livesey, C., &; Blom, A.W. (2012). Restriction in participation in leisure activities after joint replacement: an exploratory study. Age and ageing, 1-4. doi: 10.1093/ageing/afr180

連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 陳雲霞、尹裕君、簡姿娟(2008).下肢骨骼手術者肌力復原影響因素之探討.志為護理,7(5),74-84。
2. 蔡秀欣、徐亞瑛(2002).SF-36生活品質問卷於髖骨骨折老年患者之適用性探討.新臺北護理期刊,4(1),53-63。
3. 陳美芳、王瑞霞(2012).賦權於糖尿病個案自我照顧行為的應用—魔力策略.護理雜誌,59(5),68-73。
4. 陳俞琪(2012)。慢性腎臟病患者照護之充能。臺灣腎臟護理學會雜誌,11,29-33。
5. 郭嘉琪、王瑞霞(2013).充能概念的要素與策略應用之評析—以代謝相關慢性病為例.護理雜誌,60(1),78-86。
6. 許竹君、潘雪幸(2015).心臟衰竭病人之自我管理.源遠護理,9(1),65-71。
7. 高佳霙、丁紀台、葉明珍、張彩秀(2008) .全面性照護計畫改善心臟衰竭患者自我照顧、生活品質及再住院之成效探討.實證護理,4(3),233-242。
8. 黃金蓮、車慧蓮、葉美玉(2010).賦能病人教育與護理指導:文獻回顧.醫護科技期刊,12(2),149-159。
9. 廖振焜、侯勝茂(2009).微創人工髖關節置換術.臺灣醫學,13(2),147-150。
10. 葉宗烈、廖以誠、柯慧貞、駱重鳴、盧豐華(1995).老年憂鬱量表-中譯版之信效度初步研究.彰基醫學雜誌,1,11-17。
11. 張麗春、黃松元(2003).顛覆或省思?充能理念與衛生教育.學校衛生,43,77–90。
12. 張麗春(2008).健康素養-評價衛生教育計畫成效的新指標.護理雜誌,55(1),81-86。
13. 吳佳珍、林秋菊(2014).融滲充能概念於病人為中心的協同照護模式—以糖尿病照護為例.護理雜誌,61 (6),87–90。
14. 王怡儀(2000).老年人自殺與憂鬱症.基層醫學,15(3),59-63。
15. 曾孆瑾(2005).從老年的家庭照顧支持系統思考老年人口照顧問題.社區發展季刊,110,274-283。