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研究生:許智翔
研究生(外文):HSU CHIH HSIANG
論文名稱:八段錦對非何杰金氏症淋巴瘤患者之壓力、生活品質及免疫功能之成效探討
論文名稱(外文):Effect of Baduanjin Exercise on Stress、Quality of Life and Immune Function for Non-Hodgkin Lymphoma
指導教授:章美英章美英引用關係
指導教授(外文):CHANG MEI YING
口試委員:李中一教授張肇松教授
口試委員(外文):LI CHUNG YICHANG CHAO SUNG
口試日期:2015-01-29
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:中西醫結合護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:89
中文關鍵詞:八段錦氣功淋巴癌壓力生活品質免疫功能
外文關鍵詞:BaduanjinqigongLymphomastressquality of lifeImmune function
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非何杰金氏淋巴瘤發生率從888人(1995年)增為1941人(2008年)有越來越高的趨勢;但存活率卻也可高達67%,並且可以使非何杰金氏淋巴瘤病患於治療後回到社會工作維持良好的生活品質。本研究主要目的是探討八段錦的介入對非何杰金氏淋巴瘤病患接受化學治療後所造成身心壓力、生活品質以及免疫功能改善情形。研究對象以高雄市某教學醫院之接受化學治療合併類固醇藥物治療後二個月至一年的非何杰金氏淋巴瘤病患為收案對象。本研究為類實驗設計,採立意取樣分為實驗組或對照組,實驗組25人,對照組26人。實驗組給予每日一次,每次十五分鐘,為期六週的八段錦氣功運動訓練;對照組則不給予任何介入措施維持原本的生活,並於介入措施前一週、介入措施六週後各進行壓力知覺量表(PSS)填寫、歐洲癌症治療與研究組織生活品質量表繁體中文版(EORTC-C30)、噬中性白血球、免疫球蛋白G、免疫球蛋A、免疫球蛋白M收集資料。研究結果以SPSS 19.0版統計軟體進行以平均值、標準差、百分比、卡方檢定、曼-惠特尼U考驗法(Mann-Whitney U)、廣義估計方程式(Generalized estimating equation,GEE)等分析法進行統計分析。結果顯示實驗組在接受六週八段錦氣功運動訓練後壓力知覺達顯著差異(P<.05);生活品質方面,歐洲癌症治療與研究組織生活品質量表之整體生活品質有顯著差異(P<.05) ;於身體功能、角色功能、認知功能、社會功能、情緒功能皆無顯著差異(P>.05) ;生理症狀皆無顯著差異(P>.05)。免疫功能無顯著差異(P>.05)。故本研究結果為八段錦對非何杰金氏症淋巴瘤患者之降低壓力及整體生活品質有成效。
Non-Hodgkin's lymphoma incidence rate was increasing with 67% respectively survival rate. Dealing with physical and psychological pressure, maintaining quality of life and boosting immune function after chemotherapy are important issues during long-term survivor period.. Baduanjin, one of the most common Chinese qigong which combines exercise, meditation and easy movement, may reduce the physical/emotional distress and boost immune system that resulting from the chemotherapy. The aim of this study was to investigate the effect of Baduanjin exercise on stress、quality of Life and immune function for Non-Hodgkin Lymphoma patients after receiving chemotherapy .
51 Non-Hodgkin's lymphoma patients were recruited in a medical center of Kaohsiung city 2 months to one year after chemotherapy. This quasi-experimental designed study includes twenty-five patients in the experimental group who received a 6-weeks Baduanjin qigong exercise training program, and Twenty-six patients in the control group who did not receive any intervention. The Perceived stress scale (PSS)、 European Cancer Treatment and Research Organization Quality of Life Scale (EORTC-C30)、absolute neutrophil count (ANC) 、immunoglobulin G、 immunoglobulin A、immunoglobulin M were measured at the first week of pre-intervention and the sixth week after intervention. SPSS for Windows version 19.0 was used to analyze the data, including descriptive statistics, Chi-square test, Mann - Whitney U test method and generalized estimating equation ( GEE). The results showed that Stress scores (PSS) in the experimental group after 6 weeks Baduanjin Qigong exercise training was significantly lower than the control group (P <.05) and the overall quality of life in experimental group was significantly higher than the control group (P <.05).However, there were no significant differences on physical function, role function, cognition function, social function, emotional function , physiological symptoms and immune function between two groups (P> .05). The results of this study may suggest the post-chemotherapy Non-Hodgkin's lymphoma patients practicing Baduanjin as daily exercise and as part of recovery activities to improve their overall health and to reduce their stress level.

摘要 I
第壹章 緒論 1
第一節 研究動機 1
第二節 研究目的 2
第貳章 文獻查證 3
第一節 非何杰金氏症淋巴瘤概論 3
第二節 八段錦及氣功概論 9
第參章 研究架構與研究假設 17
第一節 研究架構 17
第二節 研究問題 17
第三節 研究假設 18
第四節 名詞界定 18
第肆章 研究方法 20
第一節 研究對象 21
第二節 研究工具 22
第三節 資料收集過程與研究步驟 25
第四節 研究過程 26
第五節 研究倫理 28
第六節 資料分析與處理 29
第伍章 研究結果 30
第一節 研究對象人口學特性探討 30
第二節 八段錦介入後差異之比較 36
第陸章 討論 52
第一節 八段錦介入對壓力的影響 52
第二節 八段錦介入對生活品質的影響 54
第三節 八段錦介入對免疫功能的影響 56
第柒章 結論與建議 58
第一節 結論 58
第二節 建議與應用 59
第三節 研究限制 61
參考文獻 62
一、 中文文獻 62
二、 英文文獻 66
附錄 80


圖目錄
圖 1 研究架構 17
圖 2研究設計模式 20
圖 3 研究流程 25
圖 4 實驗組與對照組前後測壓力之比較 36
圖 5 生活品質前後測趨勢圖 40


表目錄
表1 實驗組與控制組在前測壓力之比較 32
表 2實驗組與控制組在前測生活品質之比較 34
表 3實驗組與控制組在前測免疫功能分析 35
表 4實驗組與控制組在後測壓力分析 36
表 5實驗組與控制組在後測生活品質分析 41
表 6實驗組與控制組在後測免疫功能分析 42
表 7 實驗組與對照組於八段錦介入後前後之壓力GEE差異比較 43
表 8 實驗組與對照組於八段錦介入後前後之生活品質GEE比較 47
表 9 實驗組與對照組於八段錦介入後前後之免疫功能GEE比較 51


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