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研究生:林瑋琪
研究生(外文):Wei Chi Lin
論文名稱:脊椎退化病變患者手術前後焦慮感及影響因素
論文名稱(外文):The Influence of Anxiety and Related-Factors on Patients with Spinal Surgery
指導教授:何孟洋何孟洋引用關係
指導教授(外文):M. Y. Ho
學位類別:碩士
校院名稱:長庚大學
系所名稱:職能治療學系
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2019
畢業學年度:107
語文別:中文
論文頁數:107
中文關鍵詞:脊椎退化脊椎手術術前焦慮特質焦慮狀態焦慮療效指標
外文關鍵詞:spinal degenerationspinal surgerypreoperative anxietytrait anxietystate anxietyefficacy index
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  • 點閱點閱:129
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目錄
指導教授推薦書
口試委員會審定書
致謝…………………………………………………………………...iii
中文摘要 …………………………………………………………….v
英文摘要 …………………………………………………………….vii
目錄 …………………………………………………………………..ix
表目錄 ………………………………………………………………..xii
圖目錄 ………………………………………………………………...xiii
第一章 緒論 ….…..…………………………………………..……….1
壹、脊椎病變…………………………………….....…………….1
貳、脊椎病變流行病學………...……………….………………..1
參、頸椎與腰椎退化………….……………………..….………..3
一、腰椎退化.………………………………………………..3
二、頸椎退化…………………………………………………5
三、影響椎間盤退化的因子……………………………………..6
肆、頸椎與腰椎退化治療方式………………………...….……..8
伍、手術帶來的影響與療效………...…………………...……...11
陸、術前焦慮…………………………………………………….13
柒、研究目的…………………………………………………….21
第二章 研究方法 ……..….....................……………………………25
壹、參與者……………...……………………………………….25
貳、研究工具……………………………………………………28
一、情緒感受與生活品質量表……………………………..28
二、療效指標………………………………………………..30
參、研究程序……….…………………………………………...32
肆、分析方法……………………………………………………33
第三章 結果 ……..………………..………………………………..36
壹、 基本人口學屬性資料…………………………………….36
貳、 患者流失現象分析……………………………………….37
參、 術前各評估結果之相關……………………………….....38
一、 情緒狀態與生活品質………………………………..38
二、 情緒狀態與失能嚴重度……………………………..40
三、 生活品質與失能嚴重度……………………………..41
肆、 焦慮與術後恢復狀態…………………………….………42
一、 人口學資料……….………………………………….42
二、 情緒狀態…………….……………………………….44
三、 生活品質…………….……………...……………….45
四、 療效指標……………………………………………..47
伍、情緒、生活品質與療效指標變化的關聯………………...51
一、情緒狀態與生活品質變化…………………………....51
二、腰椎療效指標之變化…………………………………51
三、頸椎療效指標之變化…………………………………53
第四章 討論 …......……………………………………………………...54
壹、情緒狀態與生活品質及失能嚴重度……………………...54
貳、焦慮與術後恢復狀態……………………….………..…...58
參、探討情緒、生活品質與療效指標變化的關聯….…….....64
肆、研究限制………….…....…….……………….…...………65
伍、未來研究方向……..…………………………….…..…….67
第五章 結論………………………………………………………...68
參考文獻 ……………….……………………………….…...……..70







表目錄

表1 脊椎手術參與者人口學變項 26
表2 個人基本屬性資料 37
表3術前各項測量分數之相關 39
表4 高特質式焦慮與低特質式焦慮人口學變項 43
表5高特質式與低特質式焦慮脊椎
手術前後情緒與生活品質的狀態 46
表6頸椎組患者術前身體殘疾指數與各因子間之相關 52














圖目錄
圖1研究受試者篩選流程圖 27
圖2研究程序圖 33
圖3高特質式焦慮組與低特質式焦慮組
術前與術後3個月和6個月在各腰椎失能指標之狀態 48
圖4高特質式焦慮組與低特質式焦慮組
術前與術後3個月和6個月在各頸椎失能指標之狀態 50
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