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研究生:周姿萍
研究生(外文):CHOU, TZU-PING
論文名稱:乳癌病人及照護者照護需求之研究-以南部某區域醫 院癌症病友生命線為例
論文名稱(外文):Supportive Care Needs of Breast Cancer and Caregivers – the Example of Cancer Consulting Line of aSouthern Regional Hospital
指導教授:羅萱羅萱引用關係
指導教授(外文):LO, HSUAN
口試委員:吳世望黃經智
口試委員(外文):WU,SHIH-WANGHUANG,CHING-CHIH
口試日期:2021-07-07
學位類別:碩士
校院名稱:嘉南藥理大學
系所名稱:醫務管理系
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2021
畢業學年度:109
語文別:中文
論文頁數:77
中文關鍵詞:乳癌馬斯洛需求層次理論癌症病友生命線
外文關鍵詞:breast cancerNeed-hierarchy theoryconsulting line
相關次數:
  • 被引用被引用:1
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  • 下載下載:67
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摘要
本研究旨在探討乳癌病人與乳癌照護者之需求特性及相關影響因素,採次級資料分析。資料分析區間為2007年1月至2019年12月止曾撥打南部某區域醫院所設置的「24小時癌症病友生命線」諮詢服務紀錄資料,分析資料共1,487筆,並依據馬斯洛需求層次理論將諮詢問題重新分類。採描述性統計呈現人口學特性、疾病特性及諮詢時段與需求之相關性。本研究結果顯示,不論乳癌病人或乳癌照護者其需求皆是以優先滿足生存低層之安全需求及生理需求為主要,安全需求與就醫問題、疾病本身及用藥資訊需優先被滿足;生理需求則與症狀困擾、營養及康復相關問題為優先,建議臨床實務上可針對上述需求優先設置問答集及衛教手冊。
Abstract
This study aims to explore the characteristics of the needs and related
factors of patients and caregivers of breast cancer by analyzing secondary
data. The data include the records of “24-hour cancer patient consulting
line” set by a southern regional hospital from January 2007 to December
2019. A total of 1,487 data were included and were reclassified based on
Maslow's hierarchy of needs. Descriptive statistics were used to show demographic characteristics, disease characteristics and differences between consultation hours and information needs. The results of this study show that the needs of breast cancer patients and breast cancer caregivers are similar. Mainly based on the priority of meeting the lower-level needs:safety and physiological needs. The priority of safety needs are medical issue, the disease itself and medication information. As for physiological needs, the priority are symptom distress, nutrition and rehabilitation issues. It is recommended that health education instruction should be set up for the above needs in clinical practice.
總目錄
總目錄 ................................................. I
表目錄 ................................................III
圖目錄 .................................................IV
第一章 緒論...............................................1
第一節 研究背景與動機 ..................................... 1
第二節 研究重要性 ......................................... 4
第三節 研究目的.............................................5
第二章 文獻探討............................................. 6
第一節 乳癌疾病概論 ........................................ 6
第二節 癌症病人需求相關研究.................................. 10
第三節 癌症照護者需求相關研究 ............................... 13
第四節 馬斯洛需求層次理論(NEED-HIERARCHY THEORY). ........... 15
第三章 研究方法 ............................................ 19
第一節 研究架構 ............................................ 19
第二節 研究方法 ............................................. 22
第三節 資料收集過程 ......................................... 23
第四節 統計分析 ............................................. 28
第四章 研究結果 ............................................. .29
第一節 乳癌諮詢者基本屬性與疾病特性資料分析 ..................... 29
第二節 乳癌諮詢者需求特性資料分析 ............................... ..34
第三節 乳癌諮詢者基本屬性、疾病特性與需求資料分析 ................. 35
第五章 討論 .................................................. ..42
第一節 探討各年齡層的乳癌病人需求 ................................. 42
第二節 探討各諮詢者角色與需求 ..................................... 43
第三節 探討各諮詢時段與需求 ..................................... ..44
第四節 探討各乳癌期別與需求 ........................................ 44
第五節 探討各疾病階段與需求 ......................................... 45
第六章 結論與建議 ............................................... ...47
第一節 結論 ........................................................ 47
第二節 研究限制 .................................................... 48
第三節 研究建議 .................................................... 49
參考文獻 .......................................................... 51
中文文獻 ......................................................... 51
西文文獻 ........................................................... 53
附錄一 研究資料申請單 .............................................. 58
附錄二 24小時癌症病友生命線諮詢問題代碼分類表 ......................... 59
附錄三 24小時癌症病友生命線諮詢服務紀錄單 ............................ 60
附錄四 諮詢問題分類表 ............................................... 61
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