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研究生:李宜恬
研究生(外文):I-Tien Lee
論文名稱:淋巴瘤存活者症狀、適應策略與支持性照護需求之初探
論文名稱(外文):Exploring Symptoms, Adjustment, and Supportive Care Needs in Lymphoma Survivors
指導教授:王雅容王雅容引用關係
指導教授(外文):Ya-Jung Wang
學位類別:碩士
校院名稱:國立陽明交通大學
系所名稱:臨床護理研究所
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:2021
畢業學年度:109
語文別:中文
論文頁數:86
中文關鍵詞:淋巴瘤存活者症狀疾病症狀情緒症狀適應策略支持性照護需求
外文關鍵詞:Lymphoma survivorssymptomsdisease-related physical symptomsemotional symptomsadjustment strategiessupportive care needs
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誌謝 i
中文摘要 ii
英文摘要 iii
目錄 v
圖目錄 viii
表目錄 ix
第一章 緒論 1
第一節 研究動機與重要性 1
第二節 研究目的 3
第三節 研究問題 4
第四節 研究假設 5
第五節 名詞界定 6
一、淋巴瘤存活者(Lymphoma Survivors) 6
二、症狀(疾病及情緒)(Symptoms) 6
三、適應策略(Adjustment Strategies) 7
四、支持性照護需求(Supportive Care Needs) 7
第二章 文獻查證 9
第一節 淋巴瘤存活者 9
一、淋巴瘤 9
二、癌症存活者 9
三、淋巴瘤存活者相關問題 10
第二節 症狀 11
一、症狀定義 11
二、症狀評估工具 11
三、淋巴瘤存活者的症狀盛行率 13
第三節 適應策略 15
一、定義及概念 15
二、適應策略研究工具 15
三、淋巴瘤存活者適應策略 16
第四節 支持性照護需求 17
一、定義與概念 17
二、照護需求評估工具 17
三、癌症存活者照護需求 18
四、淋巴瘤存活者照護需求 18
五、影響淋巴瘤存活者支持性照護需求的因素 19
第三章 研究方法 22
第一節 研究設計 22
第二節 研究架構 23
第三節 研究場所、對象 24
第四節 研究工具 25
第五節 研究步驟 26
第六節 資料分析 27
第七節 研究倫理 29
第四章 研究結果 30
第一節 淋巴瘤存活者人口學與疾病相關變項之分布情形 32
第二節 淋巴瘤存活者症狀、適應策略及支持性照護需求程度 36
一、淋巴瘤存活者症狀 36
二、淋巴瘤存活者的適應策略 37
三、淋巴瘤存活者的支持性照護需求 37
第三節 淋巴瘤存活者人口學變項、疾病變項於支持性照護需求的差異 40
第四節 淋巴瘤存活者症狀、適應策略於支持性照護需求相關性 42
第五節 淋巴瘤存活者支持性照護需求的預測因子 43
第五章 討論 45
第一節 淋巴瘤存活者人口學與疾病變項之特性 46
一、淋巴瘤存活者人口特性 46
二、淋巴瘤存活者疾病特性 46
第二節 探討淋巴瘤存活者症狀、適應策略及支持性照護需求 48
一、淋巴瘤存活者的症狀 48
二、淋巴瘤存活者的適應策略 49
三、淋巴瘤存活者的支持性照護需求 50
第三節 淋巴瘤存活者支持性照護需求之影響因素 54
一、淋巴瘤存活者人口學、疾病變項於支持性照護需求之差異 54
二、淋巴瘤存活者症狀、適應策略與支持性照護需求之相關性 54
第四節 建構淋巴瘤存活者支持性照護需求預測因素 56
第六章 結論 57
第一節 研究結論 58
一、淋巴瘤存活者人口學及疾病特性 58
二、淋巴瘤存活者症狀困擾、適應及支持性照護需求 58
三、支持性照護需求的影響因素 58
第二節 研究限制 59
一、研究樣本 59
二、研究方法 59
三、研究工具 59
第三節 研究建議 60
一、護理實務 60
二、護理教育 60
三、護理研究 60
參考文獻 61
附錄 73
圖3-2-1 淋巴瘤存活者症狀、適應策略對支持性照護需求預測之研究架構圖 23
圖4-1 收案流程圖 30
表3-4-1 研究工具及信效度 25
表3-6-1 淋巴瘤存活者人口學變項、疾病變項之分布情形 27
表3-6-2 淋巴瘤存活者症狀(疾病/情緒)、適應策略、支持性照護需求程度之分佈 27
表3-6-3 淋巴瘤存活者人口學變項、疾病變項、症狀(疾病/情緒)、適應策略與支持性照護需求之相關因素 27
表4-1-1 淋巴瘤存活者的人口學變項與疾病變項 33
表4-1-2淋巴瘤存活者生活型態 35
表4-2-1 淋巴瘤存活者疾病症狀 36
表4-2-2 淋巴瘤存活者情緒症狀(焦慮憂鬱) 37
表4-2-3 淋巴瘤存活者適應策略 37
表4-2-4 淋巴瘤存活者支持性照護需求 38
表4-2-5 淋巴瘤存活者支持性照護需求(以需求程度計算) 38
表4-2-6 淋巴瘤存活者支持性照護需求單題最高前五項 39
表4-3-1 淋巴瘤存活者人口學、疾病變項與支持性照護需求的相關性……………. 41
表4-4-1 症狀、適應與照護需求Pearson’s積差相關性分析 42
表4-5-1 人口學、疾病變項、症狀及適應策略對整體照護需求之簡單迴歸分析 43
表4-5-2 淋巴瘤存活者支持性照護需求之預測模型 43
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