跳到主要內容

臺灣博碩士論文加值系統

(44.211.26.178) 您好!臺灣時間:2024/06/15 04:19
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:林秋融
研究生(外文):CHIU-JUNG LIN
論文名稱:探討缺血性腦中風次級預防之影響因素與提出改善方案
論文名稱(外文):The Influencing Factors of Secondary Prevention of Ischemic Stroke and Proposing Improvement Plans
指導教授:李英俊李英俊引用關係
指導教授(外文):Li,Ying-Chun
學位類別:碩士
校院名稱:國立中山大學
系所名稱:企業管理學系醫務管理碩士班
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:2023
畢業學年度:111
語文別:中文
論文頁數:96
中文關鍵詞:缺血性腦中風缺血性腦中風次級預防健康信念模型認知態度實踐/行為模型個案管理
外文關鍵詞:ischemic strokesecondary stroke preventionHealth Belief Model (HBM)Knowledge-Attitude-Practice/Behavior model (KAP/KAB)case management
相關次數:
  • 被引用被引用:0
  • 點閱點閱:89
  • 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
本研究基於管理角度,探討缺血性腦中風患者與相關醫療人員,對於次級預防之想法。研究者以健康信念模型 (health belief model, HBM),探討缺血性腦中風的患者的自我評估與次級預防行為;並以知識態度實踐/行為模型 (knowledge-attitude-practice/behavior model, KAP/KAB),分析相關醫療人員對於次級預防的醫療服務。並以質性研究方法中的詮釋學,基於HBM與KAP模型,各自設計半結構式個別深度訪談指引,總共收錄11位患者與11位相關醫療人員。
受訪患者於初次腦中風後,殘留嚴重不一的後遺症,大部分有想過可能再次腦中風,也擔心再次腦中風後會加重行動不便與經濟困難,所以在初次腦中風後,願意服用藥物與控制危險因子,包含飲食、運動、少碰菸酒、情緒控制、作息正常、量測並控制血壓等,並強調意志力與決心的重要。自身腦中風的後遺症與他人的關心,會增強患者的次級預防意圖。尚未退休的患者,提到需要抵擋他人或環境的障礙與誘惑,比如請菸。
醫療人員認為腦中風次級預防最重要的是危險因子的控制與服藥遵從性,並提到衛教、整合醫療與社會資源的知識與行為,與個案管理之重要性與對此之期待。為了提高患者的次級預防,部分醫療人員使用規避損失與夥同照護者之方法。雖然5位醫師與1位護理師抱持輕微負向態度,但仍希望患者對自身健康負起責任與做出合適的調整,而持續執行醫療與健康行為。
本研究提出三點可行之改善方法:衛教宣傳、醫病之間的溝通與互動、個案管理,提供給有興趣之患者與相關醫療人員參考。
腦中風所伴隨而來的後遺症,帶給患者、旁人與社會龐大的負擔。本研究在此針對腦中風次級預防,提出三項可行之方法,盼志同道合的夥伴們共同努力!
關鍵詞:缺血性腦中風、缺血性腦中風次級預防、健康信念模型、認知態度實踐/行為模型、個案管理。
This study, from a management perspective, explores the perspectives of ischemic stroke patients and related medical personnel on secondary prevention. The researcher uses the Health Belief Model (HBM) to examine self-assessment and secondary prevention behaviors in ischemic stroke patients. Additionally, the Knowledge-Attitude-Practice/Behavior Model (KAP/KAB) is used to analyze medical providers'' attitudes toward secondary prevention services. Employing an interpretive approach within qualitative research, based on the HBM and KAP models, semi-structured individual in-depth interview guides were designed, encompassing 11 patients and 11 medical personnel.
Interviewed patients, dealing with varying degrees of residual effects post-initial stroke, express concern about recurrence and its implications for mobility and finances. Consequently, they are inclined to adhere to medication and control risk factors.
Medical professionals consider controlling risk factors and medication adherence vital for stroke secondary prevention. They emphasize the significance of health education, integrating medical and social resources, understanding, and case management.
The study proposes three feasible improvement methods: health education promotion, doctor-patient communication and interaction, and case management. Stroke''s aftermath brings substantial burdens to patients, caregivers, and society. This study offers three practical methods for stroke secondary prevention, hoping for collaborative efforts among like-minded partners.
Keywords: ischemic stroke, secondary stroke prevention, Health Belief Model (HBM), Knowledge-Attitude-Practice/Behavior model (KAP/KAB), case management.
目 錄
論文審定書………………………………………………………………………………………… i
論文公開授權書………………………………………………………………………………………… ii
誌謝…………………………………………………………………………………… iii
中文摘要……………………………………………………………………………… iv
Abstract……………………………………………………………………………… v
目錄…………………………………………………………………………………… vi
圖次與表次…………………………………………………………………………………… viii
第 一 章 緒論……………………………………………………………………………………… 1
第一節 研究背景與動機…………………………………………………………… 1
第二節 研究目的……………………………………………………………………… 3
第 二 章 文獻探討………………………………………………………………………………………. 4
第一節 腦中風的簡介………………………………………………………………… 4
第二節 腦中風於全球與中華民國的衝擊……………………………………… 11
第三節 影響腦中風患者次級預防的因素………………………………………… 14
第四節 相關醫療人員的知識態度實踐/行為…………………………………… 16
第五節 國內外相關文獻……………………………………………………………… 18
第六節 本章小結…………………………………………………………………… 27
第 三 章 研究方法………………………………………..……………..…………… 28
第一節 研究設計……………………………………………………………………… 28
第二節 研究對象與工具……………………………………………………………… 30
第三節 資料分析……………………………………………………………………… 34
第四節 研究品質……………………………………………………………………… 36
第五節 研究倫理……………………………………………………………………… 36
第六節 研究過程……………………………………………………………………… 37
第 四 章 結果………………………………………………………………………… 38
第一節 受訪者基本資料……………………………………………………………… 38
第二節 以HBM模型分析患者………………………………………………………… 42
第三節 以KAP模型四分析相關醫療人員………………………………………… 49
第四節 本章小結……………………………………………………………………… 56
第 五 章 討論………………………………………………………………………… 61
第一節 衛教宣傳…………………………………………………………………… … 62
第二節 醫病之間的溝通與互動…………………………………………………… 66
第三節 個案管理……………………………………………………………………… 68
第四節 本研究限制…………………………………………………………………… 70
第五節 本研究貢獻…………………………………………………………………… 71
第六節 未來展望……………………………………………………………………… 71
第 六 章 結論……………………………………………………………………… 72
參考文獻…………………………………………………………………………….. 74
附錄………………………………………………………………………………….. 84
中華民國行政院教育部(2022)。國人規律運動人口比率。
中華民國行政院衛生福利部(2022)。111年度衛生教育主軸宣導計畫重點工作與策略。
中華民國行政院衛生福利部(2023a)。中華民國110年國民醫療保健支出。
中華民國行政院衛生福利部(2023b)。全民健康保險。取自https://www.ey.gov.tw/state/A01F61B9E9A9758D/fa06e0d2-413f-401e-b694-20c2db86f404
中華民國行政院衛生福利部國民健康署(2008)。腦中風防治計畫研究成果摘要。
中華民國行政院衛生福利部國民健康署(2018)。每日飲食指南。
中華民國行政院衛生福利部國民健康署(2021a)。18歲以上人口過去一年飲酒率。
中華民國行政院衛生福利部國民健康署(2021b)。國人吸菸行為調查結果。
中華民國行政院衛生福利部國民健康署(2021c)。「微笑、舉手、說你好」這樣做判別腦中風。取自https://health99.hpa.gov.tw/material/6990
中華民國行政院衛生福利部國民健康署(2022a)。20歲以上人口高血脂盛行率。
中華民國行政院衛生福利部國民健康署(2022b)。20歲以上人口高血糖/糖尿病盛行率。
中華民國行政院衛生福利部國民健康署(2022c)。20歲以上人口高血壓盛行率。
中華民國行政院衛生福利部國民健康署(2022d)。國民營養健康狀況變遷調查(106-109年)。
中華民國行政院衛生福利部國民健康署(2023)。2021年全民健康保險統計動向。
中華民國行政院衛生福利部中央健康保險署(2023a)。2021年國人全民健康保險就醫疾病資訊。
中華民國行政院衛生福利部中央健康保險署(2023b)。全民健康保險代謝症候群防治計畫。
中華民國行政院衛生福利部國民健康署慢性疾病防治組(2017)。中風預防人人有責! 90%的中風均與危險因子有關。取自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1137&pid=7861&sid=7595
中華民國行政院衛生福利部統計處(2022)。110年死因統計結果摘要表。
中華民國行政院衛生福利部統計處(2023a)。111年國人死因統計結果。取自https://www.mohw.gov.tw/cp-16-74869-1.html
中華民國行政院衛生福利部統計處(2023b)。111年國人死因統計結果—分析。
中華民國行政院衛生福利部統計處(2023c)。111年國人死因統計結果—摘要表。
吳啟誠、張瓊云(2020)。主題分析在教育研究上的應用。特殊教育發展期刊,(69),29-42。https://doi.org/10.7034/dse.202006_(69).0003
李守義、周碧瑟、晏涵文(1989)。健康信念模式的回顧與前瞻。中華民國公共衛生學會雜誌,9(3),123-137。https://doi.org/10.6288/jnpharc1989-09-03-02
李冠欣、郭雅雯、王愛惠、呂佩珍(2010)。提昇腦中風病人出院返診追蹤率改善專案。志為護理-慈濟護理雜誌,9(2),108-118。https://doi.org/10.6974/tcnj.201004.0108
李婉菱、張慈惠、黃嗣棻(2021)。醫病共享決策之概念與實務。台大護理雜誌,17(1),5-13。https://doi.org/10.6740/ntuhjn.202101_17(1).0002
李雪楨、張谷州(2008)。台灣腦中風患者急性期超長住院分析及其相關因素探討。腦中風會訊,15(3),6-7。https://doi.org/10.6318/stroke.200809_15(3).0004
李慶芳(2012)。質性資料分析,五部曲。取自https://reswithoutnumbers.blogspot.com/2012/09/blog-post.html
周爱光、陆作生(2008)。中日学生体质健康状况的比较及其启示。
林金定、嚴嘉楓、陳美花(2005)。質性研究方法:訪談模式與實施步驟分析。身心障礙研究季刊,3(2),122-136。https://doi.org/10.30072/jdr.200506.0005
社團法人台灣腦中風學會(2023)。衛教資訊。取自https://www.stroke.org.tw/GoWeb2/include/index.php?Page=8-2
邱弘毅(2008)。腦中風之現況與流行病學特徵。腦中風會訊,15(3),2-4。https://doi.org/10.6318/stroke.200809_15(3).0002
許美慧(1996)。腦中風患者復健治療預後之探討。中華民國復健醫學會雜誌,24(1),41-49。https://doi.org/10.6315/jrma.199606.0004
許重義(2020)。臺灣中風臨床試驗聯盟 III(研究計劃編號MOST108-2321-B039-003)。科技部。 https://www.grb.gov.tw/search/planDetail?id=12998623
陳志昊、湯頌君、蔡力凱、鄭建興(2019)。急性腦梗塞與暫時性腦缺血之抗血小板藥物選擇:及早掌握機會、快速勝利得分。台灣中風醫誌,1(1),38-49。https://doi.org/10.6318/fjs.201906_1(1).0004
陳杏佳(2001)。詮釋學理論與護理應用。護理雜誌,48(1),89-94。https://doi.org/10.6224/jn.48.1.89
陳曉悌、李怡娟、李汝禮(2003)。健康信念模式之理論源起與應用。台灣醫學,7(4),632-639。https://doi.org/10.6320/fjm.2003.7(4).20
鈕文英(2021)。質性研究方法與論文寫作(第三版)。台北:雙葉書廊有限公司。
臺灣醫療個案管理學會(2019)。臺灣醫療個案管理學會對個案管理師於醫療照護專業之立場聲明。取自http://www.tmcma.org.tw/latest_announcement/announcement/64
蔡佩娟、李沛融、盧彥汶、連啟勛、許弘毅、謝榛櫻(2019)。腦中風病患之飲食衛教需求-以中部海線某醫院為例。醫院雜誌,52(2),12-23。
蔡惠如、曾詩蘋、王守玉、張瑛瑛、趙玉環(2016)。探討首次腦中風病人初期之調適過程。護理雜誌,63(2),103-112。https://doi.org/10.6224/jn.63.2.103
賴慧貞、李淑芬、劉益坊、張崑敏、何清治、洪錦墩(2022)。臺灣腦中風病患類型與死亡之相關危險因子研究。醫學與健康期刊,11(1),1-12。
謝芳宜、邱弘毅(2023)。台灣中風登錄系統之建立與成果。台灣中風醫誌,5(1),18-21。https://doi.org/10.6318/fjs.202303_5(1).0005
謝美慧、陳幼梅(2019)。論台灣個案管理師之執業能力。領導護理,20(4),16-30。https://doi.org/10.29494/ln.201912_20(4).0002
魏米秀、張美娟、謝至鎠、尤瑞鴻、Jürgen M. Pelikan、王英偉(2018)。健康識能機構實務指引。台北:衛生福利部國民健康署。
魏美珠、楊美雪、吳聰慧(1995)。南市老人預防腦血管疾病的認知、態度與行為調查。中華公共衛生雜誌,14(1),62-77。https://doi.org/10.6288/cjph1995-14-01-07
Adams, H. P., Jr., Bendixen, B. H., Kappelle, L. J., Biller, J., Love, B. B., Gordon, D. L., & Marsh, E. E., 3rd. (1993). Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke, 24(1), 35-41.
Alhusayni, S. F., Abanmi, N. M., Abanemai, N. A., Alharbi, R. M., AlAtiyah, F. A., Abdalla, S. M., & Alharbi, A. A. (2020). Secondary stroke prevention among stroke survivors in Riyadh city, Saudi Arabia. Risk Knowledge, adherence to stroke discharge medications and preventive strategies. Neurosciences (Riyadh, Saudi Arabia), 25(2), 118-128. https://doi.org/10.17712/nsj.2020.2.20190059
American Psychological Association. (2023). behavior. https://dictionary.apa.org/behavior
Andrade, C., Menon, V., Ameen, S., & Kumar Praharaj, S. (2020). Designing and conducting knowledge, attitude, and practice surveys in psychiatry: practical guidance. Indian Journal of Psychological Medicine, 42(5), 478-481.
Bang, O. Y., Ovbiagele, B., & Kim, J. S. (2015). Nontraditional Risk Factors for Ischemic Stroke. Stroke, 46(12), 3571-3578. https://doi.org/10.1161/strokeaha.115.010954
Bauler, S., Jacquin-Courtois, S., Haesebaert, J., Luaute, J., Coudeyre, E., Feutrier, C., Allenet, B., Decullier, E., Rode, G., & Janoly-Dumenil, A. (2014). Barriers and facilitators for medication adherence in stroke patients: a qualitative study conducted in French neurological rehabilitation units. European Neurology, 72(5-6), 262-270.
Becker, M. H. (1974). The health belief model and sick role behavior. Health Education Monographs, 2(4), 409-419.
Becker, M. H., Haefner, D. P., Kasl, S. V., Kirscht, J. P., Maiman, L. A., & Rosenstock, I. M. (1977). Selected psychosocial models and correlates of individual health-related behaviors. Medical Care, 15(5 suppl), 27-46. https://doi.org/10.1097/00005650-197705001-00005
Biswas, A., Oh, P. I., Faulkner, G. E., Bajaj, R. R., Silver, M. A., Mitchell, M. S., & Alter, D. A. (2015). Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Annals of Internal Medicine, 162(2), 123-132. https://doi.org/10.7326/m14-1651
Bolisani, E., Bratianu, C., Bolisani, E., & Bratianu, C. (2018). The elusive definition of knowledge. Emergent knowledge strategies: Strategic thinking in knowledge management, 1-22.
Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative research in sport, exercise and health, 11(4), 589-597.
Brown, M. T., & Bussell, J. K. (2011). Medication Adherence: WHO Cares? Mayo Clinic Proceedings, 86(4), 304-314. https://doi.org/10.4065/mcp.2010.0575
Buford, T. W. (2016). Hypertension and aging. Ageing Research Reviews, 26, 96-111. https://doi.org/10.1016/j.arr.2016.01.007
Burkhart, P. V., & Sabaté, E. (2003). Adherence to long-term therapies: evidence for action. Journal of Nursing Scholarship, 35(3), 207.
Cambridge Dictionary. (2023). practice. https://dictionary.cambridge.org/dictionary/english/practice
Caplan, L. R. (1989). Intracranial branch atheromatous disease: a neglected, understudied, and underused concept. Neurology, 39(9), 1246-1250. https://doi.org/10.1212/wnl.39.9.1246
Caplan, L. R., Wong, K. S., Gao, S., & Hennerici, M. G. (2006). Is Hypoperfusion an Important Cause of Strokes? If So, How? Cerebrovascular Diseases, 21(3), 145-153. https://doi.org/10.1159/000090791
Case Management Society of America. (2023). Case Management Society of America. https://cmsa.org/sop22/
Chang, K. C., Tseng, M. C., Tan, T. Y., & Liou, C. W. (2006). Predicting 3-month mortality among patients hospitalized for first-ever acute ischemic stroke. Journal of the Formosan Medical Association, 105(4), 310-317. https://doi.org/10.1016/s0929-6646(09)60122-4
Chen, R., Ovbiagele, B., & Feng, W. (2016). Diabetes and Stroke: Epidemiology, Pathophysiology, Pharmaceuticals and Outcomes. The American Journal of the Medical Sciences, 351(4), 380-386. https://doi.org/10.1016/j.amjms.2016.01.011
Coupland, A. P., Thapar, A., Qureshi, M. I., Jenkins, H., & Davies, A. H. (2017). The definition of stroke. Journal of the Royal Society of Medicine, 110(1), 9-12. https://doi.org/10.1177/0141076816680121
Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information-processing mechanisms in children''s social adjustment. Psychological Bulletin, 115(1), 74.
D''Souza, S., Godecke, E., Ciccone, N., Hersh, D., Janssen, H., & Armstrong, E. (2021). Hospital staff, volunteers'' and patients'' perceptions of barriers and facilitators to communication following stroke in an acute and a rehabilitation private hospital ward: a qualitative description study. BMJ Open, 11(5), e043897. https://doi.org/10.1136/bmjopen-2020-043897
Diener, H. C., & Hankey, G. J. (2020). Primary and Secondary Prevention of Ischemic Stroke and Cerebral Hemorrhage: JACC Focus Seminar. Journal of the American College of Cardiology, 75(15), 1804-1818. https://doi.org/10.1016/j.jacc.2019.12.072
Ding, Q., Liu, S., Yao, Y., Liu, H., Cai, T., & Han, L. (2022). Global, Regional, and National Burden of Ischemic Stroke, 1990-2019. Neurology, 98(3), e279-e290. https://doi.org/10.1212/wnl.0000000000013115
Duckworth, A. L., Milkman, K. L., & Laibson, D. (2018). Beyond willpower: Strategies for reducing failures of self-control. Psychological Science in the Public Interest, 19(3), 102-129.
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., Edwards, A., & Barry, M. (2012). Shared Decision Making: A Model for Clinical Practice. Journal of General Internal Medicine, 27(10), 1361-1367. https://doi.org/10.1007/s11606-012-2077-6
Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18-29. https://doi.org/10.1177/17474930211065917
Feigin, V. L., Nguyen, G., Cercy, K., Johnson, C. O., Alam, T., Parmar, P. G., Abajobir, A. A., Abate, K. H., Abd-Allah, F., Abejie, A. N., Abyu, G. Y., Ademi, Z., Agarwal, G., Ahmed, M. B., Akinyemi, R. O., Al-Raddadi, R., Aminde, L. N., Amlie-Lefond, C., Ansari, H., . . . Roth, G. A. (2018). Global, Regional, and Country-Specific Lifetime Risks of Stroke, 1990 and 2016. New England Journal of Medicine, 379(25), 2429-2437. https://doi.org/10.1056/NEJMoa1804492
Fraser, K., Perez, R., & Latour, C. (2018). The Evolution of Case Management in the United States Healthcare System. SPRINGER PUBLISHING COMPANY. https://doi.org/10.1891/9780826169518
Gardner, B., Lally, P., & Wardle, J. (2012). Making health habitual: the psychology of ‘habit-formation’and general practice. British Journal of General Practice, 62(605), 664-666.
Gettier, E. (2020). Is justified true belief knowledge? In Arguing about knowledge (pp. 14-15). Routledge.
Gibson, J., Coupe, J., & Watkins, C. (2021). Medication adherence early after stroke: using the Perceptions and Practicalities Framework to explore stroke survivors'', informal carers'' and nurses'' experiences of barriers and solutions. Journal of Research in Nursing, 26(6), 499-514. https://doi.org/10.1177/1744987121993505
Giles, M. F., & Rothwell, P. M. (2007). Risk of stroke early after transient ischaemic attack: a systematic review and meta-analysis. Lancet Neurology, 6(12), 1063-1072. https://doi.org/10.1016/s1474-4422(07)70274-0
Griffiths, D., & Sturm, J. (2011). Epidemiology and Etiology of Young Stroke. Stroke Research and Treatment, 2011, 1-9. https://doi.org/10.4061/2011/209370
Grysiewicz, R. A., Thomas, K., & Pandey, D. K. (2008). Epidemiology of ischemic and hemorrhagic stroke: incidence, prevalence, mortality, and risk factors. Neurologic Clinics, 26(4), 871-895, vii. https://doi.org/10.1016/j.ncl.2008.07.003
Hankey, G. J. (2006). Potential New Risk Factors for Ischemic Stroke. Stroke, 37(8), 2181-2188. https://doi.org/10.1161/01.str.0000229883.72010.e4
Harmsen, P., Lappas, G., Rosengren, A., & Wilhelmsen, L. (2006). Long-Term Risk Factors for Stroke. Stroke, 37(7), 1663-1667. https://doi.org/10.1161/01.str.0000226604.10877.fc
Hart, R. G., & Kanter, M. C. (1990). Hematologic disorders and ischemic stroke. A selective review. Stroke, 21(8), 1111-1121. https://doi.org/10.1161/01.str.21.8.1111
Heidenreich, P. A., Trogdon, J. G., Khavjou, O. A., Butler, J., Dracup, K., Ezekowitz, M. D., Finkelstein, E. A., Hong, Y., Johnston, S. C., Khera, A., Lloyd-Jones, D. M., Nelson, S. A., Nichol, G., Orenstein, D., Wilson, P. W., & Woo, Y. J. (2011). Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation, 123(8), 933-944. https://doi.org/10.1161/CIR.0b013e31820a55f5
Hillbom, M., & Numminen, H. (1998). Alcohol and stroke: pathophysiologic mechanisms. Neuroepidemiology, 17(6), 281-287. https://doi.org/10.1159/000026181
Howard, V. J. (2013). Reasons Underlying Racial Differences in Stroke Incidence and Mortality. Stroke, 44(6_suppl_1), S126-S128. https://doi.org/10.1161/strokeaha.111.000691
Jamison, J., Graffy, J., Mullis, R., Mant, J., & Sutton, S. (2016). Barriers to medication adherence for the secondary prevention of stroke: a qualitative interview study in primary care. British Journal of General Practice, 66(649), e568-576. https://doi.org/10.3399/bjgp16X685609
Jebari-Benslaiman, S., Galicia-García, U., Larrea-Sebal, A., Olaetxea, J. R., Alloza, I., Vandenbroeck, K., Benito-Vicente, A., & Martín, C. (2022). Pathophysiology of Atherosclerosis. International Journal of Molecular Sciences, 23(6), 3346. https://doi.org/10.3390/ijms23063346
Jenkins, C., Ovbiagele, B., Arulogun, O., Singh, A., Calys-Tagoe, B., Akinyemi, R., Mande, A., Melikam, E. S., Akpalu, A., & Wahab, K. (2018). Knowledge, attitudes and practices related to stroke in Ghana and Nigeria: A SIREN call to action. PloS One, 13(11), e0206548.
Jerrard-Dunne, P., Cloud, G., Hassan, A., & Markus, H. S. (2003). Evaluating the Genetic Component of Ischemic Stroke Subtypes. Stroke, 34(6), 1364-1369. https://doi.org/10.1161/01.str.0000069723.17984.fd
Jood, K., Ladenvall, C., Rosengren, A., Blomstrand, C., & Jern, C. (2005). Family History in Ischemic Stroke Before 70 Years of Age. Stroke, 36(7), 1383-1387. https://doi.org/10.1161/01.str.0000169944.46025.09
Kamel, H., Okin, P. M., Elkind, M. S. V., & Iadecola, C. (2016). Atrial Fibrillation and Mechanisms of Stroke. Stroke, 47(3), 895-900. https://doi.org/10.1161/strokeaha.115.012004
Kapil, N., Datta, Y. H., Alakbarova, N., Bershad, E., Selim, M., Liebeskind, D. S., Bachour, O., Rao, G. H. R., & Divani, A. A. (2017). Antiplatelet and Anticoagulant Therapies for Prevention of Ischemic Stroke. Clinical and Applied Thrombosis/Hemostasis, 23(4), 301-318. https://doi.org/10.1177/1076029616660762
Kasner, S. E. (2006). Clinical interpretation and use of stroke scales. Lancet Neurology, 5(7), 603-612. https://doi.org/10.1016/s1474-4422(06)70495-1
Kleindorfer, D. O., Towfighi, A., Chaturvedi, S., Cockroft, K. M., Gutierrez, J., Lombardi-Hill, D., Kamel, H., Kernan, W. N., Kittner, S. J., Leira, E. C., Lennon, O., Meschia, J. F., Nguyen, T. N., Pollak, P. M., Santangeli, P., Sharrief, A. Z., Smith, S. C., Jr., Turan, T. N., & Williams, L. S. (2021). 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke, 52(7), e364-e467. https://doi.org/10.1161/str.0000000000000375
Lally, P., Van Jaarsveld, C. H., Potts, H. W., & Wardle, J. (2010). How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40(6), 998-1009.
Lawrence, M., Pringle, J., Kerr, S., & Booth, J. (2016). Stroke survivors'' and family members'' perspectives of multimodal lifestyle interventions for secondary prevention of stroke and transient ischemic attack: a qualitative review and meta-aggregation. Disability and Rehabilitation, 38(1), 11-21. https://doi.org/10.3109/09638288.2015.1031831
Lee, M., Wu, Y.-L., & Ovbiagele, B. (2016). Trends in Incident and Recurrent Rates of First-Ever Ischemic Stroke in Taiwan between 2000 and 2011. Journal of Stroke, 18(1), 60-65. https://doi.org/10.5853/jos.2015.01326
Lin, B., Zhang, Z., Thrift, A. G., Wang, W., Mei, Y., Guo, Y., Liu, L., Liu, F., & Xue, L. (2022). Qualitative study of Stroke Survivors'' Perceptions of Secondary Prevention. Journal of Advanced Nursing, 78(5), 1377-1388. https://doi.org/10.1111/jan.15079
Louis., E. D., Mayer., S. A., & Noble., J. M. (2021). Merritt’s Neurology (fourteenth ed.). Philadelphia: Lippincott Williams & Wilkins (LWW).
Meschia, J. F., Worrall, B. B., & Rich, S. S. (2011). Genetic susceptibility to ischemic stroke. Nature Reviews Neurology, 7(7), 369-378. https://doi.org/10.1038/nrneurol.2011.80
Minichiello V., Aroni R., Timewell E., & Alexander L. (1995). In-depth Interviewing (Second ed.). South Melbourne: Longman.
Morse, J. M. (1994). Designing funded qualitative research.
National Institute on Alcohol Abuse and Alcoholism. (2023). What Is A Standard Drink? https://www.niaaa.nih.gov/alcohols-effects-health/overview-alcohol-consumption/what-standard-drink
Nonaka, I., & Takeuchi, H. (1995). The knowledge-creating company: How Japanese companies create the dynamics of innovation (Vol. 105). OUP USA.
O''Donnell, M. J., Chin, S. L., Rangarajan, S., Xavier, D., Liu, L., Zhang, H., Rao-Melacini, P., Zhang, X., Pais, P., Agapay, S., Lopez-Jaramillo, P., Damasceno, A., Langhorne, P., McQueen, M. J., Rosengren, A., Dehghan, M., Hankey, G. J., Dans, A. L., Elsayed, A., . . . Yusuf, S. (2016). Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. The Lancet, 388(10046), 761-775. https://doi.org/10.1016/s0140-6736(16)30506-2
Pan, B., Jin, X., Jun, L., Qiu, S., Zheng, Q., & Pan, M. (2019). The relationship between smoking and stroke: A meta-analysis. Medicine (Baltimore), 98(12), e14872. https://doi.org/10.1097/md.0000000000014872
Perloff, R. M. (2020). The dynamics of persuasion: Communication and attitudes in the twenty-first century. Routledge.
Pound, P., Bury, M., & Ebrahim, S. (1997). From apoplexy to stroke. Age and Ageing, 26(5), 331-337. https://doi.org/10.1093/ageing/26.5.331
Rosenstock, I. (1974). Historical origins of the health belief model. Health’, Journal of Public Health, 50(3), 295-302.
Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., Elkind, M. S., George, M. G., Hamdan, A. D., Higashida, R. T., Hoh, B. L., Janis, L. S., Kase, C. S., Kleindorfer, D. O., Lee, J. M., Moseley, M. E., Peterson, E. D., Turan, T. N., Valderrama, A. L., & Vinters, H. V. (2013). An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 44(7), 2064-2089. https://doi.org/10.1161/STR.0b013e318296aeca
Saunders, J. (2000). The practice of clinical medicine as an art and as a science. Medical Humanities, 26(1), 18-22.
Schwartz, N. E. (1975). Nutritional knowledge, attitudes, and practices of high school graduates. Journal of the American Dietetic Association, 66(1), 28-31.
Shah, R. S., & Cole, J. W. (2010). Smoking and stroke: the more you smoke the more you stroke. Expert Review of Cardiovascular Therapy, 8(7), 917-932. https://doi.org/10.1586/erc.10.56
Street Jr, R. L., Gordon, H., & Haidet, P. (2007). Physicians’ communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor? Social Science and Medicine, 65(3), 586-598.
Webb, A. J. S., & Werring, D. J. (2022). New Insights Into Cerebrovascular Pathophysiology and Hypertension. Stroke, 53(4), 1054-1064. https://doi.org/10.1161/strokeaha.121.035850
Wood, W. (2000). Attitude change: Persuasion and social influence. Annual Review of Psychology, 51(1), 539-570.
Wood, W., & Neal, D. T. (2007). A new look at habits and the habit-goal interface. Psychological Review, 114(4), 843.
World Health Organization. (2023a). Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1
World Health Organization. (2023b). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
World Health Organization. (2023c). Improving health literacy. https://www.who.int/activities/improving-health-literacy
World Health Organization. (2023d). Raised cholesterol. https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3236
World Health Organization. (2023e). WHO remains firmly committed to the principles set out in the preamble to the Constitution. https://www.who.int/about/governance/constitution
World Medical Association. (2018). WMA DECLARATION OF GENEVA. https://www.wma.net/policies-post/wma-declaration-of-geneva/
Zolnierek, K. B., & Dimatteo, M. R. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Medical Care, 47(8), 826-834. https://doi.org/10.1097/MLR.0b013e31819a5acc
電子全文 電子全文(網際網路公開日期:20260825)
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top