原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
dvd資優生OTAthe man wh
   
   
   
     
   
 
項次 書目
1
題名:慢性腎臟疾病病人的因應-個案管理模式運用初探     (38點)
Coping in Patients with Chronic Kidney Disease: A Preliminary Study on the Implications of the Case Management Model
著者:陳淑雅(Shu-Ya Chen) ;龍紀萱(Chi-Hsuan Lung) ;胡文郁(Wen-Yu Hu) ;楊郁(Yu Yang) ;黃培琳(Pei-Lin Huang) ;馬堅毅(Chien-Yi Ma)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:慢性腎臟病 ; 因應 ; 個案管理 ; chronic kidney disease ; coping ; case management
刊名:臺灣腎臟護理學會雜誌
卷期:11卷2期(2012.6)
頁碼:9-27
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

本研究旨在探討個案管理模式對慢性腎臟病病人面臨身、心、社會、靈性等層面的困擾,透過「個案管理」的介入措施內容是否提昇自我照顧與問題解決的能力,和協助因應疾病。研究對象為中部某醫學中心採立意取樣診斷為慢性腎臟病的九位個案,運用半結構訪談指引進行「焦點團體」,資料以內容分析法作分析。結果歸納出四個主題與八個次主題:(1)接納生理退化:身體功能衰退,意識健康遠離;擷集多元方法,擬定治療計畫。(2)因應身心變化:惶恐喪失安穩,須調適緩解;積極發掘優勢,找尋停損點。(3)保留社會觸角:需獲外界協助來疏解壓力;與時俱進,重構生活模式。(4)再造靈性活力:面對治療抉擇,勇敢跨越困境;賦予疾病意義,提昇生命價值。個案管理模式運用於照護慢性腎臟病,由各類醫療人員參與照顧,嘉惠面臨疾病衝擊的病人,增加正向因應能力。本研究結果可提供醫療人員在建立個別性、連續性、即時性及適切性等措施時的參考,以協助病人減少損害和採取合宜的因應行為。
The aim of this study was to explore what physical, psychological, social and spiritual difficulties were encountered by patients with chronic kidney disease and whether or not management-based intervention can help these patients take care of themselves, deal with their own problems and thus assist them in coping with the impact of the disease. Purposive sampling was used with nine patients selected for the study and undergoing a semi-structured interview. Data were analyzed using the content analysis method and categorized. The results were grouped into four main categories, with each category consisting of two sub-categories: (1) acceptance of physical degradation: (a) physical decline of bodily function and consciousness of this fact; (b) arranging a care plan including multiple methods for total treatment; (2) coping with bio-psychological changes: (a) fearing the loss of stability and thus trying to improve emotional state; (b) actively looking for things about which to be optimistic and finding a stop-loss point; (3) keeping contact with society: (a) getting external help to relieve distress; (b) re-building a new life within society; (4) rebuilding spiritual vitality: (a) boldly working to solve problems when faced with treatment options; (b) finding meaning behind the illness to enhance the value of life. The application of the case management model was used in caring for CKD patients with participation by medical-care professionals at different levels. The study benefited patients facing CKD by giving them positive impetus to cope. The result of this study can serve as a reference for health care providers when establishing individualized, continuous, timely and appropriate measures for the care of CKD patients. In summary, the case management model can reduce the degree of loss in CKD patients and help them use appropriate coping methods.


    

本卷期目次
臺灣腎臟護理學會雜誌 11卷2期 (2012.6)
慢性腎病專科護理師之角色功能與未來展望/ 江慧珣梁靜祝洪士元丘周萍
一位因瘻管感染併發主動脈瓣閉鎖不全透析患者之護理經驗/ 周佩萱盧玉嬴林秀貞姜靜平
慢性腎臟病患者照護之充能/ 陳俞琪
腎臟保健教學光碟於慢性腎臟病高危險群民眾知識、態度及行為之運用成效探討/ 白麗雯張淑娟賴嘉祥王金梅
動靜脈瘻管照護改善專案/ 姜美珠林嘉慧廖婉恬蔡紋苓
照顧一位罹患梅毒之透析病人的護理經驗/ 莊碧華周學智
運用Watson關懷理論於一位血液透析患者憂鬱狀態之護理經驗/ 黃玉文吳素綿鍾玉珠
一位高血壓腎病變合併肺水腫患者接受血液透析之護理經驗/ 楊芷華王秀禾吳素綿
慢性腎臟疾病病人的因應-個案管理模式運用初探/ 陳淑雅龍紀萱胡文郁楊郁黃培琳馬堅毅
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.