發展台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀 ...

本研究發展的台灣版簡明疲憊量表(BFI-Taiwan Form)與台灣版安德森症狀量表(MDASI-Taiwan Form)能提供癌症照護專業人員快速、確實的評估出癌症患者的疲憊及癌症症狀困擾與 ... 資料載入處理中... 跳到主要內容 臺灣博碩士論文加值系統 ::: 網站導覽| 首頁| 關於本站| 聯絡我們| 國圖首頁| 常見問題| 操作說明 English |FB專頁 |Mobile 免費會員 登入| 註冊 功能切換導覽列 (165.22.51.111)您好！臺灣時間：2022/10/1701:32 字體大小：       ::: 詳目顯示 recordfocus 第1筆/ 共1筆  /1頁 論文基本資料 摘要 外文摘要 目次 參考文獻 電子全文 紙本論文 QRCode 本論文永久網址: 複製永久網址Twitter研究生:張愛萍研究生(外文):Ai-PinChang論文名稱:發展台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀量表(MDASI-TaiwanForm)及信效度檢測論文名稱(外文):DevelopmentandValidationoftheBriefFatigueInventory-TaiwanFormandM.D.AndersonSymptomInventory-TaiwanForm指導教授:林佳靜指導教授(外文):Chia-ChinLin學位類別:碩士校院名稱:臺北醫學大學系所名稱:護理學系學門: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:2003畢業學年度:91語文別:中文論文頁數:180中文關鍵詞:癌症、疲憊、症狀困擾、日常生活活動功能干擾、台灣版簡明疲憊量表、台灣版安德森症狀量表外文關鍵詞:cancer、fatigue、symptomdistress、interferencewithusualfunctioning、BFI-TaiwanForm、MDASI-TaiwanForm相關次數: 被引用:79點閱:10022評分:下載:1273書目收藏:6 與癌症有關的疲憊，是癌症患者一個最困擾、最盛行、也最容易被忽視的共同症狀。

癌症症狀困擾是主觀的經驗，會嚴重干擾癌症患者的日常生活活動功能，更影響到癌症患者的生活品質。

使用簡單的、有效的、可信賴的、靈敏的、由癌症患者自我評估的測量工具，才能確實的評估出癌症患者的疲憊及癌症症狀困擾與日常生活活動功能干擾的嚴重程度。

故本研究的目的在發展台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀量表(MDASI-TaiwanForm)，並檢測其信效度；及了解癌症患者的疲憊、症狀困擾及對日常生活活動功能干擾的嚴重程度與相關性。

本研究為描述性相關性研究，採結構式問卷訪談調查，以方便取樣方式於南部區域醫院以上腫瘤科住院及門診患者為對象，共收集200位個案資料。

研究工具有：台灣版簡明疲憊量表、台灣版安德森症狀量表、簡式情緒狀態量表、台灣版SF-36健康評估量表、Karnofsky功能狀況量表。

台灣版簡明疲憊量表與台灣版安德森症狀量表信度檢定採內在一致性Cronbach’sα及再測信度，效度檢定採建構效度、鑑別效度及效標效度，並以接受化學治療癌症患者重複測量的差異來檢定量表的敏感度。

結果顯示，台灣版簡明疲憊量表疲憊強度與生活干擾強度Cronbach’sα為.89與.91，再測信度r=.80與.97。

台灣版安德森症狀量表症狀強度與生活干擾強度Cronbach’sα為.85與.93，再測信度r=.97與.96。

並皆有良好之建構效度、鑑別效度及效標效度、與敏感度。

大多數的癌症患者會經歷到中至重度嚴重程度的疲憊、各種癌症症狀困擾與對日常生活活動功能的干擾，與癌症有關的疲憊及癌症症狀困擾會干擾癌症患者的日常生活活動功能，疲憊及癌症症狀嚴重程度越高，日常生活活動的干擾嚴重程度也越高。

本研究發展的台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀量表(MDASI-TaiwanForm)能提供癌症照護專業人員快速、確實的評估出癌症患者的疲憊及癌症症狀困擾與日常生活活動功能干擾的嚴重程度，迅速提供適當的照護措施，提昇癌症患者的生活品質。

Fatigueisthemostdistressing,prevalent,andignorantcommonsymptomsincancerpatients.Cancersymptomdistressissubjectivesenseandexperienceofcancerpatients,thatseriouslyinterferewithusualfunctioningandaffectqualityoflife.Itrequiresasimple,available,reliable,sensitiveandself-reportedinstrument,toassessaccurateseveritylevelsoffatigueandinterferencewithusualfunctioningofcancerpatients.Thepurposesofthisstudywasto(1)DevelopmentandValidationoftheBriefFatigueInventory-TaiwanFormandM.D.AndersonSymptomInventory-TaiwanForm.(2)Exploretheseveritylevelsoffatigue,cancersymptomdistress,andinterferencewithusualfunctioningofcancerpatients,andcorrelationbetweenthem.Across-sectionaldescriptivecorrelationaldesignwasadoptforthestudyandthestructuredquestionnaireinterviewwasused.TwohundredeligiblesubjectswererecruitedbyconveniencesamplingfromtheoncologyinpatientsandoutpatientsinSouthernTaiwan.TheinstrumentsincludedBFI-TaiwanForm,MDASI-TaiwanForm,ShortForm-POMS,SF-36-TaiwanForm,andKPS.Thevalidationwereestablishingreliabilitybyinternalconsistency(Cronbach’sα)andtest-retestreliability,andvaliditybyconstruct,discriminantandcriterionvalidity.Thesensitivitywaspresentedbycomparingtherepeatedmeasurescoresofreceivedchemotherapypatients.ThestudyresultsrevealedthatfatigueandinterferenceintensityoftheBFI-TaiwanFormCronbach’sαwere.89and.91,test-retestreliabilityrwere.80and.97.SymptomdistressandinterferenceintensityoftheMDASI-TaiwanFormCronbach’sαwere.85and.93,test-retestreliabilityrwere.97and.96.Bothinstrumentshavegoodconstruct,discriminantcriterionvalidity,andsensitivity.Mostofthecancerpatientsexperiencedmoderatetosevereseveritylevelsoffatigue,symptomdistressandinterference.Cancer-relatedfatigueandsymptomdistresswereinterferewithusualfunctioningofcancerpatients.Severitylevelsoffatigueandsymptomdistresswerehigh,thelevelsofinterferencewerehigher.BFI-TaiwanFormandMDASI-TaiwanFormproviderapidlyandaccurateassessmentoftheseveritylevelsoffatigue,symptomdistressandinterferencewithusualfunctioningincancerpatientstoprofessionals.Namelyprovidespropernursinginterventionandimprovethequalityoflifeincancerpatients. 目錄頁數致謝………………………………………………………………Ⅰ中文摘要………………………………………………………………Ⅲ英文摘要………………………………………………………………Ⅴ目錄………………………………………………………………Ⅶ圖表目次………………………………………………………………ⅩⅠ第一章緒論第一節研究動機……………………….……………………..…1第二節研究重要性……………………….…………………..…4第三節研究目的………………………….…….…….………....7第二章文獻查證第一節癌症疲憊症狀與相關因素………………….………..…8第二節癌症疲憊症狀評估量表……………………..……….…15第三節癌症症狀困擾與相關因素…………………………...…25第四節癌症症狀困擾評估量表…………………………..….…32第三章研究問題第一節研究問題……………………………………..……….…41第二節名詞解釋……………………………………………...…42第四章研究方法第一節研究設計…………………………………………..….…45第二節研究場所………………………………………………..45第三節研究對象………………………………………….….…46第四節研究工具………………………………………….…….47第五節資料收集過程…………………………………………..65第六節資料分析…………………………………………….….67第七節研究對象保護權益……………………………….….…71第五章研究結果第一節簡式情緒狀態量表(ShortForm-POMS)之分布………74第二節台灣版SF-36健康評估量表(SF-36-TaiwanForm)之分布…………………………………………….…….77第三節Karnofsky功能評估量表(KPS)之分布………………..81第四節癌症患者人口學特性分析……………………….….…83第五節台灣版簡明疲憊量表(BFI-TaiwanForm)之分布……...90第六節台灣版安德森症狀量表(MDASI-TaiwanForm)之分布分布……………………………………………………..106第六章討論第一節台灣版簡明疲憊量表(BFI-TaiwanForm)之信度、效度與敏感度……………………………………….….121第二節台灣版安德森症狀量表(MDASI-TaiwanForm)之信度、效度與敏感度………………………..……...….127第三節癌症患者之疲憊嚴重程度與疲憊干擾日常生活活動功能嚴重程度及相關性…………………………..132第四節癌症患者之癌症症狀困擾嚴重程度與癌症症狀干擾日常生活活動功能嚴重程度及相關性…………..138第七章結論與建議第一節結論……………………………………………………..145第二節護理上的應用…………………………………………..148第三節研究限制與建議………………………………………..151參考資料中文部分….………………………………….……..……………..154英文部分….……………………………………..…….…………..156附錄附錄一研究同意書……………………………………………..168附錄二個案基本資料…………………………………………..169附錄三台灣版簡明疲憊量表…………………………………..170附錄四台灣版安德森症狀量表………………………………..171附錄五簡式情緒狀態量表……………………………………..173附錄六台灣版SF-36健康評估量表…………………………..175附錄七Karnofsky功能評估量表……………………………….180圖表目次表一前驅研究台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀量表(MDASI-TaiwanForm)之信、效度檢定………………………………………..63表二前驅研究與正式研究簡式情緒狀態量表(ShortForm-POMS)、台灣版SF-36健康評估量表(SF-36-TaiwanForm)與Karnofsky功能評估量表(KPS)之信度檢定…………………………………64表三台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀量表(MDASI-TaiwanForm)信、效度檢定方法………………………………………….….69表四資料統計分析方法……………………………………..70表五簡式情緒狀態量表(ShortForm-POMS)分數之描述統計……………………………………………..76表六台灣版SF-36健康評估量表(SF-36-TaiwanForm)分數之描述統計...............……………………….…..80表七Karnofsky功能評估量表(KPS)分數之描述統計……..82表八人口學特性分布………………………………………..87表九以台灣版簡明疲憊量表(BFI-TaiwanForm)評估過去24小時疲憊最嚴重程度之描述統計……………92表十台灣版簡明疲憊量表(BFI-TaiwanForm)嚴重程度之分布…………………………………………………..93表十一台灣版簡明疲憊量表(BFI-TaiwanForm)疲憊強度及台灣版安德森症狀量表(MDASI-TaiwanForm)症狀強度與生活干擾強度之相關……….….…….……95表十二台灣版簡明疲憊量表(BFI-TaiwanForm)與人口學特性之差異與相關……………………………………..97表十三正式研究台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀量表(MDASI-TaiwanForm)之信度檢定……………………………………………..99表十四台灣版簡明疲憊量表(BFI-TaiwanForm)各子項目與總分之相關…………………………………………..100表十五台灣版簡明疲憊量表(BFI-TaiwanForm)之效度檢定…………………………..……………..…..………103表十六台灣版簡明疲憊量表(BFI-TaiwanForm)與台灣版安德森症狀評估量表(MDASI-TaiwanForm)之敏感度檢定…………………………………………..105表十七以台灣版安德森症狀量表(MDASI-TaiwanForm)評估過去24小時症狀最嚴重程度之描述統計………108表十八台灣版安德森症狀量表(MDASI-TaiwanForm)嚴重程度之分布………………………………………..110表十九台灣版安德森症狀量表(MDASI-TaiwanForm)與人口學特性之差異與相關…………………………..114表二十台灣版安德森症狀量表(MDASI-TaiwanForm)各子項目與總分之相關………………………..………116表二十一台灣版安德森症狀量表(MDASI-TaiwanForm)之效度檢定……………………………………...……...119 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