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題 名 | 子宮頸癌根除性子官切除手術後婦女於膀胱訓練期間的主發經驗=Subjective Experience of Women under Bladder Training after Having Received Radical Hysterectomy for Uterine Cervical Cancer |
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作 者 | 朱嘉麗; | 書刊名 | 空大生活科學學報 |
卷 期 | 3 1997.06[民86.06] |
頁 次 | 頁135-160 |
分類號 | 419.74 |
關鍵詞 | 子宮頸癌; 根除性子官切除手術; 婦女; 膀胱訓練; 主發經驗; Subjective experience; Women; Bladder training; Radical hysterectomy; Uterine cervical cancer; |
語 文 | 中文(Chinese) |
中文摘要 | 根除性子宮切除手術乃對子宮頸癌第一、二期患者常採用的一種治療方式,因手術過程會造成下尿路功能障礙,婦女會有不同程度的排尿困難和尿失禁問題,故婦女在手術後尚須接受膀胱訓練來重建下尿路功能。本研究的目的即探討婦女於手術前、手術後的下尿路功能改變情形,以及婦女於手術後膀胱訓練期間的主發經驗。本研究採用田野研究法,共收集有四位研究對象的資料, 研究者對每位研究對象花費 2~4 週的時間,以參與者暨觀察者的身份,進行照顧活動及生理的、心理的研究資料之收集;生理的資料來自研究對象於手術前 1~3 天及手術後 2~ 4 週均接受一次尿路動態機能檢查; 心理資料來自研究者所書寫的行為過程記錄。研究結果指出,研究對象的主發經驗一共有 4818 個行為單元,包括對身體變化的關注和學習行為, 對身體變化的關注又可分為針對身體功能 (69.7%)、 身體感覺(16.9% )、身體結構 (13.4%) 的關注, 學習行為則又分訊息運作行為 (81.2%)、訊息評值行為 (18.8%);尿路動態機能包括尿流速圖、膀胱容積壓力圖及尿道壓力圖,經分析可以發現心理、生理資料的緊密關連性。 |
英文摘要 | Radical hysterectomy is one of the most considered methods among the treatments for uterine cervical cancer stage I、II patients. Since this operation process will make the lower urinary tract dysfunction, the patients will have different level of voiding difficult & urinary incontinence, so they must accept bladder training after the operation to restore lower urinary tract function. The purposes of this research is to study the changes of women between the pre-op & the post-op lower urinary tract function and their subjective experience under bladder training after operation. This study is based on field-study method includes four clients. Researcher had spent 2-4 weeks to every client and apply as the role of a participant and an observer to go on nursing care activity and physiologic & psychologic data collection. Physiologic data from the patients by performing each urodynamic study 1-3 days before the operation and 2-4 weeks after the operation. Psychologic data is from process recording by researcher. According to the results of the research, we can find the subjective experience of clients there are 4818 units of behavior include the concern for body changes & learning behavior. The concern for body changes include body function concern (69.7%), body sensation concern (16.9%), body structure concern (13.4%) . Learning behavior include information-operate behavior (81.2%) , information-evaluate behavior (18.8%). Urodynamic study includes the results of uroflow-pattern, cystometry & urethral pressure profilometry. We analysis both the psychologic and physiologic data can find the close binding relationship. |
本系統中英文摘要資訊取自各篇刊載內容。