進階搜尋


  查詢北醫館藏
系統識別號 U0007-1302201102171100
論文名稱(中文) 探討護理指導對首次急性心肌梗塞上班族自我照顧的認知與自我效能之成效
論文名稱(英文) The Awareness and Self-Efficacy of Self-Care and the Effect of Nurses' education in Salarymem After their First Acute Myocardial Infarction
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 99
學期 1
出版年 100
研究生(中文) 李靜宜
研究生(英文) C-hing-Yi Lee
電子信箱 a7813@ms7.mmh.org.tw
學號 G455097008
學位類別 碩士
語文別 中文
口試日期 2010-12-28
論文頁數 111頁
口試委員 指導教授-邱艷芬
委員-蔡仁貞
委員-羅美芳
中文關鍵字 護理指導  首次急性心肌梗塞  上班族  自我照顧  自我效能 
英文關鍵字 First acute myocardial infarction  Salarymen  Self-efficacy  self care 
學科別分類
中文摘要 本研究旨在探討首次發生心肌梗塞之存活者出院後自我照顧的認知與自我效能,並評估護理指導的有效性,以新竹某區域教學醫院首次發生急性心肌梗塞上班族的住院病人,採類實驗性設計,以方便取樣方式收實驗組30人和對照組30人,並以結構式問卷進行資料收集,結構式問卷包括基本資料、健康狀況、心肌梗塞後自我照顧知識、自我效能量表及心肌梗塞後生活品質量表。全體個案於住院時給予常規性衛教,並於出院前進行收集資料,之後實驗組立即進行「急性心肌梗塞病人之自我照顧手冊」介入,對照組則返診後一個月先收集資料,之後進行「急性心肌梗塞病人之自我照顧手冊」介入,兩組皆在門診返診後一週、四週、十二週以自擬之心肌梗塞後自我照護認知量表、Sullivan自我效能量表、Thompson生活品質量表之問卷進行收集資料。
所得結果將採用SPSS for Windows 17.0中文版套裝統計軟體進行統計分析。統計方法包括:獨立性t檢定、卡方檢定、相依樣本t檢定、皮爾森積差相關係數(Pearson’s correlation)及變異數分析(ANO VA)等。研究結果:(1)個案之自我照顧知識分數於出院後三個月最高,實驗組與對照組(分別為10.8±1.3分,9.4±1.9分),自我照顧知識項目中以危險因子分數明顯增加(p<0.01)。(2)個案之自我照顧知識答對率於出院前最低,在衛教介入後,以出院後三個月自我照顧答對率最高,排序上兩組皆為在危險因子自我照顧知識最高排序,對照組在出院後一個月衛教介入,比較出院後一個月與出院後三個月自我照顧知識答對率,以危險因子及藥物服用答對率有顯著差異(p<0.05)。(3)個案之自我效能分數,實驗組於出院後一個月明顯增加,隨著時間進展,自我效能分數於出院後三個月最高(F=4.79, p< 0.0 1)。(4)個案之自我照顧知識與自我效能,在實驗組於出院後一週至出院後三個月為正相關(p<0.05)。個案之整體生活品質分數,實驗組與對照組在出院後三個月(分別63.6 v.s 82.3)比出院前(分別95.4 v.s 91.8)均明顯有改善(p<0.01)。研究結果可在護理上的運用,提供臨床護理人員對於首次急性心肌梗塞病人在出院前給予系統性護理指導,藉以達到預防疾病再發生,更進一步提昇病人的生活品質。
英文摘要 The first time this study was to investigate the survivors of myocardi al infarction after discharge self-care knowledge and self-efficacy, and to assess the effectiveness of nursing instruction to a regional teaching hosp ital in Hsinchu, the first acute myo
cardial infarction patients office worke rs, mining quasi-experimental design, sampling method to facilitate the expe rimental group received 30 and the control group of 30 people, and a structured questionnaire to collect data, structured questionnaire includeingg basic data, health status, knowledge, self-care after myocardial infarction, self-efficacy scale and quality of life questionnaire after myocardial infarction. When all the samples at the hospital to give regular health education and collect information befor e discharge, the experimental group immediately after the "acute myocardial infarcti on patients self-care manual" in tervention in the control group one month after the first return visit to collect data, after "acute myocardial infarction patients self-care manual" intervention, both groups returned to the outpatient clinic one week after four weeks, twelve weeks after myocardial infarction by self of self-care know ledge questionnaire, Sullivan Self-Efficacy Scale, Thompson Quality of Life Products Table of the questionnaire to collect data.
The results will be used SPSS for Windows 17.0 statistical software package Chi nese version of the statistical analysis. Statistical methods include: the independence oft test, chi square test, paired t test, Pearson corr elation coefficients (Pearson's correl ation) and analysis of variance (ANOVA) and so on. Results Results: (1) case of self- care knowledge scores hi ghest in three months after discharge, experimental group and control (1 0.8±1.3 min,9.4±1.9 points), self-care knowledge project to significantly increase the risk factor score (p <0.01). (2) cases of self-care knowledge, the lowest correct response rate before discharge, in the health education intervention, three months after discharge self-care to the highest rate of correct answers, sort the two sets of self -care are all risk factors in the highest sort of knowledge, the control group one month after discharge from hospital health education intervention, one month after discharge compared with three months after discharge rates of self-care knowledge and correct answers to correct risk factors and drug use rates were significantly different (p < 0.05). (3) cases of self-efficacy scores, the experimental group significantly increased one month after discharge, as time progress, self-efficacy scores highest in three months after discharge (F = 4.79, p < 0.01). (4) cases of self-care knowledge and self-efficacy, in the experimental group one week after discharge from hospital in three months after a positive correlation (p <0.05). Cases, the overall quality of life scores, the experimental group and control group three months after discharge (respectively 63.6 vs 82.3) than before discharge (respectively 95.4 vs 91.8) have improved significantly (p <0.01). The results can be used on nursing provides nurses with acute myocardial infarction patients for the first time I n the systematic nursing instruction given before discharge, in order to prevent disease recurrence, further improve patient quality of life.
論文目次 目 錄
頁 數
致 謝..............................................................................Ⅰ
中文摘要.............................................................................. Ⅱ
英文摘要.............................................................................. Ⅲ
目 錄.............................................................................. Ⅳ
圖表目次............................................................................... Ⅴ
第一章 緒論
第一節 研究動機與重要性... ............................................ 1
第二節 研究目的................................................................ 2
第三節 名詞解釋................................................................ 3
第二章 文獻查證
第一節 急性心肌梗塞的發生與危險因子........................ 5
第二節 急性心肌梗塞後的自我照顧.................................8
第三節 自我效能理論與應用...........................................11
第四節 心肌梗塞後對生活品質的影響...........................13
第三章 研究方法
第一節 研究架構...............................................................15
第二節 研究設計...............................................................17
第三節 研究對象...............................................................18
第四節 研究工具與信效度檢定.......................................18
第五節 資料收集過程.......................................................22
第六節 資料分析...............................................................23
第四章 分析與結果
第一節 研究對象之基本屬性與健康狀況.......................24
第二節 自我照顧知識與不同時間衛教介入的影響.......25
第三節 自我照顧知識答對率改變情形.......................... 28
第四節 自我效能改變情形...............................................29
第五節 自我照顧知識與自我效能之相關.......................29
第六節 生活品質改變情形...............................................30
第五章 討論
第一節 研究對象基本屬性與健康狀態...........................33
第二節 不同時間衛教介入對自我照顧認知改變情形..34
第三節 自我照顧認知答對率改變情形............................34
第四節 自我效能改變情形.................................................36
第五節 自我照顧認知與自我效能之相關.........................36
第六節 生活品質改變情形...............................................37
第七節 系統性衛教指導與傳統衛教單張之效果...........38
第六章 結論與建議
第一節 結論.......................................................................40
第二節 建議與限制.......................................................... 41
參考文獻
中文部分................................................................................ 43
英文部分.................................................................................44
附錄
附錄一 受試者同意書.......................................................66
附錄二 病人基本屬性問卷調查.......................................70
附錄三 心肌梗塞後自我照顧認知問卷...........................72
附錄四 心肌梗塞後生活品質調查...................................73
附錄五 心肌梗塞後自我效能量表...................................75
附錄六 心臟血管專家工作年資與職稱...........................76
附錄七 自我照顧認知問卷修正前之專家效度評分結果與建議...................................................................77
附錄八 自我照顧認知問卷修正後之專家效度評分結果...........................................................................78
附錄九 人體試驗委員同意臨床試驗證明書...................79
附錄十 行政院衛生署國民健康局同意書......................80
附錄十一 美國心臟協會版權使用同意書......................... 81
附錄十二 申請版權使用證明書..........................................82
附錄十三 申請使用中文版CMIDAS的同意書..................84
參考文獻 中文文獻
李東欣(2003)。社經階層、工作特質與冠狀動心臟病之相關探討。國立成功大學公共衛生研究所碩士論文,台南。
林敏玲、邱艷芬(2001)。花蓮地區心臟衰竭病患對疾病認知、態度及自我照顧行為相關性之探討。慈濟醫學,13(1),57-64。
吳錦玟、曾建寧(2004)。運用Orem 自我照顧理論協助ㄧ位腹膜透析患者的護理經驗。台灣腎臟護理學會雜誌,3(1),42-50。
陳在玲(2006)。台灣東部原、漢婦女急性心肌梗塞與危險因子及物質使用之探討。慈濟大學原住民健康研究所碩士論文,花蓮。
許淑蓮(2000)。初患心肌梗塞病人不確定感與焦慮反應-因應行為效應之探討。護理研究,9(2),159-171。
梁金麗 (2001)。社區老人生活品質及相關因素探討。未發表碩士論文,國立台北護理學院護理學研究所,臺北。
施秀慧(2002)。護理指導對肝硬化患者知識及自我照護行為之成效。未出版之碩士論文,慈濟大學護理學研究所,花蓮。
葉玫玲、邱艷芬(1998)。心肌梗塞病患住院期間發生不確定感內容及其相關因素之探討。護理研究,6(6),501-512。
葉美玲、陳興夏、劉碧霞(2004)。髖關節置換術護理指導:多媒體影音光碟與手冊之研發與測試。醫護科技學刊,6(2),141-152。
溫鳳琪(2002)。個別衛教對初次急性心肌梗塞患者出院後三個月健康促進生活方式之成效。未發表碩士論文,長庚大學護理學研究所,桃園。
劉保梅(1995)。急性心肌梗塞患者的壓力源、不確定感及壓力感受。未發表碩士論文,高雄醫學院護理研究所碩士論文,高雄。
羅家儀(2004)。照護年輕心肌梗塞病患之我見。榮總護理,21(3),268-276。
董玉秀(2004)。急性心肌梗塞患者身體活動量與生活品質。國立台北護理學院研究所碩士論文,台北。
行政院衛生署(2009,10月1日)。九十七年死因統計結果分析。2009年10月14日取自http://www.doh.gov.tw/ufile/doc/九十七年死因統計結果分析。
行政院衛生署國民健康局著(2007)。冠心病自我照護手冊。台中市:衛生署國民健康局。

英文文獻

Ai, A. L., Dunkle, R. E., Peterson, C., Saunders, D. C., & Bolling, S. F. (1998). Self-care and psychosocial ajustment of patients following cardiac surgery. Social Work in Health Care, 27(3), 75-95.
American Heart Association. (2003). Heart disease and stroke statistics—2004 update: Dallas, TX: Author.
Ambrose, J., Tannenbaum , M., Alexopoulos, D., Hjemdahl-Monsen, C., Leavy,J.,Weiss, M., et al. (1988). Angiographic progression of coronary artery disease and the development of myocardial infarction. Journal of the American College Cardiology, 12(1), 56-62.
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., et al. (2007). ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction). Circulation, 116, 149-304.
Allen, J. K., Becker, D. M., & Swank, R. T. (1990). Factors related to functional status after coronary artery bypass surgery. Heart & Lung, 19, 337-343.
Bandura, A. (1977). self-efficacy: Toward a Unifying Theory of Behavioral
Change. Psychological Review, 84(2), 191-215.
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122-147.
Bandura, A. (1986). Foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44 (9), 1175-1184.
Bandura, A. (1997). Self efficacy; the exercise of control. New York: W.H. Freeman.
Baas LS.(2004). Self-care resources and activity as predictors of quality of life in persons after myocardial infarction. Dimensions of Critical Care Nursing: DCCN, 23(3), 131-8.
Bergner, M., Bobbitt, R. A., Kressel, S., Pollard, W. E., Gilson, B. S., & Morris, J. R. (1976). The sickness impact profile: conceptual formulation and methodology for the development of a health status measure. International journal of health services: planning, administration, evaluation, 6(3), 393-415.
Boden, W.E., O'Rourke, R.A., Teo, K.K., Hartigan, P.M., Maron, D.J., Kostuk, W.J., et al. (2007). Optimal medical therapy with or without PCI for stable coronary disease. New England journal of medicine, 356(15),1503-1506.
Carroll, D. L. (1995). The importance of self-efficacy expectations in elderly patients recovering from coronary artery bypass surgery. Heart & Lung, 24, 50-59.
Cohen, S., & Kataoka-Yahiro, M. (2009). Themes in the Literature Related to Cardiovascular Disease Risk Reduction. Journal of Cardiovascular Nursing, 24(4), 268-276.
Covinsky, K. E., Chren, M. M., Harper, D. L., Way, L. E., & Rosenthal, G. E. (2000). Differences in patient-reported processes and outcomes between men and women with myocardial infarction. Journal General Internal Medicine, 15(3), 169-174.
Culic,V., Eterovic, D., & Miric, D. (2005). Meta-analysis of possible external triggers of acute myocardial infarction. International journal of cardiology, 99, 1- 8.
Dains, J., E, Baumann, L. C., & Scheibel, P. (2007). Advanced Health Assessment and Clinical Diagnosis in Primary Care. St. Louis: MOSBY ELSEVIER.
Dimsdale, J. ( 2008). Psychological stress and cardiovascular disease. Journal of the American College Cardiology, 51,1237-1246.
El-Menyar, A., Zubaid, M., Almahmeed, W., Sulaiman, K., Alnabti, A., Singh, R., et al. (2010). Killip classification in patients with acute coronary syndrome: insight from a multicenter registry. The American Journal of Emergency Medicine, Dec 13, 1-7.
Emslie, C., Hunt, K., & Watt , G. (2001). ‘I’d rather go with a heart attack than drag on: lay images of heart disease and the problems they present for primary and secondary prevention. Coron Health Care, 5, 25-32.
Evon, D. M., & Burns, J. W. ( 2004). Process and outcome in cardiac rehabilitation: An examination of cross-lagged effects. Journal of Consulting and Clinical Psychology, 72 (4), 605-616.
Ewart, C.K., Taylor, C.B., Reese, L.B., & DeBusk, R.F. (1983). Effects of early post-myocardial infarction exercise testing on self-perception and subsequent physical activity. American Journal of Cardiology, 51(7), 1076-1080.
Fletcher,V. (1987). An individualized teaching programme following primary uncomplicated myocardial infarction. Journal of Advanced Nursing, 12(2), 195-200.
Frangogiannis, N. (2007). Chemokines in ischaemia and reperfusion. Thromb Haemost, 97, 738-747.
Frangogiannis, N., Smith, C., & Entman , M. ( 2002). The inflammatory response in myocardial infarction. Cardiovascular research, 53, 31-47.
Franklin, B. A., Bonzheim, K., Gordon, S., & Timmis, G. C. (1996). Snow shoveling: a trigger for acute myocardial infarction and sudden coronary death. The American Journal of Cardiology, 77, 855- 858.
Fukouka, Y., Dracup, K., Froelicher, E. S., Ohno, M., Hirayama, H., Shiina, H., et al. ( 2005). Do Japanese workers who experience an acute myocardial infarction believe their prolonged working hours are a cause? . International Journal of Cardiology, 100, 29 -35.
Gerber, Y., Benyamini, Y., Goldbourt, U., & Drory, Y. (2009). Prognostic importance and long-term determinants of self-rated health after initial acute myocardial infarction. Medical Care, 47(3), 342-349.
Given, C.W., & Coyle, B.W. (1983). The effects of patient characteristics and belief on response to behavior interventions for cantrol of chronic disease. Patient Education Counsult, 6, 131-140.
Grady, K. L. (2008). Self-care and quality of life outcomes in heart failure patients. Journal of Cardiovascular Nursing, 23(3), 285-292.
Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring Health-related Quality of Life. Annals of Internal Medicine, 118, 622-629.
Hackett, D., Davies , G., & Maseri ,A. (1988) . Preexisting coronary stenosis in patients with first myocardial infarction are not necessarily severe. European Heart Journal, 9, 1317-1323.
Hallqvist, J., Möller, J., Ahlbom, A., Diderichsen, F., Reuterwall, C. & Faire, F. (2000). Does heavy physical exertion trigger myocardial infarction? A case-crossover analysis nested in a populationbased case-referent study. American Journal of Epidemiology, 151, 459-467.
Hammoudeh, A.J., & Alhaddad, I. A. (2009). Triggers and the Onset of Acute Myocardial Infarction. Cardiology in Review, 17, 270-274.
Hansson, G. (2005). Review article :mechanisms of disease Inflammation, Atherosclerosis, and Coronary Artery Disease. The new England journal of Medicine, 352(16), 1685-1695.
Hemtinen, M. (1986). Teaching and adaptation of patients with myocardial infarction. International Journal of Nursing Studies, 23(21), 25-138.
Izawa, K. P., Watanabe, S., Omiya, K., Hirano, Y., Oka, K., & Osada, N. (2005). Effect of the self-monitoring approach on exercise maintenance during cardiac rehabilitation: A randomized, controlled trial. American Journal of Physical Medicine and Rehabilitation, 84(5), 313-321.
Karner, A., Goransson, A., & Bergdahl, B. (2002). Conceptions on treatment and lifestyle in patients with coronary heart disease--a phenomenographic analysis. Patient Education and Counseling, 47, 137-143.
Lau-Walker, M. (2004). Relationship between illness representation and self-efficacy. Journal of Advanced Nursing, 48(3), 216-225.
Lewis, F., & Zahlis, E. (1997). The nurse as coach: A conceptual framework for clinical practice. Oncology Nursing Forum, 24(10), 1695-1702.
Libby, P. (2001). Current concepts of the pathogenesis of the acute coronary syndromes. Circulation, 104, 365-372.
Mayou, R., & Bryant, B. (1993). Quality of life in cardiovascular disease. British Heart Journal, 1(6), 460-466.
Lim, L. L., Valenti, L. A., Knapp, J. C., Dobson, A. J., Plotnikoff, R., Higginbotham, N., et al. (1993). A self-administered quality-of-life questionnaire after acute myocardial infarction. Journal of Clinical Epidemiology, 46(11), 1219-1336
McHorney, C.A., Ware, J.E., Jr., & Raczek, A.E. (1993). The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247-263.
McDonald , H.P., Garg, A.X., & Haynes, R.B. (2002). Interventions to enhance patient adherence to medication prescriptions. The Journal of the American medical association, 288(22), 2868-2879.
Mill, G., Barnens , R., Rodell, D. E., & Terry, L. (1985). An evaluation of an inpatient cardiac patient/family education program. Heart&Lung, 14(4), 400-406.
Millers, P.M., McMahon, M., Ringel, K., Siniscalchi, K., & Welsh, N. (1989). Personal adjustments and regimen compliance 1 year after heart attack. Heart & Lung, 18(4), 339-346.
Millers, S. P., Wikoff, R., McMahon, M., Graaett, M. J., & Ringel, K. (1985). Indicators of medical regimen adherence for myocardial infarction patient. Nursing research, 34(1), 268-272.
Millers, S.P., Wikoff, R., McMahon, M., Graaett, M.J., & Ringel, K. (1990). Regimen compliance 2 yeras after myocardial infarction patient. Nursing Research, 39(6), 333-336.
Mo¨ller, J., Theorell, T., Faire, U., Ahlbom, A., & Hallqvist, J. (2005). Work related stressful life events and the risk of myocardialinfarction. Case-control and case-crossover analyses within the Stockholm heart epidemiology programme(SHEEP). Journal of Epidemiology and Community Health, 59, 23-30.
Moser, D., Dracup, K., & Marsden , C. (1993). Needs of recovering cardiac patients and their spouses: compared views. International journal of nursing studies, 30, 105-114.
Muller, J. E., Mittleman, M. A., Maclure, M., Sherwood, J., & Tofler, G. (1996). Triggering myocardial infarction by sexual activity: low absolute risk and prevention by regular exercise. The Journal of the American medical association, 275, 1405-1409.
Nielsen, K. B., Dyhr, L., Lauritzen, T., & Malterud, K. (2005). Longterm impact of elevated cardiovascular risk detected by screening: a qualitative interview study. Scandinavian journal of primary health care, 23(4), 233-238.
Oberst, M. T. (1989). Perspectives on research in patient teaching. Nursing Clinics of North American, 24(3), 621-628.
Oka, R. K., DeMarco, T., & Haskell, W. L. (2005). Effect of treadmill testing and exercise training on self-efficacy in patients with heart failure. European Journal of Cardiovascular Nursing, 4(3), 215-219.
Parakh, K., Bhat, U., Thombs, B. D., Fauerbach, J.A., Bush, D.E., & Ziegelstein, R.C. (2010). Self-assessed physical health predicts 10-year mortality after myocardial infarction. Journal of cardiopulmonary rehabilitation and prevention, 30(1), 35-39.
Piepoli, M.F., Corrà, U., Benzer, W., Bjarnason-Wehrens, B., Dendale, .P, Gaita, D., et al.(2010). Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. European journal of cardiovascular prevention and rehabilitation, 17(1),1-17.
Plous, S., Chesne, R., & McDowell , I.A. (1995). Nutrition knowledge and attitudes of cardiac patients. Journal of the American Dietetic Association, 95, 442-446.
Raleigh, E. H., & Odtohan, B.C. (1987). The effect of a cardiac teaching program on patient rehabilitation. Heart&Lung, 16(3), 311-317.
Rankin, S.H., Butzlaff, A., Carroll, D.L., & Reedy, I. (2005). FAMISHED for support: Recovering elders after cardiac events. Clinical Nurse Specialist, 19(3), 142-149.
Rapley, P., & Fruin, D.J. (1999). Self-efficacy in chronic illness: The juxtaposition of generaland regimen-specific efficacy. International Journal of Nursing Practice, 5, 209-215.
Redman. (2006). The Practice of Patient Education, 10th ed. Maryland: Mosby.
Robertson, D., & Keller, C. (1992). Relationships among health beliefs, self-efficacy, and exercise adherence in patients with coronary artery disease. Heart & Lung, 21, 58-63.
Rohrbaugh, M.J., Shoham, V., Coyne, J. C., Cranford, J.A., Sonnega, J. S., & Nicklas, J.M. (2004). Beyond the “self” in self-efficacy: Spouse confidence predicts patient survival following heart failure. Journal of Family Psychology, 18(1), 184-193.
Rozanski, A.R., Blumenthal, J.A., Davidson, K.W., Saab, P., & Kubzansky, L.G. (2005). The epidemiology, pathophysiology,and management of psychosocial risk factors in cardiac practice. Journal of the American College of Cardiology, 45(5), 637-651.
Scott, J.T, & Thompson, D.R. (2003). Assessing the information needs of post- myocardial infarction patients: a systematic review. Patient Education and Counseling, 50, 167-177.
Slavin, R. (1994). Educational psychology: theory into practice. Englewood Cliffs, NJ: Prentice-Hall.
Sniehotta , F.F., Scholz, U., Schwarzer, R., Fuhrmann, B., Kiwus, U., &Voller, H. (2005 ). Long-term effects of two psychological interventions on physical exercise and self-regulation following coronary rehabilitation. International Journal of Behavioral Medicine, 112 (4), 244-255.
Stansfeld, S.A., Fuhrer, R., Shipley, M.J., & Marmot, M G. (2002). Psychological distress as a risk factor for coronary heart disease in the Whitehall II Study. International journal of epidemiology, 31, 248 -255.
Steffens, S., Montecucco, F., & Mach, F. (2009). The inflammatory response as a target to reduce myocardial ischaemia and reperfusion injury. Thromb Haemost, 102, 240-247.
Taylor, C.B., Bandura, A., Ewart, C.K., Miller, N.H., & DeBusk, R.F. ( 1985). Exercise testing to enhance wives confidence in their husbands' cardiac capability soon after clinically uncomplicated acute myocardial infarction. American Journal of Cardiology, 55, 635-638.
The Joint European Society of Cardiology/American College of Cardiology Committee. (2000). Myocardial Infarction Redefined-A Consensus Document of The Joint European Society of Cardiology. Journal of the American College of Cardiology,36( 3), 959-969.
Thompson, D.R., Jenkinson, C., Roebuck, A., Lewin, R.J., Boyle, R.M., & Chandola, T. (2002). Development and validation of a short measure of health status for individuals with acute myocardial infarction: the myocardial infarction dimensional assessment scale (MIDAS). Quality of life research, 11(6), 535-543.
Thompson, D.R., & Roebuck, A. (2001). The measurement of healthrelated quality of life in patients with coronary heart disease. The journal Cardiovascular Nursing, 16, 28-33.
Thomas, J.J. (1993). Cardiac inpatient education: The impact of educational methodology on self-efficacy. Journal of Cardiopulmonary Rehabilitation,13, 398-405.
Thomas, C.M. (2001). Effectiveness of a Cardiovascular Health Promotion Education Intervention on Reducing Cardiovascular Risks [doctoral dissertation]. University of Tennessee.
Thompson, D., Jenkinson, C., Roebuck, A., Lewin, R., Boyle, R., & Chandola, T. (2002). Development and validation of a short measure of health status for individuals with acute myocardial infarction: The myocardial infarction dimensional assessment scale (MIDAS). Quality of life research, 11, 535 - 543.
Thompson, D., Ersser, S. J., & Webster, R. A. (1995). The experiences of patients and their partners 1 month after a heart-attack. Journal of Advanced Nursing, 22, 707-714.
Tofler, G., & Muller, J. (2006). Triggering of acute cardiovascular disease and potential preventive strategies. Circulation, 114, 1863-1872.
Treasure, T. (1999). The measurement of health related quality of life. Heart, 81, 331-332.
Urmimala, S., Sadia, A., & Mary, A.W. ( 2009). Self-efficacy as a marker of cardiac function and predictor of heart failure hospitalization and mortality in patients with stable coronary heart disease: Findings from the Heart and Soul Study. Health Psychology, 28(2), 166-173.
Vogel, E. (1963). Japan's New Middle Class, 2nd ed. University of California Press.
Von Klot, S., Mittleman, M.A., Dockery, D.W., Heier, M., Meisinger, C., Hörmann, A., et al. (2008). Intensity of physical exertion and triggering of myocardial infarction: a case-crossover study. European Heart journal, 29, 1881-1888.
Wenger, N.K., Mattson, M.E., Furberg, C.D., & Elinson, J. (1984). Assessment ofquality of life in clinical trials of cardiovascular therapies. The American journal of Cardiology, 54, 908-913.
Wilson, I.B., & Cleary, P.D. (1995). Linking clinical variables with health relatedquality of life. A conceptual model of patient outcomes. The journal of the American Medical Association, 273, 59-65.
Wiliamson, G. (1997). Why should acute trusts be interested in cardiac rehabilitation? British journal of nursing, 6, 1111-1112.
Willich, S.N., Lewis, M., Lowel, H., Arntz, H., Schubert, F. & Schroder, R. (1993). Physical exertion as a trigger of acute myocardial infarction. The new England journal of Medicine, 329(23), 1684 -1690.
Woolfolk, A. (2001). Educational psychology,8th ed.Boston: Allyn & Bacon.
Yellon, D., & Hausenloy, D. (2007). Myocardial reperfusion injury. The new England journal of Medicine, 357, 1121-1135.
Uysal, H., Ozcan, S., & Enç, N.(2009).Adaptation of Myocardial Infarction Dimensional Assessment Scale to Turkish: a validity and reliability study. Turk Kardiyoloji Dernegi Arsivi, 37(8):543-50.
American Heart Association Learn and Live.(2009, October 14).Live Fat-Sensibly. Retrieved November 28,from http://www.americanheart.org/presenter.jhtml?
Federman , D.D., & Nabel, E.G. (2009). ACP MEDICINE: Cardiovascular Medicine: Acute Myocardial Infarction. from BC Decker Inc http://online.statref.com/document.aspx?fxid=48&docid=219
論文全文使用權限
  • 同意授權瀏覽/列印電子全文服務,於2014-02-16起公開。


  • 若您有任何疑問,請與我們聯絡!
    臺北醫學大學 圖書館 簡莉婷
    E-mail:etds@tmu.edu.tw
    Tel:(02) 2736-1661 ext.2519
    Fax:(02) 2737-5446