Application of transition theory to Perceived Readiness and Post-Discharge Coping Difficulty of patient with Hepatocellular Carcinoma

• Main Authors: Mei-Tzu Chi, 紀媚慈
• Other Authors: Fan-Hao Chou
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/92801708464739454396

碩士 === 高雄醫學大學 === 護理學研究所 === 100 === This research was to explore the application of transition theory to Perceived Readiness and Post-Discharge Coping Difficulty of patient with Hepatocellular Carcinoma.The purpose of this study were to:(1)explore the demographic characteristics of HCC patients, hospital stay and discharge readiness of the correlation factor; (2) investigate the liver cancer patient demographic characteristics, hospital factors and adaptation after discharge; (3) analysis of liver cancerpatients discharged from hospital ready to adapt to the circumstances of the degree and after discharge; (4) explore predictors of liver cancer patient discharge readiness; (5) explore the predictors of adaptation in HCC patients after discharge. Cross-sectional descriptive, correlational research design, and a structured questionnaire to collect data. Surgical ward were enrolled in a regional teaching hospital of Gastroenterology, Hepatology, purposive sampling, select at least 20-year-old, were diagnosed with liver cancer patients, a total of 140 people. In this study, abnormal distribution of data presentation adopted in inferential statistics, nonparametric analysis: Mann-Whitney U test, Kruskall Waiiis two''s single-factor rating analysis of variance, Spearman rank analysis, andStepwise multiple regression analysis to test the impact of discharge readiness, an important factor in adaptation after discharge. The results showed that: Readiness and discharged from hospital discharge to adapt to the significantly negative correlation; (1)discharged predictors of readiness for the planned admission, whether the hospitalization, education level, occupation or not, accounted for 25.7% of the total variance; discharged (2)predictors of adjustment after discharge readiness marital status and planned admissions, which explained 35.3% of total variance. Use the transition theoretical model of hepatoma patients discharged from hospital readiness and adapt to the situation after discharge can actually prove the relevance of this theoretical framework, and from this theory and the combination of better assessment of individual patients and demand, provide clinicalmore empirical care guidance.