Thesis (M. Soc. Sc.)--University of Hong Kong, 1993. / Includes bibliographical references.

Thesis (M.D.)--University of Hong Kong, 1998. / Includes bibliographical references (leaves 194-207).

Thesis (Ph. D.)--University of Hong Kong, 2009. / Includes bibliographical references (leaves 209-226) Also available online.

Thesis (D.PT.)--Sage Colleges, 2009. / "May 2009." "A Capstone project for PTY 769 presented to the Faculty of the Department of Physical Therapy Sage Graduate School in partial fulfillment of the requirements for the degree of Doctor of Physical Therapy." Includes bibliographical references.

Thesis (M.Sc.)--University of Alberta, 2010. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Science, Centre for Health Promotion Studies. Title from pdf file main screen (viewed on April 24, 2010). Includes bibliographical references.

Thesis (M.Soc.Sc.)--University of Hong Kong, 1993. / Includes bibliographical references. Also available in print.

Thesis (M.D.)--University of Hong Kong, 1998. / Includes bibliographical references (leaves 194-207) Also available in print.

Thesis (M.Sc.)--York University, 2005. Graduate Programme in Kinesiology and Health Science. / Typescript. Includes bibliographical references (leaves 46-52). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url%5Fver=Z39.88-2004&res%5Fdat=xri:pqdiss &rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:MR11898

中風後抑鬱症（ Post-strok Depression, PSD ）的發生率，在中風後患者中佔有較大比例，嚴重影響患者的康復。國外研究結果顯示中風後抑鬱症的發病率為28%-56%而國內臨床相關文獻提示中風後抑鬱的患病率大致為20% - 50%。臨床中存在有許多繼發於中風的抑鬱患者，診療未受到關注的現狀。而一些接受治療的病人，也因長期口服抗抑鬱藥導致副作用愈發突出。與此同時，針灸治療抑鬱的臨床優勢已經得到國內外醫學界的重視與肯定。本文著重以近10 年來針灸治療中風後抑鬱症的文獻為主進行研究，總結關於該病因病機及有特色針灸療法的最新研究進展，歸納選穴處方的規律特點，進而在已有研究基礎上融人自己的見解，對於PSD 這種身心疾病的治療提出相關值得探討的問題與對今後研究的展望。新近的國內外研究提示，在針灸治療中風後抑鬱領域目前主要有毫針針刺和特種針法，並結合電針、配合藥物以及心理健康教育等方法，可以促進中風後患者抑鬱情緒的調整，且一定程度上也加強其他肢體功能以及神經功能的康復。同時針刺在治療的臨床研究方面也已取得較大進展，部分實驗已設立自身前後對照研究及其他藥物或針刺對照比較觀察，在診斷及評定療效標準時使用了量表及統計分析，增強了療效的可信度及可比性。一些課題也已進入實驗室研究，從神經遞質、神經內分泌方面探求針刺治療PSD 的機制，並取得一定的進展。本研究得出今後應該加強隨機大樣本對照的前瞻性設計實驗的結論，認為中風後抑鬱症的臨床分型、穴位配伍、針刺手法、刺激量大小以及療效評價等方面，均將成為針灸治療本病的繼續研究之探索方向。

The purpose of this study was to identify the nature of nursing care given by general staff hospital nurses to a selected group of patients who had experienced a cerebrovascular accident. Six hemiplegic patients who had experienced a cerebrovascular accident one to three weeks before the period of observation were selected for the study. The data were compiled from direct observations and from a nursing history which included an interview with the patient and/or his nearest relative, and data from his chart. The observed behaviour of twenty-nine general staff hospital nurses, six patients, and other members of the rehabilitation team were recorded in the form of anecdotal notes by the non-participating nurse-researcher. Each patient was observed for two days, the mean length of observation time per day was 6 hours and 49.4 minutes. The data were categorized into ten basic nursing care activities. Basic nursing care as defined by Henderson, meant helping the patient with activities related to his basic needs or providing conditions under which he could perform them unaided. The data were further organized into desirable activities, as outlined in the literature, and undesirable activities that were observed. It was demonstrated that many nurses in the study helped patients with most of the ten activities, however, few nurses provided conditions under which they could perform them unaided. Food and fluids were fed to patients who could have fed themselves with a little encouragement. Bowel and bladder training was not seen as an important factor in the care of the patient who had experienced a cerebrovascular accident. Nurses seldom included exercise during the bath and frequently left the patient in the chair for prolonged periods. Nurses demonstrated that they did not understand the importance of communication with patients who had experienced a cerebrovascular accident, nor did they appear to be aware of the concept of a rehabilitation team. The recommendations were: 1. that an orientation to the total picture of rehabilitation of the patient who had experienced a cerebrovascular accident, in the acute hospital, specialized unit and in the home, be provided for graduate general hospital nurses. 2. that existing knowledge in relation to the nurse's role in the rehabilitation of the patient who had experienced a cerebrovascular accident be compiled and made accessible to general staff hospital nurses. It is now primarily in journals that these nurses do not normally see. 3. that general staff hospital nurses learn to communicate more effectively with patients who have experienced a cerebrovascular accident, with their families and with other members of the rehabilitation team. / Applied Science, Faculty of / Nursing, School of / Graduate