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題名 | 乳癌病患術後一個月情緒狀態之改變=Changes of Emotional Status in Breast Cancer Patients during the First Month of Post Operation |
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作者 | 李靜雯; Lee, Chin Wen; |
期刊 | 耕莘學報 |
出版日期 | 20030700 |
卷期 | 1 2003.07[民92.07] |
頁次 | 頁5-19 |
分類號 | 419.77 |
語文 | chi |
關鍵詞 | 乳癌病患; 乳房手術; 情緒狀態; Breast cancer patients; Breast operation; Emotional status; |
中文摘要 | 初診斷乳癌婦女在乳房手術後一個月的治療過程中,不僅需忍受身體之不過,亦常經歷極大的情緒困擾。本研究目的為了解乳癌病患乳房手術後之情緒狀態,並進一步探討連續四週的改變。研究方法為縱貫式探討,採方便取樣,以台北地區二所區域醫院之初診斷乳為術後病志為收案對象,分別在術後第二天、第二週、第三週、第四週進行面對面訪談,研究工具包括病人基本資料問卷、情緒狀態量表 (POMS-SF) 等,資料收集自2001年7月至10月,共計39位。資料分析以描述性分析、t-test、One-way ANOVA、重複測量變異數分析 (Repeated Measures ANOVA) 檢定。主要研究結果如下:情緒狀態屬輕度程度,整體情緒得分於術後第三週明顯升高,於第四週達高峰,次量表中以「壓力焦慮」為四週內最主要且上升最明顯的情緒困擾。分析年齡、婚姻、罹病時間與情緒之關係有顯著差異,以年輕、未婚及罹病時間較久者情緒困擾較高;手術方式與「疲倦─懶散」、「憂鬱─沮喪」有顯著差異,其中以改良式手術之情緒困擾較高。教育程度、宗教信仰、疾病分期與情緒並無顯著差異。本研究結果可提供專業人員更多照護訊息,發展適合的護理措施,在病患最需要情緒支持與鼓勵時,協助病志維持最佳的身心調適與生活品質。 |
英文摘要 | Newly diagnosed breast cancer women suffered not only from the distress of body but also of emotion during the treatment process of the first month after breast operation. The purpose of this study was to explore the changes of emotional status in post-operation breast cancer patients during the four weeks period. A longitudinal method was used, and subjects were recruited using convenience sampling from newly diagnosed breast cancer patients of two regional hospitals in Taipei from July 2001 to October 2001. The research instruments, including patients data questionnaires, and short form of Profile of Mood states (POMS-SF) ,were used to obtain data in post-operative day 2, week 2, week 3, and week 4. Thirty-nine patients were participated in this study. Data were analyzed using descriptive statistics, t-test, One-way ANOV A, and repeated measures ANOVA. The results were as following: The emotional distress was at slight level. and the total score were increased at week 3 and reached the peak level at week 4. Tension-anxiety was the most emotional distress of the sub scales during this period. There were significant difference between age, marriage, and time of disease related to the emotional score. The patients of young, single, and more long time of suffered from disease experienced more distress. There were also significant difference between fatigue-inertia, depression-dejection and type of surgery. The patients of modified radical mastectomy had higher emotional distress. The result of this study provide more information to medical professionals to develop adapt able nursing interventions when patients need emotional support and encouragement, and to help patients to maintain the best physical and psychosocial implication and quality of life. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。