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題 名 | 口腔癌患者術後症狀困擾及其相關因素探討=Symptom Distress and Associated Factors with Inpatients of Post-Operated Oral Cancer |
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作 者 | 蔡紫暄; 周繡玲; 陳麗糸; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 11:2 2011.12[民100.12] |
頁 次 | 頁23-35 |
分類號 | 419.77 |
關鍵詞 | 口腔癌; 症狀困擾; 憂鬱; 生活品質; Oral cancer; Symptom distress; Depression; Quality of life; |
語 文 | 中文(Chinese) |
中文摘要 | 目前癌症治療趨勢為多科技整合式治療(multi-modality treatment),而口腔癌的治療則是以手術為主,以其他治療方式為輔。口腔癌手術不只造成患者顏面構造的大範圍破壞,同時也會有說話、張口、咀嚼、進食及吞嚥等功能障礙,更會造成心理社會方面重大的影響,本研究旨在探討口腔癌患者術後遭受身心症狀困擾情形及相關性。立意選取100個手術後7─10天內的口腔癌的患者參與,以症狀困擾量表、憂鬱量表、生活品質量表等問卷測試。資料以描述性、皮爾森積差、逐步迴歸等統計法分析。研究結果顯示性、吞嚥、牙齒、口乾及說話等問題為口腔癌患者術後住院期間最主要的症狀困擾;症狀困擾與女性、國小(含)以下、腫瘤大於4公分、憂鬱及生活品質呈顯著差異(p<.05);症狀困擾之重要預測因子,包括腫瘤大於4公分,生活品質的功能構面及症狀/問題構面,總解釋變異量為50.1%。本研究結果期使能提供醫療專業人員更進一步了解口腔癌患者術後症狀困擾情形及相關性,並可作為有效運用適切性評估與照護之參考,進而提升患者生活品質與整體醫療照護品質。 |
英文摘要 | Multi-modality treatment is the current trend of cancer treatment. Surgery is the main treatment of oral cancer, and other treatments are complementary. The surgery of oral cancer not only causes a facial disfigurement, but also results in the dysfunctions of speech, mouth open, chewing, eating and swallowing. The purposes of this study were to explore the symptom distress including physical and psychological disturbances and the relationship between the symptoms and the life quality in oral cancer patients after surgery. A total of 100 oral cancer patients were purposively recruited into this study. European Organization for Research and Treatment of cancer quality of life- H&N 35 Scale, CES-D Scale and EORTC QLQ-C 30 Scale were used to measure symptom distress, depression and quality of life. Descriptive statistics, Pearson Correlation and Stepwise Regression were used to analyze data. The study results showed that the most common disturbed symptom in oral cancer patients after surgery were sexuality problem, swallowing problem, teeth problem, dry mouth, and speech problem. The occurrences of the distressed symptoms were significantly high in female patients who received elementary school education, and had tumor size above 4 cm, higher depression scores and lower quality of life (p< .05). The most important predictors of symptom distress included tumor size over 4 cm, the functional scale, and symptom/problem of quality of life, and could explain 50.1% variance of symptom distress. The study results could provide the health care professionals with the understanding of the relations among symptom distress, depression, and quality of life in oral cancer patients after surgery. It also could provide evidence-based data for assessing and caring oral cancer patients using effective strategies to improve their quality of life. |
本系統中英文摘要資訊取自各篇刊載內容。