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題 名 | 初診斷肺癌病人接受手術期間經絡能量、生活品質變化與預後關聯性--縱貫性研究=Associations among Changes in Meridian Energy, Quality of Life during Surgery, and Prognoses in Newly Diagnosed Lung Cancer Patients: A Longitudinal Study |
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作 者 | 彭芸歆; 林麗美; 彭台珠; 張比嵩; 黃君后; | 書刊名 | 護理雜誌 |
卷 期 | 71:4 2024.08[民113.08] |
頁 次 | 頁57-68 |
分類號 | 419.8234 |
關鍵詞 | 肺癌; 手術; 經絡能量; 生活品質; 預後; Lung cancer; Surgery; Meridian energy; Quality of life; Prognosis; |
語 文 | 中文(Chinese) |
DOI | 10.6224/JN.202408_71(4).08 |
中文摘要 | 背景:肺癌早期主要治療方式為手術,約有30%的病人出現術後併發症。然而,目前仍缺少肺癌手術期間經絡能量與生活品質的變化趨勢與預後之關聯。目的:探討初診斷肺癌病人手術期間經絡能量、生活品質的變化與預後關聯性。方法:採縱貫性、重複測量研究設計,對初診斷肺癌病人進行術前、術後2週及12週的測量。研究工具為基本資料表、經絡能量、簡明12項健康狀況調查問卷,分析變化並探討術後預後風險關聯。結果:收錄48位病人,術後2週的經絡能量和生活品質顯著下降;經絡能量中的高/低比值、簡明12項健康狀況調查問卷中的生理健康層面、性別、癌症分期、身體質量指數分別與預後呈現顯著相關。結論/實務應用:肺癌病人術後2週的經絡能量和生活品質具有下降趨勢,且與不良預後有關。護理人員可依據本研究辨識高風險術後不良預後病人,提供制定相關的護理策略,達到更全面的照護。 |
英文摘要 | Background: Approximately 30% of patients experience postoperative complications after surgery for early-stage lung cancer. However, the relationships among meridian energy during lung cancer surgery, changes in quality of life, and prognosis have not been investigated. Purpose: This study was designed to explore the associations among meridian energy, changes in quality of life, and prognosis in patients with newly diagnosed lung cancer undergoing surgery. Methods: A longitudinal, repeated-measures design was used. Basic data forms, meridian energy measurements, and a concise 12-item health status questionnaire were administered to the participants at the time of diagnosis, 2 weeks post-surgery, and 12 weeks post-surgery. During this period, changes were analyzed, and their association with postoperative risks was explored. Results: Forty-eight cases were investigated. Both meridian energy and quality of life were found to be significantly decreased 2 weeks after surgery. The high/low ratio of meridian energy, the physical component score of the Short Form 12-Item Health Survey Questionnaire, gender, cancer stage, and body mass index were identified as significantly associated with prognosis. Conclusion/Implications for Practice: The declining trends in meridian energy and quality of life during the 2 weeks after surgery in patients with lung cancer are associated with poor postoperative prognoses. Nurses may use the findings of this study to identify patients at high risk of postoperative complications and develop appropriate strategies to provide comprehensive care. |
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