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  • 學位論文

癌症病患之泌尿道症狀影響因素及泌尿道症狀與生活品質之關係

Contributing Factors of Lower Urinary Tract Symptoms, and Relationship between Lower Urinary Tract Symptoms and Quality of Life among a Sample of Cancer Patients

指導教授 : 廖媛美
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摘要


論文摘要 論文名稱:癌症病患之泌尿道症狀影響因素及泌尿道症狀與生活品質之關係 研究所名稱:臺北醫學大學 護理學研究所 研究生姓名:龍愛玲 畢業時間:九十九學年度 第二學期 指導教授:廖媛美 臺北醫學大學 護理學學研究所 副教授 本研究為一橫斷性式之相關性研究,研究目的為︰瞭解癌症病患泌尿道症狀的發生情形、探討泌尿道症狀發生的可能影響因素及泌尿道症狀與生活品質的關係。本研究於兩所醫院之癌症門診,由一位研究人員以結構式問卷訪談八十位年齡介於25至90歲之癌症病患,問卷內容包含四部分:個人屬性、癌症相關特性、泌尿道症狀子量表及SF-36臺灣版生活品質量表。描述性統計用於呈現癌症病患泌尿道症狀的發生情形;發生泌尿道症狀的可能影響因素,以卡方檢定及邏輯斯?邅k進行檢驗;獨立t檢定,則用於檢驗泌尿道症狀與生活品質的關係。 泌尿道症狀的發生於這一群癌症病患是頗為常見的,八十位癌症病患中有57位(71.3%)曾經歷一項或一項以上之泌尿道症狀;夜尿為發生率最高之泌尿道症狀(n=39, 48.8%),而解尿困難為鮮少發生之泌尿道症狀(n=5, 6.3%)。有無接受放射治療、接受治療類型之數量及罹病時間,是癌症病患發生泌尿道症狀的可能影響因素。沒有經歷泌尿道症狀之癌症病患的生活品質,優於經歷泌尿道症狀者的生活品質,此現象呈現於SF-36生活品質量表中的生理與心理兩大面向,以及四個層面的生活品質:身體生理功能、因身體生理問題所導致的角色功能受限、社會功能層面及因情緒問題所導致的角色功能受限。 健康照護提供者可於機構建立癌症病患之泌尿道健康諮詢服務或教育課程,提供下列相關資訊:泌尿道症狀之可能影響因素、預防措施及適當處置策略,並針對可能的影響因素進行篩檢及偵測。藉由相關諮詢服務與教育課程之提供,期盼可減少泌尿道症狀對病患之生理、心理健康及生活品質可能造成之不良影響。 關鍵字: 癌症病患、泌尿道症狀、生活品質

並列摘要


Abstract Title of Thesis: Contributing factors of lower urinary tract symptoms, and relationship between lower urinary tract symptoms and quality of life among a sample of cancer patients Institution: Graduate Institute of Nursing, Taipei Medical University Author: Ai-Ling Lung Thesis directed by: Yuan-Mei Liao, PhD, Associate Professor This study was a cross-sectional, correlational study. The research aims of this study were: (a) to estimate the prevalence of lower urinary tract symptoms (LUTS) among a sample of cancer patients, (b) to explore the possible contributing factors of LUTS, and (c) to explore the relationship between LUTS and quality of life. Eighty cancer patients between 25 and 90 years of age were recruited from two oncology outpatient departments in two hospitals. Each patient was interviewed by one researcher to complete a structured questionnaire. Content of the questionnaire included four sections: individual characteristics, cancer-related information, the LUTS subscale, and the Short Form 36 health survey - Taiwan version. Descriptive statistics were used to present the prevalence of LUTS. Chi-Square test and logistic regression were used to examine the possible contributing factors of LUTS. Independent t tests were conducted to compare the quality of life for cancer patients with and without LUTS. Lower urinary tract symptoms were common among this group of cancer patients. Among the 80 cancer patients, 57 (71.3%) experienced at least one type of LUTS. Nocturia (n=39, 48.8%) and hesitancy (n=5, 6.3%), respectively, was the most and least common LUTS among this group of cancer patients. Possible contributing factors of LUTS were: radiation therapy, number of received treatments, and duration of disease. The scores of quality of life were significantly different for cancer patients with and without LUTS on physical/mental component summaries, and 4 quality of life aspects in the SF-36: physical functioning, role limitation due to physical health problems, social functioning, and role limitation due to emotional problems, with cancer patients without LUTS reporting higher scores than cancer patients with LUTS. Health care providers could activate the consultation services or educational programs in health care institutions to improve cancer patients’ urinary tract health. In the consultation services/educational programs, information about the possible contributing factors of LUTS, preventive interventions, and appropriate management strategies could be offered to cancer patients, and possible contributing factors of LUTS could be screened and detected. Through the delivery of consultation services and educational programs, negative impact of LUTS on cancer patients’ physical/mental health, and quality of life hopefully could be diminished. Key words: cancer patients, lower urinary tract symptoms, quality of life

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