結直腸癌病患手術前後生活品質變化及其相關因素調查

Exploring the Changes and Related Factors of Quality of Life in Colorectal Cancer Patients before and after Operation

李佳倫(Chia-Lun Lee)

指導教授 ： 林淑媛

高雄醫學大學/護理學院/護理學系研究所/碩士(2006年)

https://doi.org/10.6832/KMU.2006.00084

摘要

本研究旨在了解結直腸癌病患手術前後疲憊、情緒困擾和生活品質的變化，及生活品質的相關因素。以高雄某醫學中心外科病房及門診進行方便取樣，採中文版Functional Assessment of Cancer Therapy- Colorectal Cancer第四版、台灣版簡明疲憊量表、簡明版情緒狀態量表之焦慮與憂鬱次量表進行資料收集，並以SPSS 10.0版套裝軟體進行資料處理。共35位個案參與本研究，研究結果發現結直腸癌病患手術後生活品質較手術前及門診追蹤時差，手術後到門診追蹤時的生活品質改善具顯著統計差異(t34= -2.98, p <.01)。手術後的疲憊嚴重度及疲憊干擾程度最高，手術後及門診追蹤期間的疲憊嚴重度改善具顯著統計差異( t34= 2.58, p=.014)。而病患手術前的焦慮、憂鬱及情緒困擾最嚴重，手術前與門診追蹤時的焦慮(t34= 3.81, p <.01)及情緒困擾(t34= 2.83, p <.01)改變程度具顯著統計差異，手術後與門診追蹤時的焦慮(t34= 2.95, p <.01)及情緒困擾(t34= 2.04, p =.05)的改變程度皆具有顯著統計差異。性別、教育程度及疼痛為生活品質的重要相關因素。生活品質分別與疲憊嚴重度、疲憊干擾程度及情緒困擾呈現負相關，疲憊嚴重度、疲憊干擾程度則與情緒困擾呈現正相關，本研究結果可作為臨床照護、護理教育及未來研究之參考。

關鍵字

生活品質 ； 結直腸癌 ； 手術

並列摘要

The purposes of this research were to investigate the changes, and the relationships in quality of life (QOL), fatigue and emotional distress before and after surgery for colorectal cancer patients. In this research, we used a convenient sample from a medical center at Kaohsiung, and collected data of QOL, fatigue and emotional distress of colorectal cancer patients by structured questionnaires. Then we analyzed these data with the statistics software, SPSS for Windows 10.0 version. The results were shown as follows.
Thirty-five colorectal cancer patients were studied in this research. Colorectal cancer patients’ QOL was worse post-surgery and improved at the one-month follow up, it had significant difference in statistics between post-surgery and the one-month follow up (t34= -2.98, p <.01). The degree of fatigue and daily life interference post-surgery were worst. The degree of fatigue had significant difference in statistics between post-surgery and the one-month follow up (t34= 2.58, p=.014). These patients had the highest anxiety and emotional distress before surgery. Their anxiety (t34= 3.81, p <.01) and emotional distress (t34= 2.83, p <.01) had significant difference in statistics between pre-surgery and the one-month follow up. Significantly statistical difference in anxiety (t34= 2.95, p <.01) and emotional distress (t34= 2.04, p =.05) were shown between post-surgery and the one-month follow up. Gender, educational level and the degree of pain were correlates of QOL. QOL was negatively correlated with degree of fatigue, daily life interference, and emotional distress. The degree of fatigue and daily life interference were positively correlated with emotional distress. The results of this research can be references for clinical practice, nursing education and prospective research.

並列關鍵字

quality of life ； colorectal cancer ； operatiion

參考文獻

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