本研究的目的是希望能了解結直腸癌病患影響生活品質的因素,以高雄某區域醫院新診斷為第一期到第三期結腸癌(ICD-9-CM診斷碼前三碼為153、154)且有接受手術(ICD-9-CM處置碼為45.7x、45.8x、48.4x-48.6x)為收案對象。測量工具採用採中文版FACT(Functional Assessment of Cancer Therapy-Colorectal Cancer)第四版,並以SPSS 18.0版套裝軟體進行資料統計分析。共22位個案參與本研究。研究結果發現在FACT-C TOI方面,術後三個月較術後一個月的FACT-C TOI為高(= -4.61, p<.01),術後三個月較術前的FACT-C TOI為高(= -6.52, p<.01),術後一個月較手術前的FACT-C TOI 為高(= -4.45, p<.01)皆具顯著統計差異。FACT-G 方面,術後三個月較術後一個月的FACT-G為高(=-4.54, p<.01),術後三個月較術前的FACT-G 為高(= -6.66, p<.01),術後一個月較術前的FACT-G為高(t22= -4.26, p<.01) 皆具顯著統計差異。FACT-C 的部分,術後三個月較術後一個月為高(= -4.61, p<.01),術後三個月較術前的FACT-C 為高(= -6.52, p<.01),術後一個月較術前的FACT-C為高(= -4.45, p<.01) 皆具顯著統計差異。術前生活品質與術後一個月的生活品質(r= .539, p=.01),術後一個月的生活品質與術後三個月的生活品質(r= .651,p=.007)呈現正相關。本研究結果可以做為護理人員對於照護結直腸癌病患和未來研究癌症病患長期生活品質的參考。
The purpose of this study is to investigate the factors that influence the quality of life for patients who have colorectal cancer. The objects of this study are the patients who were diagnosed as colorectal cancer from Stage I to Ⅲ (The first three ICD-9-CM codes are 153、154) by a metropolitan hospital in Kaohsiung and underwent the operation ( the ICD-9-CM disposition codes are 45.7x, 45.8x, and 48.4x-48.6x). The questionnaire is the European Organization for Research and Treatment of Cancer 30-item core quality of life questionnaire (EORTC QLQ-C30), Chinese version of FACT( Functional Assessment of Cancer Therapy-Colorectal Cancer Ⅳ). And the software SPSS version 18.0 are used to analyze the statistical information with twenty two objects. The research in FACT-C TOI shows that there are significant differences between “three months later after the operation” and “one month later after the operation” (= -4.61, p<.01), “three months later after the operation” and “before the operation” (= -6.52, p<.01), and “one month later after the operation” and “before the operation” (= -4.45, p<.01). The research in FACT-G shows that there are significant differences between “three months later after the operation” and “one month later after the operation” (= -4.54, p<.01), “three months later after the operation” and “before the operation” (= -6.66, p<.01), “one month later after the operation” and “before the operation” (= -4.26, p<.01). The research in FACT-C shows that there are significant differences between “three months later after the operation” and “one month later after the operation” (= -4.61, p<.01), “three months later after the operation” and “before the operation” (= -6.52, p<.01), “one month later after the operation” and “before the operation” (= -4.45, p<.01). There is positive correlation between the quality of life “before the operation and one month later after the operation” (r= .539, p=.01) and the quality of life ”one month later after the operation and three months after the operation” (r= .651,p=.007). The result of this research can be the reference materials for nursing staffs to take care of the patients who have colorectal cancer and the reference resources to look into the long-term quality of life for the patients who have cancer.
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