透過您的圖書館登入
IP:54.210.224.114
  • 學位論文

結直腸癌病患術前術後健康相關生活品質探討

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

指導教授 : 陳文旭 鄭雅愛

摘要


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。

並列摘要


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.

參考文獻


陳德芳(2012)。大腸癌的診斷及治療。台北市醫師公會會刊, 56(3),頁11-13。
陳春帆、陳建志、郭冠良、林光洋(2011)。大腸癌篩檢方式及後續追蹤的建議。家庭
吳昌杰(2011)。認識大腸直腸癌。聲洋防癌之聲(133),頁16-19。
譚健民(2010)。如何避免直腸癌的誤診。聲洋防癌之聲(130),頁15-23。
江瑞坤, 高學鑫, 鄧雯心, & 高以信. (2013). 慢性病與癌症的相關性. 臺灣醫學,17(5),

被引用紀錄


古翔予(2012)。以Moodle平台知識分享促進知識轉化之研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2012.00096
林玉茹(2010)。台灣半導體產業於組織文化、知識移轉與創新能力關聯性之研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2010.01404
謝曙憶(2010)。輔導企業建構學習型組織之研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2010.00404
周淑珍(2007)。「知識管理」之共詞分析研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2007.01116
康鳳娥(2007)。建構輔助十信高中註冊組長電子績效支援系統之研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2007.00279

延伸閱讀