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

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。

關鍵字

肺癌；手術；經絡能量；生活品質；預後

並列摘要

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.

並列關鍵字

lung cancer ； surgery ； meridian energy ； quality of life ； prognosis

參考文獻

李志剛（2012）．穴位和經絡探密說．北市中醫會刊，18（1），34–43。[Li, Z.-G. (2012). The theory about the secret of Xuewei and Jingluo. Taipei Journal of Chinese Medicine, 18(1), 34–43.] https://doi.org/10.6718/TJCMb.201203_18(1).0004

杜華福（2008）．亞健康人經絡能量的評估．臺灣中醫科學雜誌，3（1），11–19。[Toh, F.-F. (2008). The evaluation of sub-health through the meridian energy diagnostic equipment. Science Journal of Taiwan Traditional Chinese Medicine, 3(1), 11–19.] https://doi.org/10.29810/SJTTCM.200804.0004

徐金菊、陳孟君、曾月霞、黃曉峰、黃惠美（2009）．腹部經絡精油按摩改善末期病人便秘成效之先驅研究．護理暨健康照護研究，5（4），256–264。[Hsu, C.-C., Chen, M.-J., Tseng, Y.-H., Hwang, S.-F., & Huang, H.-M. (2009). Improving constipation in patients at terminal stage: A pilot study on the efficacy of using abdominal meridian massage with essential oil. Journal of Nursing and Healthcare Research, 5(4), 256–264.] https://doi.org/10.6225/JNHR.5.4.256

張志銘、李柏萱、盧廷峻、張世沛、陳妤瑄（2021）．探討職場疲勞、經絡按摩與睡眠品質之關係．運動與遊憩研究，16（1），77–92。[Chang, C.-M., Li, B.-S., Lu, T.-C., Chang, S.-P., & Chen, Y.-H. (2021). Relationship between workplace fatigue, meridian massage and sleep quality. Journal of Sport and Recreation Research, 16(1), 77–92.] https://doi.org/10.29423/JSRR.202109_16(1).06

黃君后、王淑芳、林麗美、彭台珠（2012）．探討足浴對經絡能量及自律神經變化之影響．中西醫結合護理雜誌，（2），32–43。[Huang, C.-H., Wang, S.-F., Lin, L.-M., & Peng, T.-C. (2009). Evaluation meridian energy and changes in autonomic nervous system by foot bath. Integrative Nursing, (2), 32–43.] https://doi.org/10.6211/TTCMNA.NO2-2012-03

國際替代計量

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

全文下載

主題瀏覽