- 學位論文
婦癌婦女孤獨感、身體心像及生活品質之相關性研究: 以復原力為中介變項
Loneliness, Body Image and Quality of Life Among Women with Gynecologic Cancer: Resilience as a Mediator
摘要
近40年來惡性腫瘤居一直位居國人十大死因之首，其中婦科癌症(以下簡稱婦癌)的發生率逐年上升，婦女一旦被診斷為婦癌，需要承受手術及治療帶來的不適，飽受身心的苦痛，婦癌婦女忍受孤獨和負面的身體心像衝擊生活品質。本研究以橫斷性相關性研究設計，以復原力為中介變項探討婦癌婦女的孤獨感、身體心像及生活品質的狀況，於中部某醫學中心婦癌門診及病房進行問卷資料收集，立意取樣共招募147位符合收案條件之婦癌婦女，問卷包括: 人口學特性、UCLA孤獨感量表、身體心像量表、Connor-Davidson復原力量表及臺灣簡明版世界衛生組織生活品質問卷，所收集之資料以IBM SPSS Statistics 26.0 版套裝軟體進行統計分析和Sobel 檢驗 。結果顯示在生活品質四大範疇中，以「環境」範疇得分最高，而「心理」範疇 得分最低。教育程度與孤獨感及身體心像困擾呈正相關，年齡和罹癌時間與身體心困擾呈負相關。孤獨感與身體心像及生活品質之四個範疇呈負相關；相對的，復原力與生活品質之四個範疇呈正相關。復原力、孤獨感、身體心像、就業狀況及治療階段為生活品質的重要預測因子且復原力對孤獨感、身體心像及生活品質達中介效果。 復原力可以調解婦女罹癌後的孤獨感、負面身體心像進而維持生活品質，研究結果可作為護理人員增加復原力介入措施之護理照護。
並列摘要
Malignant tumors have been leading the top ten causes of death in Taiwan for the past 40 years. The incidence of gynecological cancer is increasing annually. Once diagnosed with gynecological cancer, women need to endure the discomfort of surgery and treatment, which leads to physical and psychological distress. This significantly impacts their overall well-being and quality of life, including suffering from loneliness and disturbed body images. This cross-sectional correlational study explored the correlation between loneliness, body image, quality of life, and resilience as mediating variables. A total of 147 gynecological cancer patients were recruited from the gynecologic cancer outpatient department and ward of a medical center in Taichung City, using the purposive sampling method. The questionnaires included demographic characteristics, the UCLA Loneliness Scale, the Body Image Scale, the Connor-Davidson Resilience Scale, and the World Health Organization Quality of Life-BREF Taiwanese version. The collected data were analyzed using the IBM SPSS Statistics 26.0 software package and Sobel test. The results showed that among the four domains of quality of life, the "environment" domain had the highest mean score, while the "psychological" domain had the lowest mean score. Education level was positively correlated with loneliness and body image disturbance, while age and time since cancer diagnosis were negatively correlated with body image disturbance. Loneliness was negatively correlated with body image and the four domains of quality of life. Conversely, resilience was positively correlated with the four domains of quality of life. Resilience, loneliness, body image, employment status, and the stage of treatment were important predictors of quality of life. Importantly, resilience mediated the effects of loneliness, body image, and quality of life. Hence, resilience can mediate the development of post-cancer loneliness and negative body image, thereby sustaining quality of life. The study findings can serve as a foundation for nurses to implement resilience-based interventions into their nursing practice.