鼻咽癌病患接受放射治療的症狀困擾及情緒狀態之探討

A Study of Symptom Distress and Psychological Status in Nasopharyngeal Carcinoma Patients with Receiving Radiotherapy

鄷淑琴(Shu-Chin Feng) ； 賴裕和(Yeur-Hur Lai) ； 陳淑卿(Shu-Ching Chen) ； 張東杰(Joseph Tung-Chien Chang) ； 廖美南(Mei-Nan Liao) ； 杜素珍(Su-Jene Dou)

《長庚護理》 13卷1期 (2002/03) Pp. 21-31

https://doi.org/10.6386/CGN.200203_13(1).0003

摘要

Nasopharyngeal carcinoma (NPC) is one of the common cancers in Taiwan and radiotherapy is the major treatment. The purpose of this study was to compare the difference and examine the relationships among symptom distress, depression, and hope in NPC patients with different radiotherapy. A cross-sectional design with seventy subjects was recruited on radiotherapy outpatient department on a medical center in Northern Taiwan. The convenience sampling was used in this study. Structure interview was conducted by using the instruments of Symptom Distress Scale, the Profile of Mood Status (POMS) and Herth Hope Index. The POMS included Depression Subscale. Results of the study showed that: (I) the patients had mild to moderate degree of symptom distress and dry mouth was the most of the distress. (2) the patients had mild to moderate level of depression and hope. (3) there were significant differences (F=5.23, p＜.01) on symptom distress in different radiotherapy. The patients were higher symptom distress with radiotherapy perceived than those who were not under the treatment. (4) the depression was positively correlated with distress symptom and then negatively correlated with hope. The results suggested that nurses in clinical settings should correctly teach oral care before radiotherapy, and focus on rinse for dry mouth during radiotherapy. In addition, nurses should educate the patients how to overcome and manage distress symptom during and after radiotherapy. Therefore, there was to decrease the level of depression and then enhance the hope in the patients.

關鍵字

鼻咽癌 ； 放射治療 ； 症狀困擾 ； 情緒狀態

並列摘要

Nasopharyngeal carcinoma (NPC) is one of the common cancers in Taiwan and radiotherapy is the major treatment. The purpose of this study was to compare the difference and examine the relationships among symptom distress, depression, and hope in NPC patients with different radiotherapy. A cross-sectional design with seventy subjects was recruited on radiotherapy outpatient department on a medical center in Northern Taiwan. The convenience sampling was used in this study. Structure interview was conducted by using the instruments of Symptom Distress Scale, the Profile of Mood Status (POMS) and Herth Hope Index. The POMS included Depression Subscale. Results of the study showed that: (I) the patients had mild to moderate degree of symptom distress and dry mouth was the most of the distress. (2) the patients had mild to moderate level of depression and hope. (3) there were significant differences (F=5.23, p＜.01) on symptom distress in different radiotherapy. The patients were higher symptom distress with radiotherapy perceived than those who were not under the treatment. (4) the depression was positively correlated with distress symptom and then negatively correlated with hope. The results suggested that nurses in clinical settings should correctly teach oral care before radiotherapy, and focus on rinse for dry mouth during radiotherapy. In addition, nurses should educate the patients how to overcome and manage distress symptom during and after radiotherapy. Therefore, there was to decrease the level of depression and then enhance the hope in the patients.

並列關鍵字

nasopharyngeal carcinoma NPC ； radiotherapy ； symptom distress ； psychological status