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比較疼痛及非疼痛癌症病患不確定感、症狀困擾、社會支持與生活品質關係

Comparison of Pain and Non-Pain Groups Uncertainty Symptom Distress, and Social Support Related to Quality of Life among Cancer Patients

摘要


本研究目的在了解癌症病患人口學特性、疾病不確定感、症狀困擾、社會支持對癌症病患生活品質的影響。研究設計採橫斷式研究法,採立意取樣,以台灣東部某醫學中心及東北部某區域教學醫院腫瘤科癌症病患為母群體。共收案100名,分非疼痛者50名,疼痛者50名,利用結構式問卷及深入訪談進行研究。統計方法以SPSS 10.0軟體採用描述性分析。研究結果顯示生活品質與不確定感呈顯著負相關,與症狀困擾主顯著負相關,與社會支持呈顯著正相關。生活品質重要預測因子有,不確定感、症狀困擾、社會支持、職業、經濟來源、婚姻狀態等,可解釋總變異量的48.3%,以hierachical multiple regression來決定控制疼痛以外的因素後,疼痛對生活品質仍有14%的解釋量。藉由本研究結果可使護理人員明白癌症病患不確定感、症狀困擾、社會支持與生活品質的關係,進而設計介入措施,以提升癌症病患的生活品質。

並列摘要


The purpose of this study was to understand the impact on quality of life including among cancer patients' democrate data, uncertainty, symptom distress and social support. By means of cross-sectional study and purposive sampling, the researcher chose 100 cancer patients in an eastern medical center and a northeast regional hospital. There were 100 cancer patients classified into 2 groups with data obtained by indepth interview and questionnaire, and analysis by SPSS for Window 10.0. In addition, the overall uncertainty showed negative correlation with quality of life, the symptom distress showed negative correlation with quality of life, and the social support showed positive correlation with quality of life. Uncertainty, symptom distress, social support, occupation, economic resource and marital status showed predictive important variables for quality of life, which could explain 48.3% of the whole variance. Using hierachical multiple regression, and controlling the six variances, ”pain” could explain 14% of quality of life. The result generated from the study could provide clinical nursing staff reference about the relationship between cancer patients' basic data, uncertainty, symptom distress, social support and the quality of life. For future research, nurses could provide nursing intervention to help cancer patients promote Quality of Life.

被引用紀錄


李書帆(2013)。探討不同治療方式對早期子宮頸癌病患生活品質之影響〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2013.00193
胡淑惠(2011)。未婚女性護理人員生活滿意度及相關因素探討-以南部某醫學中心護理人員為例〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833/CJCU.2011.00171
林奕彤(2015)。巴金森氏症病人生活品質及相關因素之探討〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2015.00173
莊培瑜(2016)。肝癌病人參與臨床試驗意願及預測因子之研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201602705
吳佳晏(2012)。園藝治療對癌症患者生活品質之效益〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2012.03223

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