癌末病人之疲倦及其相關因素

Fatigue and Its Related Factors in Terminal Cancer Patients

李英芬(In-Fun Li) ； 蔡麗雲(Li-Yun Tsai) ； 劉景萍(Ching-Ping Liu)

《安寧療護雜誌》 10卷3期 (2005/08) Pp. 258-271

https://doi.org/10.6537/TJHPC.2005.10(3).4

摘要

末期癌症病人受到多重的身體、心理社會等困擾，疲倦是最常見困擾症狀之一。本研究為描述性相關研究，採立意取樣選擇台北市某醫學中心安寧病房之末期病患，進行問卷訪談，共收得有效問卷86份。以疲倦量表、症狀困擾量表和醫院焦慮與憂鬱量表進行訪談。所得資料以描述陸分析、單因子變異數分析、皮爾遜積差相關、逐步迴歸等方法分析。重要研究結果：(l)平均疲倦得分為16.95分（滿分28分），基本屬性中的性別、年齡、教育等變項與疲倦程度無關。(2)疲倦程度與的身體功能狀態呈負相關。(3)疲倦程度與整體的症狀困擾呈正相關，其中又以噁心嘔吐、失眠、焦躁不安、呼吸困難等症狀相關性居高(r=0.219-0.363)。(4)疲倦程度與焦慮與憂鬱程度呈正相關。(5)在疲倦的預測上，焦慮及憂鬱程度可解釋總變異量的52.7%。本研究結果可作為臨床工作人員評估癌症病人的疲倦程度的參考，進一步提供病人緩解不適症狀之措施，以提昇病人的生活品質。

關鍵字

疲倦 ； 末期癌症 ； 症狀困擾

並列摘要

Fatigue is one of the most distressful problems faced by terminal cancer patients, however, limited research has explored fatigue experiences in this population. The purposes of this descriptive correlational study were to examine fatigue status and its related factors in terminal cancer patients in an institutionalized hospice in Northern Taiwan. Data were collected by using Fatigue subscale of Profile of Mood Status (POMS-Fatigue), modified Symptom Distress Scale (SDS-m), Hospital Anxiety and Depression Scale (HADS), Karnofsky Performance Scale (KPS) and Background Information Form. The results of stepwise regression showed that the anxiety and depression could significantly predict fatigue (R2=52.7%, P=.000). Further analysis of the association between fatigue and individual symptom distress by Bivariate Pearson's correlation found that nausea, vomiting, insomnia, dyspnea, dry mouth, restless and problem of concentration were significantly related to fatigue. The results suggested that symptom distress, specifically in which mentioned above should be particularly cared to decrease patients' fatigue. More interventions designed to reduce mental and symptom distress are also suggested to be applied and tested to manage terminal cancer patients' fatigue.

並列關鍵字

fatigue ； advance cancer patients ； symptom distress