Study of Depression, Quality of Life and Self-Care in Women with Gynecological Cancer

婦癌婦女的憂鬱症、生活品質及自我照顧之探討

陳聰富(Tsung-Fu Chen) ； 簡婉儀(Yuen-Yee Kan) ； 蔡照文(Chao-Wen Tsai)

《南臺灣醫學雜誌》 16卷1期 (2020/06) Pp. 1-7

https://doi.org/10.6726/MJST.202006_16(1).0001

摘要

Objective: This study investigated depression, self-care and quality of life in women with gynecological cancer in southern Taiwan. Methods: A cross-sectional design investigation method was adopted to facilitate the sampling of 350 gynecological cancer women were recruited through convenience sampling, at a teaching district hospital in southern Taiwan. Data were collected by delivering an interview survey of structured questionnaires. Outcome measurements included basic data, self-care scales, depression scales, and quality of life scales. Data were analyzed using SPSS 21.0 statistical software. Results: The results revealed a statistically significant negative correlation between self-care and occupation as well as between age and family type. Depression in women with cancer was negatively correlated with quality of life and positively correlated with self-care. These four factors accounted for 27.1% of the total variance in self-care; support from friends and poor sleep quality were two predictors of quality of life, accounting for 53.1% of the total variance. Conclusion: The results provide a reference for Clinical practice, administrative, and medical education can improve to the quality of life of women with gynecological cancer.

關鍵字

gynecological cancer ； self-care ； depression ； quality of life

並列摘要

目的：本研究是探討婦女罹患婦科癌症其憂鬱症、自我照顧及生活品質。方法：以台灣南部某區域教學醫院中婦癌婦女為研究對象，採用橫斷面設計調查方法，以方便取樣方式，共收取350名。測量工具包括基本資料表、自我照顧量表、憂鬱症評量表及生活品質量表。研究結果以SPSS 21.0統計軟體分析婦癌婦女之個人背景因素以及對於自我照顧、憂鬱症及生活品質的相關性。結果：發現自我照顧與職業、年齡及家庭型態等均具統計上顯著負相關。婦癌患者憂鬱情況與生活品質呈現負相關，憂鬱情況與自我照顧呈現正相關。其中以滿意朋友給我的支持及睡眠感覺不好兩個預測因子可以解釋婦癌患者生活品質總變異量為53.1%。結論：研究結果可為臨床實踐，行政管理和醫學教育提高婦科癌症婦女的生活質量提供參考。

並列關鍵字

婦癌 ； 憂鬱症 ； 自我照顧 ； 生活品質