治療中腫瘤病患疲憊度之人口學相關研究

本研究旨在了解老年及非老年之腫瘤個案在治療期間疲憊及其他不適症狀發生的情形及程度，採結構式問卷為主要研究工具，內容收集包括基本資料、過去病史及治療內容，並使用疲憊視覺類比量表(VAS -F)及疼痛10分量表為測量工具，藉由病患自填問卷及研究者與其面談的方式來收集不同年齡層個案的疲憊、疼痛及症狀困擾的情形。收案後有效問卷共224份，以SPSS 11.0軟體採百分比、獨立t檢定、卡方檢定等統計方法分析，結果顯示老年及非老年的個案在感受疲憊與疼痛程度上具有差異性，在症狀困擾部分亦發現非老年群組比老年群組有較高程度的症狀困擾，在噁心、嘔吐、口腔潰瘍、食慾不振與咳嗽部分，不同年齡之群組呈現具有統計上的意義，似乎身心功能衰退的個案在症狀的反應也呈現較緩和的現象，休息與睡眠則是多數個案因應疲憊的主要策略。

關鍵字

腫瘤；疲憊；人口學

並列摘要

The purpose of this study is to understand the situation and influence of fatigue and cancer-related treatment among the elderly and non-elderly cancer patients. A structured questionnaire was the research tool used in this study, including demographic characteristics, past history, and treatment regimen. Measurement instruments used are the Visual Ana Scale for Fatigue (VAS-F) and 0-10 Pain Scale. Patients were asked to fill out the questionnaire by themselves and interviewed by the researchers in order to collect the data regarding the situation of fatigue, pain, and problematic symptoms in different ages. After data collection, the number of the completed questionnaires is 224. Statistical data were analyzed by using SPSS 11.0 software to measure percentage, independent t-test, and stepwise regression. The results show that there are differences between the degree of pain and fatigue among patients in different ages. The younger patients had more and stronger symptom disturbance than the elderly patients. It is statistically significant in nausea, vomiting, oral ulcer, poor appetite and cough among different age groups. It seems that patients who have progressive physical-psychological declining have less and alleviated symptom disturbance. Most patients also reported that rest and sleep were the main strategies they have applied to overcome fatigue.