頭頸部癌症病人習得智謀與睡眠障礙、生活品質及憂鬱症狀相關因素探討

Learned resourcefulness, sleep disorders, health-related quality of life ,depression symptoms, and factors in patients with head and neck cancer

郝慧嫻(Hui-Hesion Hao)

指導教授 ： 黃瓊玉

義守大學/管理學院/管理碩博士班/碩士(2016年)

摘要

頭頸部癌症病人因疾病本身及治療後可能造成外觀、吞嚥、語言溝通上之日常生活
功能障礙，進而引起憂鬱症狀等。本研究的目的旨在探討探討頭頸癌症病人的基本屬性、疾病特性、習得智謀、睡眠品質、生活品質與憂鬱症狀之相關性。採橫斷式調查法，以立意取樣方式，選取高雄市某區域教學醫院160 位20 歲以上頭頸部癌症病人。測量工具包括人口學基本屬性、習得智謀中文量表、匹茲堡睡眠品質量表、SF-36 健康相關生活品質量表、台灣人憂鬱症狀量表。資料以描述性統計、t 檢定、單因子變異數分析、皮爾森積差相關進行分析。
研究結果顯示頭頸癌病人的基本屬性與習得智謀、睡眠品質、健康相關的生活品質
與憂鬱症狀有顯著相關；頭頸癌症病人的睡眠品質與憂鬱呈現正相關，表示睡眠品質越差則憂鬱情形越嚴重、睡眠品質與習得智謀及生活品質「生理面向」、「心理面向」呈現負相關，因此可得知睡眠品質好壞則與習得智謀及生活品質有相關、憂鬱與與習得智謀及生活品質「生理面向」、「心理面向」呈現負相關，憂鬱程度亦會與習得智謀及生活品質有相關、習得智謀與生活品質「生理面向」、「心理面向」呈現正相關，表示習得智謀經驗越好則生活品質亦會越好。
本研究結果可提共臨床實務照護者瞭解頭頸部癌症病人其憂鬱症狀及其相關因
素，於臨床照護時能即早給予頭頸癌症病人相關衛教及提共正確認知並加強自我照顧能力，針對頭頸癌症特性需求，提共個別化照護，藉以改善患者的憂鬱症狀，提升其生活品質。

關鍵字

頭頸部癌症 ； 習得智謀 ； 睡眠障礙 ； 健康相關生活品質 ； 憂鬱症狀

並列摘要

The illness and post treatments of head and neck cancer patients may cause daily
dysfunction in their appearance, swallowing and speech communicating, and then causing
depressive symptoms. The purpose of this study is to explore the basic attributes,
characteristic of the illness, learned resourcefulness,quality of sleep, quality of life and
depressive symptoms of head and neck cancer patients. By using Cross - sectional study with
purposive sampling approach to select 160 head and neck cancer and over 20 years old
patients in one district hospital in Kaohsiung city. The measurement tools include the basic
attributes of demography, Self-Control Schedule（SCS）, Pittsburgh sleep quality scale, SF-36
Health-related quality of life scale and Taiwanese depressive symptoms scale. The data is
analyzed by using descriptive statistics, t-test, One-way analysis of variance and Pearson
product-moment correlation.
The conclusion demonstrates the attributes of head and neck cancer patients are
significantly related to learned resourcefulness, quality of sleep, the health that related quality
of life and depressive symptoms. The quality of sleep and depression of head neck cancer
patients are positive correlation which mean the worse the quality of sleep is more severe in
depression; the quality of sleep、learned resourcefulness and physiological 、psychological
of quality of life are negatively related, therefore the quality of sleep is related to learned
resourcefulness and quality of life, depression and learned resourcefulness are negatively
related to physiological 、psychological of quality of life, the level of depression is related to
learned resourcefulness and quality of life as well, learned resourcefulness and
physiological 、psychological of quality of life are showing positive correlation, which mean
the better learned resourcefulness, the better quality of life.
The conclusion of this study provides the information to clinical practicing staff to
understand the symptoms of depression and other relevant factors in head and neck patients,
giving health education and correct understanding as soon as possible to the patients, and
enhance self-care ability. For the special requirements of head and neck patients, provide
individual care to improve patients’ depression symptoms and quality of life.

並列關鍵字

head and neck cancer ； learned resourcefulness ； sleep disordersl ； health-related quality of life ； depressive symptoms

參考文獻

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