口腔癌術後病患之身心症狀與調適

Physio-Psychological Symptoms and Adaptation in Post-Surgical Oral Cancer Patients

陳佩英(Pei-Ying Chen) ； 郭素青(Su-Ching Kuo) ； 張惠甄(Hui-Chen Chang) ； 徐一瑱(I-Chen Hsu) ； 林麗玉(Li-Yu Lin) ； 楊桂美(Kuei-Mei Yang)

《安寧療護雜誌》 9卷2期 (2004/05) Pp. 153-164

https://doi.org/10.6537/TJHPC.2004.9(2).5

摘要

This study examined the relationship between symptoms distress, psychological distress and health locus of control in a group of oral cancer patients with post-surgical. The stud used a cross-sectional design. A total of 52 oral cancer patients participated in this study. The dependent variables were sum scores obtained on the modified version of the Symptoms Distress Scale, Hospital Anxiety and Depression Scale (HADS) and Multidimensional Health Locus of Control (MHLC). Findings show that (1) the leading 5 symptoms distress were “chewing difficulty”、”open-mouth difficulty”、”malocculation”、”mouth dryness”、”neck or shoulder sores”; (2) the severity of symptoms was between nil to mild degree”; (3) level of symptoms distress is between non to mild; (4) 13.5% demonstrated clinically relevant level of anxiety, and 17.3% with depression; (5) internal dimensions of control is inclined to all participants; (6) more symptoms distress were significantly corrected with higher anxiety (r=0.36m, p＜0.05); (7) higher internal dimensions of control decreased anxiety (r=-0.35, p＜0.05), however, anxiety was without associated with powerful others and chance; (8) The regression equation predicting shows that education and anxiety was strongest predictor claiming 27% of the variance in symptoms distress.

關鍵字

口腔癌病患 ； 心理困擾 ； 健康控制重心 ； 症狀困擾

並列摘要

This study examined the relationship between symptoms distress, psychological distress and health locus of control in a group of oral cancer patients with post-surgical. The stud used a cross-sectional design. A total of 52 oral cancer patients participated in this study. The dependent variables were sum scores obtained on the modified version of the Symptoms Distress Scale, Hospital Anxiety and Depression Scale (HADS) and Multidimensional Health Locus of Control (MHLC). Findings show that (1) the leading 5 symptoms distress were “chewing difficulty”、”open-mouth difficulty”、”malocculation”、”mouth dryness”、”neck or shoulder sores”; (2) the severity of symptoms was between nil to mild degree”; (3) level of symptoms distress is between non to mild; (4) 13.5% demonstrated clinically relevant level of anxiety, and 17.3% with depression; (5) internal dimensions of control is inclined to all participants; (6) more symptoms distress were significantly corrected with higher anxiety (r=0.36m, p＜0.05); (7) higher internal dimensions of control decreased anxiety (r=-0.35, p＜0.05), however, anxiety was without associated with powerful others and chance; (8) The regression equation predicting shows that education and anxiety was strongest predictor claiming 27% of the variance in symptoms distress.

並列關鍵字

cancer patients ； psychological distress ； health locus of control ； symptoms distress