大腸直腸癌患者疲憊及其影響因素探討

Fatigue and Related Factors in Patients with Colorectal Cancer

吳淑芬(Shu-Fen Wu) ； 井慶芸(Ching-Yun Chin) ； 李（女惠）燕(Hui-Yen Lee) ； 董弘一(Hong-Yi Tong) ； 趙東波(Tung-Bo Chao)

《南臺灣醫學雜誌》 10卷1期 (2014/06) Pp. 20-29

https://doi.org/10.6726/MJST.201406_10(1).0003

摘要

目的：本研究目的旨在瞭解大腸直腸癌患者之疲憊及其影響因素。方法：採橫斷性研究設計、立意取樣方式，選取120位大腸直腸癌患者為研究對象，使用結構式問卷「台灣版簡明疲憊量表」、「台灣版安德森症狀困擾量表」及「流行病學研究中心憂鬱症狀量表」進行資料收集。結果：大腸直腸癌患者76.67%有疲憊之感受；有症狀困擾者佔49.17%；憂鬱者佔39.17%；婚姻狀況、職業狀況、家庭月收入、罹癌時間、癌症分期、轉移、症狀困擾、憂鬱與疲憊間有顯著相關；以逐步迴歸分析結果，憂鬱（26.2%）、症狀困擾（5.4%）、罹癌時間在四年以上（4.3%）此三個因子為大腸直腸癌患者疲憊之預測因子，可解釋變異量為35.9%。有症狀困擾者產生疲憊感的機率是無疲憊感2.999倍。結論：疲憊是大腸直腸癌患者常出現之症狀，醫療照顧者應適時評估患者之疲憊狀況及其影響因素，及早提供相關照護措施，進而提升健康照護品質。

關鍵字

大腸直腸癌 ； 疲憊 ； 憂鬱

並列摘要

Objective: This study was explored colorectal cancer fatigue and fatigue-related factors. Methods: A descriptive and correlation study design was used. Using convenience sampling, 120 patients who diagnosed colorectal cancer were recruited from our hospital in southern Taiwan. Data was collected by using self-reported structured questionnaires. Outcome measurements included BFI-Taiwan Form, and MDASI Taiwan Form, and CESD. Results: Approximately 76.67% of participants reported experiencing fatigue symptoms. Nearly 49.17% of colorectal cancer patients had symptom distress and 39.17% had a depression symptom. The variables of marital status, employment status, family income, post-diagnosis time, and cancer staging, metastasis, and symptom distress and depression symptoms were positively correlated with level of fatigue. In multiple regression models, three factors were explained fatigue, included depression symptoms (26.2%), symptom distress (5.4%) and post-diagnosis 4 years (4.3%), and account for 35.9% total variance. symptom distress inclination was a significant fatigue predictor (OR = 2.999, 95% CI from 1.016 to 8.851) among participants. Conclusions: Fatigue as a normal physical and psychological expression with colorectal cancer. Caregivers should be regular evaluation of the patient's fatigue, influencing factors, and early apply preventive strategies for fatigue of colorectal cancer patients, hence to promote healthcare quality.

並列關鍵字

colorectal cancer patients ； fatigue ； symptom distress ； depression