前列腺癌病患接受一個月治療後之決策後悔情形及其相關因素

本研究旨在瞭解前列腺癌病患在開始接受初步治療一個月後，對治療決定之後悔情形及其相關影響因素。採橫斷式研究設計，2004年11月至2006年9月期間，以立意取樣方式，於北部某醫學中心泌尿科門診與放射腫瘤科門診，收取癌症分期在T1-T3期的49位前列腺癌病患為研究對象。研究結果顯示：病患於開始接受初步治療一個月後，病患的年齡、宗教信仰、職業狀況、教育程度、自覺疾病嚴重度、生理功能與困擾、及排尿困難症狀，並不影響病患對治療決定的後悔情形；且不論病患是接受根除性前列腺切除、高劑量率後荷式近接治療、體外放射線治療、荷爾蒙治療或追蹤觀察，病患對治療決定的後悔情形沒有明顯差異。統計分析顯示整體疾病心理社會調適或健康照顧調適越好時，病患對治療決定越不會感到後悔。因此，未來如何提升病患整體疾病心理社會調適或健康照顧調適，以避免病患對治療決策感到後悔是醫護人員需繼續努力的方向。

關鍵字

前列腺癌；決策後悔；心理社會調適；生理症狀

並列摘要

The purpose of this study was to investigate the prostate cancer patients' decision-related regret and the associated factors one month after primary treatment. It was a study with cross-sectional design. From 2005 November to 2006 September, total 49 clinical staging T1-T3 prostate cancer patients were included in this study. All the patients were recruited by a purposive sampling from urology and radiation oncology outpatient clinics in a medical center in North Taiwan. There was no significant correlation between decision-related regret and age, education grade, religion, employment, self-awareness of disease severity, physical function, physical bother, or micturition problem over the patients one month after primary treatment. No matter the patients received radical prostatectomy, high-dose-rate brachytherapy, external beam radiotherapy, hormonal therapy, or watchful waiting, there was no significant difference in decision-related regret. In Pearson's correlation analysis, the patients with better overall psychosocial adjustment and health care orientation adjustment have less decision regret significantly. Hence, health care providers should endeavor to help the prostate cancer patients improving their overall psychosocial adjustment and health care orientation adjustment to avoid the decision-related regret for the future care.

並列關鍵字

prostate cancer ； decision regret ； psychosocial adjustment ； physiological symptom

國際替代計量

前列腺癌病患接受一個月治療後之決策後悔情形及其相關因素

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