結直腸癌病患手術前後疲憊及情緒困擾之相關性研究

A Correlational Study of Fatigue and Emotional Distress in Colorectal Cancer Patients before and after Surgery

李佳倫(Chia-Lun Lee) ； 林淑媛(Shu-Yuan Lin) ； 葉淑惠(Shu-Hei Yeh)

《醫護科技學刊》 9卷3期 (2007/07) Pp. 200-209

https://doi.org/10.6563/TJHS.2007.9(3).3

摘要

This correlational study investigated changes in and relationships between fatigue and emotional distress in colorectal cancer patients before and after surgery. A convenience sample from the medical center in Kaohsiung, Taiwan was analyzed, and data were collected three times (before surgery, after surgery, and one month after surgery) using the BFI-TF and the emotional distress questionnaire. Thirty-five colorectal cancer patients were enrolled.
Mean BFI-TF for fatigue were 4.07(±3.02), 4.30(±2.42) and 2.93(±2.71) before surgery, after surgery and at the one-month follow up, respectively. Patients reported that daily life interference was affected by fatigue before surgery, after surgery and at the one-month follow up and that daily life interference was worst after surgery (3.63±2.45). Nevertheless, severity of fatigue improved significantly between time of surgery and one-month follow up (t34=2.58, p＜.05). Patients had the highest emotional distress before surgery (17.14±13.47). Emotional distress improved significantly between time of surgery and one-month follow up (t34=2.83, p＜.01). The fatigue after surgery was associated with the emotional distress before surgery (r=.44, p＜.01). These analytical results suggest that the degree of fatigue and emotional distress after surgery can be reduced by providing effective management before surgery.

關鍵字

疲憊 ； 情緒困擾 ； 結直腸癌 ； 手術

並列摘要

This correlational study investigated changes in and relationships between fatigue and emotional distress in colorectal cancer patients before and after surgery. A convenience sample from the medical center in Kaohsiung, Taiwan was analyzed, and data were collected three times (before surgery, after surgery, and one month after surgery) using the BFI-TF and the emotional distress questionnaire. Thirty-five colorectal cancer patients were enrolled.
Mean BFI-TF for fatigue were 4.07(±3.02), 4.30(±2.42) and 2.93(±2.71) before surgery, after surgery and at the one-month follow up, respectively. Patients reported that daily life interference was affected by fatigue before surgery, after surgery and at the one-month follow up and that daily life interference was worst after surgery (3.63±2.45). Nevertheless, severity of fatigue improved significantly between time of surgery and one-month follow up (t34=2.58, p＜.05). Patients had the highest emotional distress before surgery (17.14±13.47). Emotional distress improved significantly between time of surgery and one-month follow up (t34=2.83, p＜.01). The fatigue after surgery was associated with the emotional distress before surgery (r=.44, p＜.01). These analytical results suggest that the degree of fatigue and emotional distress after surgery can be reduced by providing effective management before surgery.

並列關鍵字

Fatigue ； emotional distress ； colorectal cancer ； surgery

參考文獻

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