癌症病人情緒困擾及其相關因素探討

An Exploration of the Psychological Distress and Associated Factors among Patient with Cancer

趙慧玲(Hui-Lin Chao) ； 黃惠如(Hui-Ju Huang) ； 謝碧晴(Pi-Ching Hsieh) ； 蘇慧芳(Hui-Fang Su)

《輔仁醫學期刊》 11卷3期 (2013/09) Pp. 205-214

摘要

Background and Purpose: Cancer is the leading cause of death in Taiwan population. Psychological distress of anxiety and depression may be exhibited throughout the diagnosis of cancer and treatment process, however, it is often unrecognized, and can have an impact on the treatment and recovery of patients. The purpose of this research was to investigate the psychological distress of anxiety and depression among three types of cancer inpatient (breast cancer, colorectal cancer, and cervical cancer) and its relationships to demographic and illness-related risk factors. Methods: A cross-sectional study was carried out with 95 patients with breast cancer, colorectal, and cervical cancer recruited from a medical centre in northern Taiwan. Data were collected using the structured questionnaire that included the demographic, disease characteristics and profile of mood state questionnaire. Results: From the 95 patients studied, percentage of 84.2 was women, and 48.4% was 45-64 years. Mean POMS for anxiety 4.92±4.36 (range 0-18), and depression 3.89±5.26 (range 0-24). The psychological distress was mild anxiety and depression for all subjects. The study showed that younger age and breast cancer patients had severe psychological distress (p ＜ .05). Conclusion: Health professionals should be positively understanding about psychological distress of anxiety and depression and associated factors among patient with cancer. The results of this study could be used to provide appropriate consultation, health education, emotional support, and help to improvement in psychological distress of patients.

關鍵字

焦鬱 ； 憂鬱 ； 心理情緒困擾 ； 人口學特徵 ； 疾病特性

並列摘要

Background and Purpose: Cancer is the leading cause of death in Taiwan population. Psychological distress of anxiety and depression may be exhibited throughout the diagnosis of cancer and treatment process, however, it is often unrecognized, and can have an impact on the treatment and recovery of patients. The purpose of this research was to investigate the psychological distress of anxiety and depression among three types of cancer inpatient (breast cancer, colorectal cancer, and cervical cancer) and its relationships to demographic and illness-related risk factors. Methods: A cross-sectional study was carried out with 95 patients with breast cancer, colorectal, and cervical cancer recruited from a medical centre in northern Taiwan. Data were collected using the structured questionnaire that included the demographic, disease characteristics and profile of mood state questionnaire. Results: From the 95 patients studied, percentage of 84.2 was women, and 48.4% was 45-64 years. Mean POMS for anxiety 4.92±4.36 (range 0-18), and depression 3.89±5.26 (range 0-24). The psychological distress was mild anxiety and depression for all subjects. The study showed that younger age and breast cancer patients had severe psychological distress (p ＜ .05). Conclusion: Health professionals should be positively understanding about psychological distress of anxiety and depression and associated factors among patient with cancer. The results of this study could be used to provide appropriate consultation, health education, emotional support, and help to improvement in psychological distress of patients.

並列關鍵字

anxiety ； depression ； psychological distress ； demographic ； disease characteristics