子宮頸癌住院病人症狀困擾、憂鬱及生活品質之相關性研究

A Correlational Study of Symptom Distress, Depression and Quality of Life in Hospitalized Cervical Cancer Patients

陳雅萍(Ya-Ping Chen) ； 葉淑惠(Shu-Hui Yeh) ； 龔福財(Fu-Tsai Kung) ； 何美瑤(Mei-Yao Ho)

《實證護理》 3卷2期 (2007/06) Pp. 89-98

https://doi.org/10.6225/JEBN.3.2.89

摘要

本研究目的旨在探討子宮頸癌住院病人的症狀困擾、憂鬱及其相關因素對於生活品質之關係。研究以橫斷性調查研究法，採立意取樣方式，針對南部兩間醫學中心婦產部進行為期7個月收案期，共收集100位子宮頸癌病人。問卷內容包括基本資料問卷、症狀困擾問卷、憂鬱量表及歐洲癌症治療與研究組織生活品質量表。結果顯示排便改變、疲倦、失眠、排尿改變是子宮頸癌住院病人感到最困擾的症狀。病人憂鬱程度愈高，其症狀困擾愈多；教育程度愈高、家庭月收入愈高，其生活品質愈佳。病人憂鬱程度愈高、症狀困擾愈高，其生活品質愈差；年齡愈大者，其生活品質愈差。憂鬱及年齡對於生活品質可解釋總變異量為30.5%。此結果可提供給護理人員了解子宮頸癌住院病人的症狀、情緒及生活品質情況，以提供個別性及適時的照護，並增進病患的生活品質。

關鍵字

子宮頸癌 ； 症狀困擾 ； 憂鬱 ； 生活品質

並列摘要

The main purpose of this study was to explore the relationships between symptom distress, depression, and quality of life (QoL) in hospitalized patients diagnosed with cervical cancer. This was a cross-sectional study involving 100 patients selected by purposive sampling over a seven month interval, and two medical centers, in Kaohsiung and Tainan. The four data collection instruments included: 1) demographic characteristics, 2) the Symptom Distress Scale, 3) the Beck Depression Inventory (Short Form -13), and 4) the European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC-QLO-C30). The results revealed that the most common symptoms of distress in cervical cancer patients were bowel movement changes, fatigue, insomnia, and changes in urinary habits. Depression and symptoms of distress had a positive correlation, while level of education, family income, and QoL had a significant positive correlation. Depression, symptoms of distress, and QoL had a negative correlation, while age and QoL had a significant negative correlation. The predictors of QoL were depression and age, which together accounted for 30.5% of the statistical variance. The findings of this study should help nurses to gain a better understanding of the symptoms, mood, and QoL of patients diagnosed with cervical cancer, to provide them with more professional and individual care, and to improve their QoL.

並列關鍵字

cervical cancer ； symptom distress ； depression ； quality of life