結腸直腸癌病人疼痛、憂鬱、焦慮與睡眠品質之相關性探討

Pain, Depression, Anxiety and Sleep Quality in Patients With Colorectal Cancer

林育儀(Yu-Yi Lin)

指導教授 ： 林佳靜

臺北醫學大學/護理學院/護理學研究所/碩士(2013年)

https://doi.org/10.6831/TMU.2013.00022

摘要

本研究主要探討結腸直腸癌病人疼痛、憂鬱、焦慮與睡眠品質的相關性，採橫斷式相關性研究，以南部某區域教學醫院及北部某醫學中心結腸直腸癌患者為抽樣對象，採立意取樣，預估收案數為131人。於病人回診追蹤時收集資料，研究工具採結構式問卷，問卷包括病人基本屬性問卷、簡明疼痛量表、醫院焦慮憂鬱量表、匹茲堡睡眠品質量表等收集資料，資料統計採用個人電腦SPSS 17.0中文版的統計軟體，以描述性統計分析研究對象的基本屬性、疼痛、憂鬱、焦慮及睡眠品質的平均值及標準差，而以推論性統計包括皮爾森積差相關、T-test、one-way ANOVA、複迴歸方法探討各變項有無相關性及統計上有無顯著差異。研究結果發現:(1)憂鬱程度與睡眠品質呈顯著正相關(r=0.231,p=0.008);(2)焦慮程度與睡眠品質呈顯著正相關(r=0.208,p=0.017);(3)疼痛程度與憂鬱、焦慮及睡眠品質在統計上無顯著相關;(4)病人睡眠品質預測方面，以憂鬱程度及治療方式為顯著預測變項， (5)身體功能與憂鬱程度有顯著差異(p=0.003)，身體功能愈差憂鬱程度愈高；壓力知覺與憂鬱程度呈顯著正相關(r=0.237,p=0.006)，壓力知覺與焦慮程度呈顯著正相關(r=0.312,p=0.000)，而疼痛及睡眠品質與基本屬性無顯著差異存在。

關鍵字

結腸直腸癌 ； 疼痛 ； 焦慮 ； 憂鬱 ； 睡眠品質

並列摘要

The purpose of this study was to explore the relationships among pain, depression, anxiety and sleep quality in patients with colorectal cancer. The research participants was recruited from the outpatient and inpatient units at a medical center in the North and a regional teaching hospital in the South .Purposive sampling was used to collect 131 colorectal cancer patients who were recuited.Research instruments included “Personal Attributes Scale,”“Brief Pain Inventory-Chinese version,” “Hospital Anxiety and Depression Scale,” “Pittsburgh Sleep Quality index.”The data were analyzed by descriptive statistical analysis, t-test, one-way ANOVA, Pearson’s correlation, and multiple regression using SPSS for Window version 17.0 .The findings are as follows:1. Depression and sleep quality in colorectal cancer patients showed a positive correlation(r=0.231, p=0.008) 2. Anxiety and sleep quality in colorectal cancer patients showed a positive correlation(r=0.208, p=0.017).3. Pain intensity did not show a statistically significant difference with respect to depression, anxiety, and sleep quality.4. The depression score and treatment method were predictive factors for sleep quality.5. Physical function and depression score showed a significant statistical difference(p=0.003). Colorectal cancer patients with worse physical function have higher depression levels.The level of Perceived Stress and depression in colorectal cancer patients showed a positive correlation(r=0.237,p=0.006).The level of Perceived Stress and anxiety in colorectal cancer patients showed a positive correlation(r=0.312,p=0.000). Pain scores and sleep quality did not show a statistically significant difference with respect to personal attributes.

並列關鍵字

colorectal cancer ； pain ； anxiety ； depression ； sleep quality

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