生命意義對吸菸行為、情緒困擾、及生活品質之影響－以頭頸癌男性存活者為對象

Effect of Meaning in Life on Smoking Behavior, Emotional Distress and Quality of Life in Male Survivors with Head and Neck Cancer.

趙慧璇(Hui-Xuan Zhao)

指導教授 ： 黃君瑜

中原大學/理學院/心理學研究所/碩士(2016年)

https://doi.org/10.6840/cycu201600272

摘要

背景及研究目的：癌症適應歷程中，過去研究指出生命意義的存在感可帶來正向的適應，但對於生命意義的追尋感之影響仍未明朗，一些研究指出生命意義的追尋感可帶來不同的適應結果。因此本研究除了驗證生命意義存在感與適應的關係之外，將以生命意義的追尋感做為調節變項，以更了解生命意義存在感與生命意義追尋感於吸菸行為、情緒困擾、及生活品質的關聯及影響歷程。
研究方法：採取橫斷式設計，研究對象為治療後六個月以上的男性頭頸癌存活者，有效問卷共有204份。研究工具為「個人基本資料表」、「物質使用行為調查表」、「生命意義量表(Meaning in life Questionnaire)」、「心情狀態量表短版(Short Form Profile of the Mood State)」、及「頭頸部癌症治療指標之功能性評估表(Functional Assessment of Cancer Therapy Scale-Head and Neck Version)」等五份問卷。
研究結果：(1)生命意義的存在感越低則整體生活品質越差，然在生命意義存在感低時，生命意義追尋感越高者會有更差的整體生活品質；而這樣的歷程亦出現在情緒穩定及一般健全狀況；(2)生命意義存在感越低者情緒困擾程度越高，然在生命意義存在感低者若生命意義追尋越高，其情緒困擾程度明顯更高，這樣的影響歷程重覆出現於不同向度的情緒困擾上；(3)菸齡越長者，其生命意義存在感與生命意義追尋感越低。
結論：生命意義存在感越高者適應越良好，然而相對於生命意義存在感與追尋感皆低的頭頸癌存活者，那些生命意義存在感低且生命意義追尋感高者，將會有更嚴重的情緒困擾及更差的生活品質。

關鍵字

頭頸癌存活者 ； 生命意義 ； 吸菸行為 ； 情緒困擾 ； 生活品質

並列摘要

Background and purpose The literature relevant to presence of meaning in life and positive adaptation is reported in cancer survivorship. But it is not clear about the relation between search for meaning and adjustment of cancer survivors. Some research indicated search for meaning had distinct consequences on the adjustment of cancer survivorship. Thus, this study aimed to examine the moderation of search for meaning on the relationship between presence of meaning, smoking behavior, emotional distress, and quality of life among male survivors with head and neck cancer.
Methods This study was a cross-sectional design. Participants were 204 male survivors with head and neck cancer who completed the cancer treatment longer than 6 months. Each participant completed the personal basic information questionnaire, Substance Use Behavior Questionnaire, Meaning in Life Questionnaire, Short Form Profile of the Mood State, and Functional Assessment of Cancer Therapy Scale-Head and Neck Version.
Results (1) The presence of meaning had positive effect on global quality of life, emotional well-being and total quality of life. Furthermore, the low presence of meaning and high search for meaning exhibited the lowest levels of general quality of life, emotional well-being and total quality of life. (2) The presence of meaning has negative effect on emotional distress. Furthermore the low presence of meaning and high search for meaning exhibited the highest levels of emotional distress. (3) The longer duration of smoking had less levels of presence of meaning and search for meaning.
Conclusions Individuals in the high presence of meaning showed a better adaptation. Compared to those survivors having low presence and low searching for meaning, the head and neck cancer survivors having low presence of meaning and high searching for meaning would have the most poorly emotional distress and quality of life.

並列關鍵字

Head and neck cancer survivor ； meaning in life ； Smoking behavior ； Emotional distress ； Quality of life

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