本研究主要目的為探討結直腸癌病人在化療期間症狀困擾、焦慮與憂鬱間之關係。採橫斷性調查研究方法,共收案138位結直腸癌住院病人。以方便取樣選取於某醫院病房,年滿20歲以上的結直腸癌病人,以結構性問卷進行資料收集。研究工具包括「人口統計學的資料」、「症狀困擾量表」、「醫院焦慮憂鬱量表」。資料分析包括百分比、平均值、標準差、及複迴歸分析。 研究結果發現:(一)生活功能(p<.05) 、轉移(p<.01) 、與化療次數(p<.001)在迴歸分析中達顯著水準,共可解釋症狀困擾的總變異數為 18.5%。(二)只有症狀困擾(p<.001)在迴歸分析中達顯著水準,可解釋生活干擾程度的總變異數為57.0%。(三)只有症狀困擾(p<.001)在迴歸分析中達顯著水準,可解釋焦慮程度的總變異數為41.9%。(四)包括年齡(p<.05)、性別(p<.05)在迴歸分析中達顯著水準,共可解釋憂鬱的總變異數為 24.2%。 癌症主要的問題是症狀的管理,並需要使用策略賦能病人,讓他們對疾病和治療有更好的控制。建議日後於臨床護理相關的病人時,應評估病人的個別差異性,針對其健康問題給予合宜之護理計畫,並於住院化學治療中,隨時依病人狀況適時調整住院照護計畫。
The aim of this study was to investigate factors related to symptom distress, anxiety, and depression in colorectal cancer patients during chemotherapy. The study adopted correlation research design. Three questionnaires (M. D. Anderson Symptom Inventory, Hospital Anxiety and Depression Scale, and basic information) were completed by the participants. Data were analyzed by SPSS 20.0 software. Stepwise regression was used to analyze the data. The multiple regression analysis results showed that 1. the life function (p<.05), transfer (p<.01), and number of chemotherapy sessions (p<.001) had statistical significance in the symptom distress and can explain 33.0% of the variance of the symptom distress. 2. Only symptom distress had statistical significance in the degree of life disturbance (p<.001). Symptom distress can explain 57.0% of the variance of the degree of life disturbance. 3. Only symptom distress had statistical significance in the anxiety level (p<0.01). Symptom distress can explain 41.9% of the variance of the anxiety level. 4. Age (p<.05), and gender (p<.001) had statistical significance in the depression and can explain 24.2% of the variance of the depression. The main problem with cancer is the management of symptoms. It is necessary to use strategies to empower patients so that they have better control over disease and treatment. It is suggested that nurses should assess the individual differences when they take care of patients in order to give appropriate care plans. In addition, nurses also need to adjust the patient's care plan at any time according to the patient's condition during their chemotherapy in hospitalization.
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