肺癌與慢性阻塞性肺部疾病患者之憂鬱相關因素探討

王麗華

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肺癌與慢性阻塞性肺部疾病患者之憂鬱相關因素探討

Comparison of Related Factors for Depression in Patients with Lung Cancer and Chronic Obstructional Pulmonary Disease

王麗華 , Masters　　Advisor：蔡欣玲　　

繁體中文

肺癌；慢性阻塞性肺部疾病；憂鬱；疼痛；生活品質；症狀困擾；日常生活活動功能； Chronic obstructive pulmonary disease ； Lung cancer ； Depression ； Symptom Distress ； Quality of life ； Pain ； Daily activities function

Abstract │ Reference (82) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

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Abstract Title of Thesis: Comparison of Related Factors for Depression in Patients with Lung Cancer and Chronic Obstructional Pulmonary Disease Institution: Graduate Institute of Nursing, Taipei Medical University Author: Li-Hua Wang Thesis directed by : Sing-Ling Tsai, Professor of Taipei Veterans General Hospital The aim of the study is to compare the depression related factors between lung cancer patients and chronic obstructive pulmonary disease patients (COPD). This is a cross-sectional comparison design. A purposive sampling frame was used in this study. Sixty-one lung cancer patients and thirty COPD patients were recruited from the inpatient settings of departments of chest and oncology at the medical center hospital. The data was collected through using the questionnaires of Beck Depression Inventory (BDI), Pain Assessment Form(PAF), WHOQOL–BREF Quality of Life Questionnaire of Taiwan Version, Symptom Distress Rating Scale, and Daily Activities Rating Scale. The results of the study were (1) The level of pain was higher among patients with COPD than patients with lung cancer, (2) The level of quality of life was higher among patients with lung cancer than patients with COPD, (3) according to enter method of linear regression test, lung cancer patients were more affected by symptom distress and daily activities than by quality of life. On the other hand, COPD patients were more affected by quality of life than other factors, (4) according to stepwise method of linear regression test, the most important factor of depression for lung cancer patients was symptom distress, followed by daily activities. For COPD patients, the most important factor of depression was quality of life, followed by symptom distress. The study suggested that (1) the future study needs to explore the characteristics of the pain of patients with COPD, (2) the screen of depression can be included in the nursing practice in the inpatient settings of medical and surgical departments, (3) knowledge about depression needs to be included in nursing education in order to help nurses understand the importance of caring patients’physical and psychological problems.

Reference ( 82 ) 〈TOP〉

白玉珠、鄒怡珍、黃鈴雅、雍海鵬(2001)．肺癌患者生活品質及其相關因素之研究。腫瘤護理雜誌，1(1)，1-17。
連結：
吳佳璿、林信男(2003)．疼痛病人之精神科評估與治療．當代醫學，30(2)，114-118。
連結：
台灣版世界衛生組織生活品質問卷發展小組(2000)．台灣版世界衛生組織生活品質問卷之發展簡介．中華公共衛生雜誌，19(4)，315-324。
連結：
李芸湘、蔡芸芳、賴裕和、高瑞和(2002)．肺癌患者在化學治療期間疲憊程度及其相關因素．台灣醫學，6(6)，797-804。
連結：
林玲華、陳景彥、劉嘉逸、陳美伶 (2002)．癌症住院病患憂鬱狀態的盛行率及預測因素．臺灣醫學，6(4)，535-545。
連結：

Times Cited (1) 〈TOP〉

陳淑雯(2015)。臂神經叢損傷病人上肢功能、生活品質及憂鬱相關性探討。義守大學管理碩博士班學位論文。2015。1-92。

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