乳癌婦女的睡眠障礙與焦慮、憂鬱症狀及生活品質相關因素之探討

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乳癌妇女的睡眠障碍与焦虑、忧郁症状及生活品质相关因素之探讨

The relationships among sleep disorders, anxiety, depressive symptoms, and quality of life of females with breast cancer.

陈淑女 , 硕士　　导师：黄琼玉　　

繁体中文

乳癌妇女；睡眠障碍；焦虑；忧郁症状；生活品质； females with breast cancer ； sleep disorders ； anxiety ； depressive symptoms ； quality of life

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摘要 │ 参考文献 (63) │ 国际计量

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Background and purpose：
Cancer has been among the top ten leading causes of death in the country since 1982, while breast cancer is the first in Taiwan for women, and one of the main causes of death. With the promotion of anti-cancer screening policy, the breast cancer cases are early discovered, early treatment, and five years of overall survival rate of up to 90%. The Breast cancer is a major stressful event for women, especially in the face of cancer diagnosis, which represents the impending challenge and impact of health and quality of life, and patients are in fear and depression in the face of surgical treatment, side effects of adjuvant therapy and uncertainty about the possibility of relapse. Therefore, in the treatment, the symptoms encountered, negative emotional reactions, and psychological pressure, all will lead to lower quality of life. The purpose of this study was to investigate the status of sleep disorder, anxiety and depression in women with breast cancer, and to explore the characteristics of individual and disease, sleep disorder, anxiety, depression and quality of life.
Methods：
The design of the research on the transverse and fault-taking of the patients with breast cancer in a regional teaching hospital in southern region, and convenient sampling the number was 145 patients, which collected data from patients in the clinic or hospitalized chemotherapy and back-clinic tracking. And studied tool was using structured questionnaires, including patient's basic attribute questionnaire, Pittsburg Sleep Quality Scale, Hospital Anxiety and Depression Scale and SF-36 Health-realted quality of Life Scale, and so on. Data statistics was using the personal computer SPSS 18.0 Chinese version of the statistical software, to describe the basic attributes of statistical analysis of the object, the average and standard deviation of sleep quality, anxiety, depression and quality of life, and the predictive factors of the correlation degree and quality of life of each variable were discussed by the one-wayanalysis of variance（ANOVA）, independent-sample T test,Pearson correlation and multiple regression.
Results: 
Sleep disorders were significantly positively correlated with anxiety and depression (r = .389, p <.001；r = .187, p = .027)；sleep disorders were negatively correlated with physical and psychological life quality (r = -.268 , p = .001；r = -.311, p <.001)；That is, severe sleep disorders, the degree of anxiety and depression more serious, the physiological and psychological quality of life worse. The depressive symptoms of breast cancer women with low level of educational and less family monthly income were higher. Sleep disorders are important predictors of anxiety, depression and quality of life. Secondly, education is a predictor of depression and physiological quality of life. The diagnosis period is also a predictor of physiological quality of life. This study found that women with breast cancer sleep disorders and anxiety, depression and quality of life are related, it is suggested that in the face of clinical, nursing staff can early detection of patients with sleep disorders, early prevention and provision of necessary medical care measures to improve the sleep problems of patients with breast cancer will reduce anxiety and depression and improve the quality of life of patients.

参考文献 ( 63 ) 〈TOP〉

王蔚芸、王桂芸、汤玉英（2007）．焦虑之概念分析．长庚护理，18（1），59-67。
连结：
何培申（2013）．台湾地区乳癌患者焦虑、忧郁、睡眠与生活品质之相关．台北：国立台北教育大学心理与谘商学系学位论文。
连结：
吴淑芬、井庆芸、董弘一、阮建维、赵东波（2015）．不同时期结直肠癌病人症状困扰、忧郁与生活品质关系之探讨．护理杂志，62（6），68-80。
连结：
李宇宙（2000）．身心疾病之睡眠障碍．台湾医学，4（6），673-680.Retrieved from http://dx.doi.org/10.6320/FJM.2000.4（6）.08
连结：
李昕宜、许玉娟、陈佳慧（2014）．癌症生存者之困扰症状．台湾医学，18（3）,355-360。
连结：

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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。