新診斷癌症病人生活品質之相關因素探討

Quality of Life and Related Factors in Patients with Newly Diagnosed Cancer

10.6142/VGHN.33.3.293

張美玉(Mei-Yu Chang)；徐莞雲(Wan-Yun Hsu)；徐倩儀(Chiann-Yi Hsu)；林麗英(Lih-Ying Lin)

新診斷癌症病人 ； 健康照護需求 ； 症狀困擾 ； 生活品質 ； newly diagnosed cancer ； health care needs ； symptom distress ； quality of life

榮總護理

33卷3期（2016 / 09 / 01）

293 - 302

繁體中文

提高生活品質及存活率是癌症病人治療的主要目標，本研究旨在探討新診斷癌症病人的生活品質及健康照護需求、症狀困擾之關係及生活品質預測因子。研究方法為描述相關性研究設計，採立意取樣橫斷式問卷調查法，選案條件為新診斷口腔癌、食道癌、大腸癌、乳癌及子宮頸癌病人，共收案260名。研究結果顯示新診斷癌症病人之生活品質平均分數為66.3 ± 17.8分，99.2%的病人有症狀困擾，症狀困擾平均得分為34.8 ± 12分；健康照護需求以身體層面需求為最高。症狀困擾與健康照護、生活品質呈負相關(r = -.84, -.81, p ＜ .001)，複迴歸模式分析顯示症狀困擾(β = -.52)、生理需求(β = -.37)及社會需求(β = -.10)是生活品質的預測因子。建議監測新診斷癌症病人的症狀困擾及生活品質狀態，提供症狀處理措施，滿足罹癌過程的生理照護需求，將是病人最佳福祉；此外，協助病人多加利用社會資源，並以促進生活品質為終極目標。

Improving the quality of life (QOL) and survival of patients is the main objective of cancer treatment. The purpose of this study was to investigate the QOL, related symptom distress, and health care needs of patients with newly diagnosed cancer. A cross-sectional study and questionnaire survey were conducted. All participants were recruited on the basis of being newly diagnosed with a single cancer type, such as breast cancer, cervical cancer, colon cancer, esophageal cancer, or oral cancer. Results: The overall QOL score was 66.3 ± 17.8, 99.2% of patients with cancer experienced distress symptoms, and the mean score of symptom distress was 34.8 ± 12. The physical health care need was highest among care needs. Negative correlations were observed among QOL, health care needs, and distress symptoms (r = -.84, -. 81, p ＜ .001). Multiple regression showed that distress symptoms (β = -.52), physical needs (β = -.37), and social needs (β = -.10) were significant in predicting the patients' QOL. The results suggest that routine monitoring of QOL, distress symptoms, and health care needs for improving the QOL of patients with cancer, in addition to focused symptom management intervention, can help patients utilize social resources effectively, for promoting QOL as the ultimate goal.

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