頭頸癌病人之疾病接受度及其相關因素探討

Factors Associated with the Acceptance of Disability among Patients with Head and Neck Cancer

10.3966/102673012017062802001

李玉芬(Yu-Fen Li)；洪崇霖(Chung-Lin Hong)；劉英美(Ying-Mei Liu)；李思錦(Szu-Chin Li)；蔡宗益(Tzung-Yi Tsai)

頭頸癌 ； 疾病接受度 ； 台灣 ； head and neck cancer ； acceptance of disability ； Taiwan

長庚護理

28卷2期（2017 / 06 / 01）

195 - 205

繁體中文

背景：醫療技術進展雖能有效改善頭頸癌病人存活率，但後續生理損傷恐會導致患者疾病接受度低落，以致有危害預後之虞。目的：旨在評估頭頸癌病人之疾病接受度與其相關因素。方法：採橫斷相關性研究設計，並以結構式問卷訪談2012年8月至2013年7月至南台灣某醫院就醫之251位確診為頭頸癌之個案。問卷內容包括人口學特質、疾病屬性與中文版簡式疾病接受度量表，並以線性複回歸進行分析。結果：研究對象之疾病接受度得分為88.64分，該族群的疾病接受度約屬中等程度(總分介於32-128分)。複回歸模式分析發現，倘若個案罹病期間愈長(t=2.01; p=.04)、高中職以上(t=2.51; p=.02)、非獨居(t=-2.92; p＜.01)或是接受過單一治療方式(t=-3.61; p＜.01)者，其疾病接受度皆較高，上述變項可解釋19%的變異量。結論：醫護人員可據此結果及早辨別高危險群並介入妥適的心理諮商計畫，力求提高存活率同時，也能兼具全人照護品質。

Background: With the progress of medical technology, the survival rate for patients with head and neck cancer has increased. Nevertheless, the subsequent handicap may influence the acceptance of disability to induce poor clinical manifestations. Aims: To examine the acceptance of disability (AOD) and related factors among patients with head and neck cancer. Methods: A cross-sectional, correlational design with convenience sampling method was used to recruit 251 subjects affected with head and neck cancer at a hospital in Taiwan between August 2012 and July 2013. The structured questionnaire was used to gather information on demographic data, disease characteristics, and information provided by the Chinese version of the Acceptance of Disability Scale- Revised. Factors related to AOD were determined by multiple linear regression analysis. Results: The average score of AOD was 88.64, which may indicate that a moderate level of disease acceptance (range, 32-128). Results of multiple linear regression showed that the participants with longer duration of disease (t=2.01; p= .04), higher education (above 9th grade) (t=2.51; p= .02), cohabiting (t=- 2.92; p＜ .01) or receiving one treatment (t=-3.61; p＜ .01) had a higher level of AOD, accounting for 19% of the total variance. Conclusion: Findings are useful in identifying patients with the predisposition of having lower disease acceptance, which could then facilitate the provision of appropriate psychological rehabilitation to enhance the quality of holistic care as well as survival rates.

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