口腔癌患者術後症狀困擾及其相關因素探討

Symptom Distress and Associated Factors with Inpatients of Post-Operated Oral Cancer

10.6880/TJON.201112_11(2).03

蔡紫暄(Chih-Hsuan Tsai)；周繡玲(Hsiu-Ling Chou)；陳麗糸(Lih-Mih Chen)

口腔癌 ； 症狀困擾 ； 憂鬱 ； 生活品質 ； oral cancer ； symptom distress ； depression ； quality of life

腫瘤護理雜誌

11卷2期（2011 / 12 / 01）

23 - 35

繁體中文

Multi-modality treatment is the current trend of cancer treatment. Surgery is the main treatment of oral cancer, and other treatments are complementary. The surgery of oral cancer not only causes a facial disfigurement, but also results in the dysfunctions of speech, mouth open, chewing, eating and swallowing. The purposes of this study were to explore the symptom distress including physical and psychological disturbances and the relationship between the symptoms and the life quality in oral cancer patients after surgery. A total of 100 oral cancer patients were purposively recruited into this study. European Organization for Research and Treatment of cancer quality of life- H&N 35 Scale, CES-D Scale and EORTC QLQ-C 30 Scale were used to measure symptom distress, depression and quality of life. Descriptive statistics, Pearson Correlation and Stepwise Regression were used to analyze data. The study results showed that the most common disturbed symptom in oral cancer patients after surgery were sexuality problem, swallowing problem, teeth problem, dry mouth, and speech problem. The occurrences of the distressed symptoms were significantly high in female patients who received elementary school education, and had tumor size above 4 cm, higher depression scores and lower quality of life (p＜ .05). The most important predictors of symptom distress included tumor size over 4 cm, the functional scale, and symptom/problem of quality of life, and could explain 50.1% variance of symptom distress. The study results could provide the health care professionals with the understanding of the relations among symptom distress, depression, and quality of life in oral cancer patients after surgery. It also could provide evidence-based data for assessing and caring oral cancer patients using effective strategies to improve their quality of life.

Multi-modality treatment is the current trend of cancer treatment. Surgery is the main treatment of oral cancer, and other treatments are complementary. The surgery of oral cancer not only causes a facial disfigurement, but also results in the dysfunctions of speech, mouth open, chewing, eating and swallowing. The purposes of this study were to explore the symptom distress including physical and psychological disturbances and the relationship between the symptoms and the life quality in oral cancer patients after surgery. A total of 100 oral cancer patients were purposively recruited into this study. European Organization for Research and Treatment of cancer quality of life- H&N 35 Scale, CES-D Scale and EORTC QLQ-C 30 Scale were used to measure symptom distress, depression and quality of life. Descriptive statistics, Pearson Correlation and Stepwise Regression were used to analyze data. The study results showed that the most common disturbed symptom in oral cancer patients after surgery were sexuality problem, swallowing problem, teeth problem, dry mouth, and speech problem. The occurrences of the distressed symptoms were significantly high in female patients who received elementary school education, and had tumor size above 4 cm, higher depression scores and lower quality of life (p＜ .05). The most important predictors of symptom distress included tumor size over 4 cm, the functional scale, and symptom/problem of quality of life, and could explain 50.1% variance of symptom distress. The study results could provide the health care professionals with the understanding of the relations among symptom distress, depression, and quality of life in oral cancer patients after surgery. It also could provide evidence-based data for assessing and caring oral cancer patients using effective strategies to improve their quality of life.

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