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輔仁醫學期刊

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篇名 癌症病人情緒困擾及其相關因素探討
卷期 11:3
並列篇名 An Exploration of the Psychological Distress and Associated Factors among Patient with Cancer
作者 趙慧玲黃惠如謝碧晴蘇慧芳
頁次 205-214
關鍵字 焦鬱憂鬱心理情緒困擾人口學特徵疾病特性anxietydepressionpsychological distressdemographicdisease characteristics
出刊日期 201309

中文摘要

背景和目的:惡性腫瘤為國人死因之首,焦慮、憂鬱情緒困擾更是好發在癌症診斷及治療過程中,並且常被忽略,導致影響癌症治療及復原,故本研究目的為探討乳癌、大腸癌、子宮頸癌住院病人人口學特徵、疾病特性與焦鬱、憂鬱的相關性。方法:橫斷相關性研究設計,以立意取樣方式選取台灣北部某醫學中心之乳癌、大腸癌及子宮頸癌共計95 位住院病人,利用結構式問卷收集研究對象個人人口特徵、疾病特性,並利用情緒困擾量表測量其焦慮及憂鬱情形。結果:研究結果顯示,以女性居多(84.2%),年齡大多為45-64 歲(48.4%)。焦慮情緒困擾平均總得分為4.92±4.36(總分範圍0-18);憂鬱之平均總得分為3.89±5.26(總分範圍0-24),屬低度的情緒困擾。年齡愈低及乳癌患者其焦慮、憂鬱情緒困擾愈嚴重(p < .05)。結論:臨床醫師及護理人員應積極瞭解癌症患者心理情緒困擾狀況及其相關影響因素,提供適當的諮詢及衛教措施,並給予情緒支持,以改善患者對於疾病所衍生的情緒困擾問題。

英文摘要

Background and Purpose: Cancer is the leading cause of death in Taiwan population. Psychological distress of anxiety and depression may be exhibited throughout the diagnosis of cancer and treatment process, however, it is often unrecognized, and can have an impact on the treatment and recovery of patients. The purpose of this research was to investigate the psychological distress of anxiety and depression among three types of cancer inpatient (breast cancer, colorectal cancer, and cervical cancer) and its relationships to demographic and illnessrelated risk factors. Methods: A cross-sectional study was carried out with 95 patients with breast cancer, colorectal, and cervical cancer recruited from a medical centre in northern Taiwan. Data were collected using the structured questionnaire that included the demographic, disease characteristics and profile of mood state questionnaire. Results: From the 95 patients studied, percentage of 84.2 was women, and 48.4% was 45-64 years. Mean POMS for anxiety 4.92±4.36 (range 0-18), and depression 3.89±5.26 (range 0-24). The psychological distress was mild anxiety and depression for all subjects. The study showed that younger age and breast cancer patients had severe psychological distress(p < .05). Conclusion: Health professionals should be positively understanding about psychological distress of anxiety and depression and associated factors among patient with cancer. The results of this study could be used to provide appropriate consultation, health education, emotional support, and help to improvement in psychological distress of patients.

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