篇名 | 肺癌化學治療後病人照護需求與相關因素之探討 |
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卷期 | 63:3 |
並列篇名 | Exploration of the Care Needs of Post-Chemotherapy Lung Cancer Patients and Related Factors |
作者 | 邱惠英 、 林佑樺 、 王金洲 、 陳婉宜 、 張晃智 、 林孟志 |
頁次 | 062-072 |
關鍵字 | 肺癌 、 化學治療 、 照護需求 、 症狀困擾 、 日常活動干擾 、 lung cancer 、 chemotherapy 、 care needs 、 symptoms distress 、 daily activities interference 、 MEDLINE 、 Scopus 、 TSCI |
出刊日期 | 201606 |
DOI | 10.6224/JN.63.3.62 |
背景
化學治療為肺癌主要治療方式之一,然其治療期間所衍生的副作用,易造成病人的症狀困擾、日常活動干擾及照護需求。
目的
探討肺癌病人接受化學治療後之照護需求及相關因素。
方法
採橫斷式研究設計,取樣於南部某醫學中心121位接受Platinum和Docetaxel化學治療之肺癌病人,研究工具包括:照護需求、症狀困擾及日常活動干擾等量表。
結果
肺癌病人化學治療後之照護需求包括:緊急問題處置、衛教及問題諮詢和情緒支持。症狀困擾嚴重 度前三項依序為:疲憊、食慾不振及睡眠困擾。日常活動干擾主要項目為:保持社交活動、工作及 爬樓梯。肺癌病人化學治療後日常活動干擾(r = .30, p < .01)、症狀困擾(r = .23, p < .01)與照護需求 呈現顯著正相關。迴歸分析發現,日常活動干擾為照護需求之預測因子,可解釋之變異量為10.7%。
結論/實務應用
本研究發現,肺癌病人接受化學治療後的照護需求、症狀困擾及日常活動干擾之相關性,此結果可提供腫瘤護理人員於接受此類治療病人的護理指導參考,進而協助病人日常活動及滿足相關照護需求,以提昇病人之照護品質。
Background: Chemotherapy (CT) is the first priority treatment for advanced stage lung cancer. However, symptom distress, impaired ability to conduct daily activities, and post-CT care needs are potential side effects of CT. Purpose: To explore the factors related to the care needs of post-chemotherapy lung cancer patients. Methods: A cross-sectional study was used. One hundred and twenty-one adult patients who had been diagnosed with advanced-stage lung cancer and who had undergone CT using the Platinum and Docetaxel doublet regimen were recruited from a medical center in southern Taiwan. The instruments used included a nursing care needs survey, symptoms distress scale, daily activity interference scale, and patient characteristics datasheet. Results: Participants self-prioritized their emergency management, health consultation, and emotional support activities based on their perceived care needs. The top three post-CT symptoms in terms of severity were: fatigue, appetite change, and sleep disorder. Primary disruptions in daily activities during the post-CT period related to: holding social activities, work, and stair climbing. Significant and positive correlations were found among daily activity interference (r = .30, p < .01), symptoms distress (r = .23, p < .01), and care needs. The regression model indicated daily activity interference as a predictor of care needs, accounting for 10.7% of the total variance. Conclusions / Implications for Practice: These results highlight the relationships among care needs, symptom distress, and daily activity interference in post-chemotherapy lung-cancer patients. The present study provides a reference for nursing care to reduce the symptom distress, to enhance the performance of daily activities, and to meet the care needs of lung-cancer patients.