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題名：Factors Related to Quality of Life in Breast Cancer Patients Receiving Chemotherapy
書刊名：The Journal of Nursing Research
作者：李惠玲／顧乃平／竇維正／白璐
作者(外文)：Lee, Hui-ling／Ku, Nai-ping／Dow, Wei-jenq／Pai, Lu
出版日期：2001
卷期：9:3
頁次：頁57-68
主題關鍵詞：生活品質；乳癌；化學治療；Quality of life；Breast cancer；Chemotherapy
原始連結：連回原系統網址new window
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　　　　　本研究採敘述性相關研究法，目的在探討乳癌病人接受化學藥物治療期間的生活品質，及個人屬性、疾病特徵、心理因素(焦慮、憂鬱、自尊)、社會支持等因素與生活品質之關係。以台北地區150位乳癌病人為研究對象，採結構式問卷會談法收集資料。研究結果發現：乳癌病人整體生活品質為中等程度 (M=19.88)。在生活品質重要性及滿意度得分方面，皆以家庭因素得分最高，最不滿意的是健康因素。乳癌病人個人屬性中，以子女數及社經地位不同與其生活品質達顯著差異 (p<.05)。在疾病特徵中，乳癌病人的生活品質在疾病分期、接受化學治療之時間長短及化學治療次數不同等方面達顯著差異 (p<.05)。乳癌病人心理因素與生活品質呈顯著相關 (p<.05)。乳癌病人的社會支持與生活品質之相關性,在親友及健康專業人員兩方面均達顯著意義 (p<.01)。乳癌病人在個人屬性、疾病特徵、心理因素和社會支持等相關因素中,以自尊對整體生活品質最具影響力 (p<.001)。本研究結果可提供護理人員擬定改善乳癌病人生活品質措施之參考。
　　　　　This descriptive correlation study investigated the relationship among individual characteristics, disease characteristics, psychological factors (anxiety, depression, self-esteem), social support, and quality of life in patients with breast cancer receiving chemotherapy. One hundred and fifty women from nine Taipei area hospitals were surveyed with a structured questionnaire. The total quality of life index for breast cancer patients was about average (M = 19.88). The family factor scored highest for importance and satisfaction with quality of life. Patients showed the most dissatisfaction with the health factor. Of the individual characteristics affecting patient quality of life, number of children and social status were statistically significant (p<.05). Of the disease characteristics, the stage of the disease, the commencement of chemotherapy, and the number of chemotherapy treatments were statistically significant (p < .05). The psychological factors were significantly related to patients' quality of life (p < .05). Social support of both relatives and health professionals was significantly related to patients' quality of life (p < .01). Of the four independent variables (individual characteristics, disease characteristics, psychological factors and social support), the most influential factor affecting breast cancer patients' total quality of life was the psychological factor of self-esteem (p <.001). The findings can assist nurses to plan and improve the quality of breast cancer care in terms of understanding the factors affecting patients' quality of life.
期刊論文
1.Haas, B. K.(1999)。Clarification and Integration of Similar Quality of Life Concepts。Image: Journal of Nursing Scholarship，31(3)，215-220。  new window
2.劉雪娥(19930600)。家屬生活品質量表心理測定學之探討。護理研究，1(2)，127-136。new window  延伸查詢new window
3.林春香、劉雪娥、王正儀(19960300)。大腸直腸癌症病患生活品質及其相關因素之探討。護理研究，4(1)，13-26。new window  延伸查詢new window
4.Pasacreta, J. V.(1997)。Depressive phenomena, physical symptom distress, and functional status among women with breast cancer。Nursing Research，46(4)，214-221。  new window
5.Belec, R. H.(1992)。Quality of life: Perceptions of long-term survivors of bone marrow transplantation。Oncology Nursing Forum，19(1)，31-37。  new window
6.Ferrans, C. E.、Powers, M. J.(1985)。Quality of life index: Development and psychometric properties。Advances in Nursing Science，8(1)，15-24。  new window
7.周繡玲、顧乃平、劉雪娥、白璐(19970400)。成人急性白血病病患生活品質及其相關因素之探討。護理研究，5(2)，183-191。new window  延伸查詢new window
8.Lipman, R. S.、Covi, L.、Derogatis, L. R.(1973)。SCL-90: An outpatient psychiatric rating scale-Preliminary report。Psychopharmacology Bulletin，9，13-28。  new window
9.Arzouman, J. M. R.、Dudas, S.、Ferrans, C. E.、Holm, K.(1991)。Quality of Life of Patients with Sarcoma Postchemotherapy。Oncology Nursing Forum，18(5)，889-894。  new window
10.Baker, F.、Carbow, B.、Wingard, J. R.(1991)。Role Retention and Quality of Life of Bone Marrow Transplant Survivors。Social Science & Medicine，32(6)，697-702。  new window
11.Berger, A. M.(1993)。Measurement of Fatigue and Quality of Life in Cancer Patients Receiving Chemotherapy。Oncology Nursing Forum，20(2)。  new window
12.Carpenter, J. S.、Brockopp, D. Y.(1994)。Evaluation of Self-Esteem of Women with Cancer Receiving Chemotherapy。Oncology Nursing Forum，21(4)，751-757。  new window
13.Ferrans, C. E.、Powers, M. J.(1992)。Psychosomatic Assessment of the Quality of Life Index。Research in Nursing and Health，15(2)，29-38。  new window
14.Lewis, F. M.、Zahlis, E. H.、Shands, M. E.、Sinsheimer, J. A.、Hammond, M. A.(1996)。The Functioning of Single Women with Breast Cancer and Their School-Aged Children。Cancer Practice，4(1)，15-24。  new window
15.Longman, A. J.、Braden, C. J.、Mishel, M. H.(1999)。Side-Effects Burden, Psychological Adjustment, and Life Quality in Women with Breast Cancer: Pattern of Association Over Time。Oncology Nursing Forum，26(5)，909-915。  new window
16.Michael, M.、Tannock, I. F.(1998)。Measuring Health-Related Quality of Life in Clinical Trials that Evaluate the Role of Chemotherapy in Cancer Treatment。Canadian Medical Association Journal，158(13)，1727-1734。  new window
17.Northouse, L. L.、Caffey, M.、Diechelbohrer, L.、Schmidt, L.、Guziatek-Trojniak, L.、West, S.、Kershaw, T.、Mood, D.(1999)。The Quality of Life of African American Women with Breast Cancer。Research in Nursing & Health，22(6)，449-460。  new window
18.Rustoen, T.、Moum, T.、Wiklund, I.、Hanestad, B. R.(1999)。Quality of Life in Newly Diagnosed Cancer Patients。Journal of Advanced Nursing，29(2)，490-498。  new window
19.Samarel, N.、Fawcett, J.、Krippendrof, K.、Piacentino, J.、Eliasof, B.、Hughes, P.、Kowitski, C.、Ziegler, E.(1998)。Women's Perceptions of Group Support and Adaptation to Breast Cancer。Journal of Advanced Nursing，28(6)，1259-1268。  new window
20.Samarel, N.、Fawcett, J.、Tulman, L.(1997)。Effect of Support Group With Coaching on Adaptation to Early Stage Breast Cancer。Research in Nursing & Health，20(1)，15-26。  new window
21.Waltz, M.(1986)。Marital Context and Post-Infarction Quality of Life: Is it Social Support of Something more?。Social Science & Medicine，22(8)，791-805。  new window
22.Wang, Xingqiu、Cosby, L.、Harris, M.、Liu, Tiepu(1999)。Major Concerns and Needs of Breast Cancer Patients。Cancer Nursing，22(2)，157-163。  new window
23.Williams, T. R.、O'Sullivan, M.、Snodgrass, S. E.、Love, N.(1995)。Psychosocial Issues in Breast Cancer。Psychosocial Issues，98(4)，97-108。  new window
圖書
1.Mangen, D. J.、Peterson, W. A.(1982)。Clinical and Social Psychology, Volume I。Clinical and Social Psychology, Volume I。Minn.。  new window
其他
1.行政院衛生署(2000)。Top Ten Causes of Death in Taiwan，沒有紀錄。  延伸查詢new window
圖書論文
1.Cohen, S.、Mermelstein, R.、Kamarck, T.、Hoberman, H. M.(1985)。Measuring the functional components of social support。Social support: Theory, research and application。Martinus Nijhoff Publishers。  new window
 
 
 
 
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