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題名:接受放射線治療之腦瘤病患其身心困擾之探討
書刊名:長庚護理
作者:江靜儀陳美伶余文彬黃慈心
作者(外文):Chiang, Chin-yiChen, Mei-lingYu, Wen-pingHuang, Tzu-hsin
出版日期:2001
卷期:12:4=36
頁次:頁271-281
主題關鍵詞:症狀困擾焦慮憂鬱腦瘤放射治療Symptom distressAnxietyDepressionBrain tumorRadiotherapy
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:2
  • 點閱點閱:15
     本研究的目的在探討接受放射線治療之腦瘤病患,於治療期間症狀困擾與心理困擾程度,及其彼此間之相關性。立意取樣29位某醫學中心放射腫瘤治療門診,正在接受放射線治療的腦瘤病患為研究對象,症狀困擾量表及醫院焦慮與憂鬱量表分別測量身體症狀困擾及心理困擾。研究結果顯示,「視覺障礙」為病患最常發生的症狀,其對病患的困擾程度及擔心程度也最高。心理困擾方面,病患焦慮及憂鬱的比例分別為34.5%及31.0%。病患基本屬性與症狀的發生頻率、困擾程度、擔心程度及焦慮、憂鬱皆無相關。症狀的發生頻率、困擾程度及擔心程度都和焦慮有顯著相關;症狀的發生頻率、困擾程度也和憂鬱有顯著相關,但在症狀的擔心程度上和憂鬱並無相關。研究結果可做為臨床人員針對病患困擾的項目發展解決方法的參考,並建議臨床照護上不僅要針對發生頻率高的症狀來處理,更應注意何種症狀是較困擾病患的或為病患所較擔憂的症狀。
     The purpose of this study was to explore the physical and psychological distress of patients with a brain tumor receiving radiotherapy. Purposive sampling was used to collect data from 29 outpatients who were receiving vadiotherapy in a medical center. Symptom distress scale and hospital anxiety and depression scale were used to measure physical symptom distress and psychological distress respectively. Results indicated that visual disorder was the most common symptom and rated as the most distressful and worrisome symptom. For psychological distress, about 34.5% of the patients had anxiety and 31% suffered from depression. However, no correlation was found between demographic characteristics and the frequency of symptom ocurrence, the level of symptom distress, the degree of symptom worry, or the level of anxiety and depression. A significant correlation was found between the frequency of symptom occurrence and level of anxiety, the level of symptom distress and anxiety, and the degree of symptom worry and anxiety. Also, a significant correlation was found between the frequency of symptom occurrence and depression and between the level of symptom distress and depression. No significant correlation was found between the degree of symptom worry and depression. Findings can help nurses developing solutions for specific symptoms. It is suggested that nurses not only focus on high occurrence symptoms, but also on those that are most distressful and worrisome to patients.
期刊論文
1.陳佩英、史麗珠、王正旭、賴裕和、張獻崑、陳美伶(19990700)。疼痛對癌症病患焦慮與憂鬱之影響。臺灣醫學,3(4),373-382。  延伸查詢new window
2.夏孝華、呂慧珍、熊佩韋、吳錦榕(19881000)。放射治療的護理。國防醫學,7(4),358-364。  延伸查詢new window
3.高明見(19900500)。認識腦瘤。防癌雜誌,13,3-4。  延伸查詢new window
4.陳武福(19970500)。腦瘤之臨床徵候。國防醫學,24(5),369-372。  延伸查詢new window
5.曾漢民(19900500)。腦瘤的放射線治療。防癌雜誌,13,16-18。  延伸查詢new window
6.湯梅芬(19950800)。放射線治療與護理之簡介。國防醫學,21(2),156-161。  延伸查詢new window
7.熊佩韋、許文林、林光大(19881000)。體外放射治療常見的併發症及處理。國防醫學,7(4),353-357。  延伸查詢new window
8.蘇絳心(19770400)。接受放射線治療病人之護理。護理雜誌,24(2),46-50。new window  延伸查詢new window
9.Chen, M. L.、Chang. H. K.、Yeh. C. H.(2000)。Anxiety and depression between cancer patients with and without pain。Journal of Advanced Nursing,32(4),944-951。  new window
10.Dodd, M.(1984)。Patterns of self-care in cancer patients receiving radiation therapy。Oncology Nursing Forum,11(1),23-27。  new window
11.Fazekas, J. T.(1977)。Treatment of grade I and II brain astrocytomas: The role of radiotherapy。International Journal of Radiation Oncology, Biology, Physics,2,661-666。  new window
12.Irvine, L.、Jodrell, N.(1999)。The distress associated with cranial irradiation: A comparison of patient and nurse perceptions。Cancer Nursing,22(2),126-133。  new window
13.King, K.、Nail, L.、Kreamer, K.、Strohl, R.、Johnson, J.(1985)。Patients' descriptions of the experience of receiving radiation therapy。Oncology Nursing Forum,12(4),55-61。  new window
14.Kubricht, D.(1984)。Therapeutic self-care demands expressed by out-patients receiving external radiation therapy。Cancer Nursing,7(1),43-52。  new window
15.McCorkle, R.、Quint-Benoliel, J.(1983)。Symptom distress, current concerns and mood disturbance after diagnosis of life-threatening illness。Social Science and Medicine,17(7),431-438。  new window
16.Munro, A.、Biruls, R.、Griffin, A.、Thomson, H.、Vallis, K.(1989)。Distress associated with radiotherapy for malignant disease: A quantitative analysis based on patients perceptions。British Journal of Cancer,60,370-374。  new window
17.Moorey, S.、Watson, M.、Gorman, C.、Rowden, L.、Tunmore, R.、Robertson, B.、Bliss, J.(1991)。The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer。British Journal of Psychiatry,158,255-259。  new window
18.Munro, A.、Potter, S.(1996)。A quantitative approach to the distress caused by symptoms in patients treated with radical radiotherapy。British Journal of Cancer,74,640-647。  new window
19.Nail, L.、King, K.、Johnson, J.(1986)。Coping with radiation treatment for gynecological cancer: Mood and disruption in usual function。Journal of Psychosomatric Qbstetrity Gynaecology,5(2),271-281。  new window
20.Newton, C.、Mateo, M. A.(1994)。Uncertainty: Strategies for patients with brain tumor and their family。Cancer Nursing,17(2),137-140。  new window
21.Peck, A.、Boland, J.(1977)。Emotional reaction to radiation treatment。Cancer,40,180-184。  new window
22.Strohl, R. A.(1988)。The nursing role in radiation oncology: Symptom management of acute and chronic reactions。Oncology Nursing Forum,15(4),429-434。  new window
23.Zigmond, A. Z.、Snaith, R. P.(1983)。The anxiety and depression scale。Acta Psychiatrica Scandinavica,67,361-370。  new window
24.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
研究報告
1.行政院衛生署(19980905)。資訊走廊:衛生資料統計。  延伸查詢new window
學位論文
1.林玲華(2000)。癌病住院病患憂鬱的篩檢(碩士論文)。長庚大學。  延伸查詢new window
2.張玉珠(1996)。肺癌病患接受放射線治療期間疲憊程度及其相關因素探討(碩士論文)。國防醫學院。  延伸查詢new window
3.蔡琇文(1998)。癌症疼痛特質、不確定感與心理困擾之相關性探討(碩士論文)。台北醫學院。  延伸查詢new window
其他
1.莊活力(20010609)。認識腦瘤,http://www.cgmh.org.tw/intr2/c323a/braintumor/bt2.html。  new window
圖書論文
1.Ignatavicius, D. D.、Bayne, M. V.(1991)。Intervention for clients with central nervous system disorders。Medical surgical nursing: A nursing process approach。Philadelphia:W. B. Saunders。  new window
2.Pasacreta, J.、McCorkle, R.(1996)。Psychosocial aspects of cancer。Cancer Nursing。Phiadelphia:W. B. Saunders Co。  new window
 
 
 
 
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