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摘要
外文摘要
引文資料
題名:
影響頭頸部癌症病患在化學治療期間疲憊程度之探討
書刊名:
弘光學報
作者:
賴俊宏
/
黃采薇
作者(外文):
Lai, June-hung
/
Huang, Tsai-wei
出版日期:
2006
卷期:
49
頁次:
頁59-69
主題關鍵詞:
化學治療
;
憂鬱
;
疲憊
;
症狀困擾
;
Chemotherapy
;
Fatigue
;
Depression
;
Symptom distress
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
28
點閱:48
化學治療在整體癌症的角色很重要,可單獨治療,亦可成為手術及放射線治療的輔助療法,對許多癌症有不錯的療效。但化學治療可能產生許多副作用,其中,疲憊為化學治療過程中病人自覺最嚴重副作用之一,病人可能因此而中斷治療。本研究目的即為了瞭解頭頸部癌症患者在接受化學治療期間疲憊的變化情形及影響疲憊的相關預測因子。 本研究採縱貫性、相關性研究設計,選取接受化學治療之頭頸部癌症病患為研究對象,利用症狀困擾量表、情緒狀態量表--焦慮、憂鬱及疲憊次量表,及視覺類比量表收集資料。利用SAS統計軟體,以獨立t檢定、ANOVA、皮爾森積差相關及廣義估計方程組(Gee)等統計法分析資料。研究結果發現:(1)在症狀困擾部分,發現噁心、嘔吐、食慾影響、失眠、疲憊、腹脹、焦躁不安及胃灼熱等症狀,在經過化學治療後有明顯增加情形,達到統計上顯著意義;其中,口乾、疼痛、焦躁不安及疲憊在化學治療前、後均嚴重困擾病人;(2)焦慮及憂鬱困擾情形在接受化學治療期間有增加情形,但並未達到統計上顯著差異;(3)疲憊程度在接受化學治療第二天、第三天、第四天的疲憊程度明顯高於化學治療前;(4)在化學治療前及後,憂鬱、焦慮及症狀困擾程度越高,疲憊程度愈高(r=0.799,r=0.712,及r=0.689,p<0.001)。在基本屬性部分,發現不識字的病人在化學治療後的疲憊程度較高中職以上病人高;(5)化學治療之憂鬱量表及症狀困擾量表為疲憊的預測因子。本研究結果能瞭解影響頭頸部癌症病患在接受化學治療期間疲憊的變化及其預測因子,可協助護理人員增進對病患的了解,進而協助病患減少痛苦。
以文找文
Chemotherapy plays an important role in cancer therapy. Chemotherapy is effective for many cancers whenever it si used alone or adjuvant used with surgery and radiotherapy. Clinically, some cancer patients want to abandon chemotherapy because they are afraid of chemotherapy itself or intolerant of its side effects. Some patients can accept complete course of chemotherapy. But some cancer patients accept chemotherapy intermittently due to hesitating about it. The study is a descriptive, longitudinal research design. The subjects are adults head and neck cancer patients who receiving chemotherapy in a medical canter. Symptoms distress scales, Anxiety and Depression scales, Fatigue scales and VAS were used. The SAS will be used for computation and analysis of data. Independent t-test, Pearson's Product-Moment Correlation analysis and Generalized estimating equations (GEE) will be used to assessment the related factors about fatigue of cancer patients. The results of our study reveal: (1) About Symptoms distress scales: The symptoms including nausea, vomiting, appetite charge, insomnia, fatigue, abdominal distended, irritability, and stomach burning sensation were decreased significantly after chemotherapy compared with those before chemotherapy. (P<0.05); (2) About anxiety and Depression: Anxiety and depression were increased in patients after chemotherapy compared with those before chemotherapy. But there were no significant difference; (3) About fatigue: The fatigue level was increased significantly on the 2nd, 3rd, 4th day of chemotherapy compared with that before chemotherapy. (P<0.05); (4) Before chemotherapy, the more severe of depression and anxiety, the more severe of fatigue. After chemotherapy, it was same as the result before chemotherapy. About general characters: The fatigue level after chemotherapy was increased significantly in the education (5) Depression and symptom distress were predictive of fatigue during chemotherapy. The results of our research can help us to understand the fatigue change and it's predict factors in head and neck cancer patients during receiving chemotherapy. It can help nurses to know the fatigue level in cancer patients, and leads to decrease patients suffering.
以文找文
期刊論文
1.
Myers, E. N.、De Boer, M. F.、McCormick, L. K.、Pruyn, J. F. A.、Ryckman, R. M.、Van den orne, B. W.(1999)。Physical and psychosocial correlates of head and neck cancer: A review of the literature。Otolaryngology Head Neck Surgery,120(3),427-436。
2.
Bower, J. E.、Ganz, P. A.、Desmond, K. A.、Rowand, J. H.、Meyerowitz, B. E.、Belin, T. R.(2000)。Fatigue in breast cancer survivors: Occurrence, correlates, and impact on quality of life。Journal of Clinical Oncology,18,743-753。
3.
Vogelzang, N. J.、Breitbart, W.、Cella, D.、Curt, G. A.、Groopman, J. E.、Horning, S. J.、Itri, L. M.、Johnson, D. H.、Scherr, S. L.、Portenoy, R. K.(1997)。Patient, caregiver, and oncologist perceptions of cancer-related fatigue: Results of a tripart assessment survey。Seminars in Hematology,34(3 Suppl. 2),4-12。
4.
Tanghe, A.、Evers, G.、Paridaens, R.(1998)。Nurses assessments of symptom occurrence and symptom distress in chemotherapy patients。European Journal of Oncology Nursing,2(1),14-26。
5.
Sadler, I. J.、Jacobsen, P. B.、Booth-Jones, M.、Belanger, H.、Weitzner, M. A.、Fields, K. K.(2002)。Preliminary evaluation of a clinical syndrome approach to assessing cancer-related fatigue。Journal of Pain and Symptom Management,23(5),406-416。
6.
Piper, B. F.、Lindsey, A. M.、Dodd, M.(1987)。Fatigue mechanisms in cancer patients: Developing nursing theory。Oncology Nursing Forum,14(6),17-23。
7.
Padilla, G. A.、Presant, C.、Grant, M. M.、Metter, G.、Lipsett, J.、Heide, F.(1983)。Quality of life index for patients with cancer。Research in Nursing and Health,6(3),117-126。
8.
Nail, L.、Jones, L.、Greene, D.、Schipper, D.、Jensen, R.(1991)。Use and perceived efficacy of self-care activities in patients receiving chemotherapy。Oncology Nursing Forum,18(5),883-887。
9.
Nail, L.、King, K.(1987)。Fatigue...a side effect of cancer treatments。Seminars Oncology in Nursing,3(4),257-262。
10.
Ashbury, F. D.、Findlay, H.、Reynolds, B.、McKerracher, K.(1998)。A Canadian survey of cancer patients' experiences: Are their needs being met?。Journal of Pain and Symptom Management,16(5),298-306。
11.
Broeckel, J. A.、Jacobsen, P. B.、Balducci, L.、Lyman, G. H.(1998)。Characteristics and correlates of fatigue after adjuvant chemotherapy for breast cancer。Journal of Clinical Oncology,16(5),1689-1696。
12.
Brunier, G.、Graydon, J.(1996)。A comparison of two methods of measuring fatigue in patients on chronic haemodislysis: visual analogue vs. likert scale。Internal Journal of Nursing study,33(3),338-348。
13.
Aistars, J.(1987)。Fatigue in the cancer patient: A conceptual approach to a clinical problem。Oncology Nursing Forum,14(6),25-30。
14.
EI-Banna, M. M.、Berger, A. M.、Farr, L.、Foxall, M. J.、Friesth, B.、Schreiner, E.(2004)。Fatigue and depression in patients with lymphoma autologous peripheral blood stem cell transplantation。Oncology Nursing Forum,31(5),937-944。
15.
Cassileth, B.、Lusk, E.、Bodenheimer, B.、Farber, J.、Jochimsen, P.、Morrin-Taylor, B.(1985)。Chemotherapy toxicity-the relationship between patients pretreatment expectations and post treatment results。America Journal of Clinical Oncology,8,419-425。
16.
Longman, A. J.、Braden, C. J.、Mishel, M. H.(1997)。Pattern of association over time of side-effects burden, self-help, and self-care in women with breast cancer。Oncology Nursing Forum,24(9),1555-1560。
17.
Sarna, L.(1998)。Effectiveness of structured nursing assessment of symptom distress in advanced lung cancer。Oncology Nursing Forum,25(6),1041-1048。
18.
賴裕和(19980800)。門診接受化學治療病人之症狀困擾及居家護理需求探討。護理研究,6(4),279-289。
延伸查詢
19.
Gift, A. G.(1989)。Visual Analogue Scales: Measurement of Subjective Phenomena。Nursing Research,38(5),286-288。
研究報告
1.
行政院衛生署(2002)。中華民國九十一年衛生統計(一):公務統計。行政院衛生署。
延伸查詢
學位論文
1.
孫秀卿(1999)。男性肝癌病患接受經導管肝動脈栓塞治療期間疲倦型態及其相關因素之探討(碩士論文)。台北醫學院。
延伸查詢
2.
梁淑媛(1999)。疼痛對門診癌症病人及其家屬之情緒衝擊(碩士論文)。台北醫學院。
延伸查詢
3.
楊文琪(1996)。接受化學治療之血液腫瘤病患其身心社會困擾與自我照顧、社會支持的相關性探討(碩士論文)。國立陽明大學。
延伸查詢
圖書論文
1.
Winningham, M. L.、Nail, L. M.(1993)。Fatigue。Cancer nursing: Principle and practice。Boston:Jones & Bartlett。
2.
Jacobs, L.O.、Piper, B. F.(1996)。Cancer nursing: A comprehensive textbook。The phenomenon of fatigue and the cancer patient。New York:Sunders。
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