臺灣博碩士論文加值系統

本研究主要探討子宮頸癌病患的症狀困擾與憂鬱情況，及其相關因素對於生活品質之關係。以橫斷性調查研究法，採立意取樣方式，於南部兩間醫學中心婦產部進行為期7 個月收案期；共收集100位子宮頸癌患者。問卷內容包括基本資料問卷、症狀困擾問卷、憂鬱量表、生活品質量表等來收集資料，以描述性統計分析、t 檢定、變異數分析、皮爾森積差相關及複迴歸分析等統計方法分析資料。結果顯示:排便改變、疲倦、失眠、排尿改變是子宮頸癌患者感到最困擾的症狀；71%患者有憂鬱情形，其憂鬱與症狀困擾成正相關。個案的年齡及身體狀態與整體生活品質達顯著負相關；教育程度、家庭月收入與生活品質達顯著正相關，憂鬱、症狀困擾與整體生活品質呈負相關；憂鬱及年齡對於整體生活品質可解釋的總變異數為30.5%。此結果可提供給護理人員了解子宮頸癌患者的生理及情緒的需求情況，提供個別及適當的照護，以增進病患的生活品質。

The main purpose of this study was to analyses the correlation of symptom distress and depression with quality of life (QoL)in the patient of cervical cancer. This is a cross-sectional study including 100 patients selected by purposively sampling. This study had investigated for seven months in two medical centers of Kaohsiung and Tainan. The questionnaires included basic information, symptom distress Scale, Beck Depression Inventory (Short Form-13), EORTC-QLO-C30. The data were anlaysed by descriptive statistics analysis, t-test, one-way ANOVA, Person Correlation Coefficients, and multiple regression. The result of the study displayed the most symptom distress in cervical cancer patients were bowel movement change, fatigue, insomnia and urination change. And 71% of cervical cancer patients have depression. The depression and symptom distress have positive correlation. The age and performance status are significantly negative correlation with QoL. The degress of education and home income are significantly positive correlation. Depression and symptom distress are negative correlation with QoL. The coeffiecient of determination of depression and age to QoL is 30.5%. The result of this study can provide health provider to more understand the needs and complication of cervical cancer patients. Therefore, we can provide more professional and individual care and also enhance the QoL of cervical cancer patient.

目錄頁次
中文摘要……………………………………………………………………i
英文摘要……………………………………………………………………ii
誌謝………………………………………………………………………iii
目錄……………………………………………………………………iv
表目錄……………………………………………………………………v
第一章緒論
第一節研究背景……………………………………………………1
第二節研究動機……………………………………………………2
第三節研究目的……………………………………………………4
第二章文獻查證5
第一節子宮頸癌病因症狀及治療5
第二節症狀困擾11
第三節憂鬱…………………………………………………………16
第四節生活品質……………………………………………………18
第三章研究方法24
第一節研究架構…………………………………………………24
第二節研究假設及名詞解釋………………………………………25
第三節研究對象……………………………………………………27
第四節研究設計……………………………………………………28
第五節研究步驟……………………………………………………28
第六節研究倫理與人權保障………………………………………29
第七節研究工具…………………………………………………30
第八節研究工具信效度檢測………………………………………36
第九節資料處理……………………………………………………38
第四章研究結果…………………………………………………………40
第一節子宮頸癌患者之基本屬性分析41
第二節子宮頸癌患者症狀困擾之分析43
第三節子宮頸癌患者憂鬱程度之分析45
第四節子宮頸癌患者生活品質之分析47
第五節子宮頸癌病患基本屬性變項與症狀困擾、生活品質之關係51
第六節子宮頸癌患者之症狀困擾與憂鬱、生活品質之相關性…59
第七節生活品質之複迴歸分析61
第五章討論……………………………………………………………63
第一節子宮頸癌患者症狀困擾、憂鬱、生活品質概況63
第二節子宮頸癌患者基本屬性與症狀困擾之關係67
第三節子宮頸癌患者基本屬性與生活品質之關係68
第四節子宮頸癌患者症狀困擾與憂鬱之相關性…………………70
第五節子宮頸癌病患的症狀困擾、憂鬱對於生活品質之相關性71
第六節生活品質的預測因素72
第六章結論與建議74
第一節結論…………………………………………………………74
第二節護理照護之應用……………………………………………75
第三節研究限制與建議……………………………………………77
參考文獻79
中文部份……………………………………………………………79
英文部份83
附錄1 國際婦產科聯盟子宮頸癌分期92
附錄2 專家效度名單93
附錄3 問卷調查量表95
研究個案參與研究同意書…………………………………………95
第一部份: 基本資料………………………………………………96
第二部份: 症狀困擾量表（SDS）………………………………97
第三部份: 憂鬱程度(Beck Depression Inventory,Short Form-13) 98
第四部份: EORTC-QLO-C30 生活品質中文版問卷100
附錄4 量表使用同意授權同意函10
表格目錄
表3-7-1 季瑋珠等人(2002)鼻咽癌病人之生活品質測試信度…………34
表3-8-1 研究工具量表信度分析………………………………………37
表4-1-1 子宮頸癌患者基本屬性之資料分析………………………42
表4-2-1 子宮頸癌患者症狀困擾描述分析………………………………44
表4-3-1 子宮頸癌患者憂鬱狀態程度描述分析…………………………46
表4-3-2 子宮頸癌患者憂鬱程度描述分析………………………………46
表4-4-1 子宮頸癌患者EORTC QLQ C-30 生活品質描述分析………48
表4-4-2 子宮頸癌患者EORTC QLQ C-30 生活品質各題描述分析…49
表4-5-1 子宮頸癌患者基本屬性與症狀困擾之差異性分析…………51
表4-5-2 子宮頸癌患者基本屬性與症狀困擾之相關性分析…………52
表4-5-3 子宮頸癌患者基本屬性與身體弁鄐妙t異性分析……………55
表4-5-4 子宮頸癌患者基本屬性與角色弁鈱D組之差異性分析………55
表4-5-5 子宮頸癌患者基本屬性與情緒弁鈱D組之差異性分析……56
表4-5-6 子宮頸癌患者基本屬性與認知弁鈱D組之差異性分析………56
表4-5-7 子宮頸癌患者基本屬性與社會弁鈱D組之差異性分析………57
表4-5-8 子宮頸癌患者基本屬性與整體生活品質之差異性分析………57
表4-5-9 子宮頸癌患者基本屬性與生活品質之相關性分析…………58
表4-6-1 子宮頸癌患者症狀困擾與憂鬱之相關性分析………………59
表4-6-2 子宮頸癌患者症狀困擾與生活品質之相關性分析…………59
表4-6-3 子宮頸癌患者憂鬱與生活品質之相關性分析………………60
表4-7-1 共線性之診斷……………………………………………………62
表4-7-2 整體生活品質之因素複迴歸分析檢定………………………62
圖目錄
圖31 子宮頸癌患者症狀困擾、憂鬱及生活品質之研究架構………24

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