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研究生:張清棊
研究生(外文):Ching-Chi Chang
論文名稱:乳癌患者的憂鬱症與家庭支持之關聯性
論文名稱(外文):The relationship between depression and family support in breast cancer patients
指導教授:賴德仁賴德仁引用關係林志立
指導教授(外文):Te-Jen LaiChih-Li Lin
學位類別:碩士
校院名稱:中山醫學大學
系所名稱:醫學研究所
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:38
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本文採用橫斷式研究,探討台中某綜合醫院從2011年10月24日起至2012年9月27日就診之女性乳癌患者憂鬱症的盛行率、相關因子以及家庭支持度之關聯。研究採用Smilkstein家庭關懷量表評估家庭支持狀態、而憂鬱症的診斷則由受過訓練的研究護士使用結構式診斷問卷等方式進行。本研究共收集到300位研究個案,研究結果發現(1)乳癌患者之重度憂鬱症盛行率為8.33%,較國外大部分研究為低。(2)乳癌患者之憂鬱症與慢性疼痛相關。(3)乳癌患者之憂鬱症與患者是否接受放射治療、罹癌期間長短相關(4)乳癌患者之憂鬱症,與家庭關懷支持程度相關。本研究為原創性研究,獨立收集初級資料並分析,結果不僅可供心理腫瘤醫學領域參考、更可作為精神科相關研究之依據。研究限制方面,本研究為個案數稍嫌不足,且為一橫斷式研究,故無法判斷因果關係,未來可以考慮世代追蹤(cohort follow up)研究,當可獲得更為清楚之訊息。

This study is a cross-sectional study. We tried to explore the prevalence of major depressive disorder and related psychosocial factors in breast cancer patients. We also tried to evaluate the relationship between family support and the diagnosis of major depressive disorder. Data of the study are from breast cancer clinic of a general hospital in central Taiwan between 24, Oct, 2011 and 27, Sep, 2012. We used self-reported questionnaire: family APGAR index, to evaluate family support. We found that the prevalence of major depressive disorder of breast cancer patient is 8.33%, which is slightly lower than the previous studies. We also found the prevalence of major depressive disorder of breast cancer patient is related to chronic pain, the time elapsed since diagnosis, and the treatment of radiotherapy. We also confirmed the relationship between lacking of family support and major depressive disorder in breast cancer patients. Our result maybe renders a reference to health-providers and researchers, and may support more advanced studies in the field of cancer and psycho-oncology in the future. Limitation includes our study is cross-sectional, so causality can’t be clarify without more cohort follow study in the future.

目錄
目錄 I
表目錄 II
中文摘要 III
英文摘要 IV
第一章 緒論 01
第一節 研究動機 01
第二節 研究目的 01
第三節 研究問題 02
第四節 研究的重要性 02
第二章 文獻探討 03
第一節 國內外的乳癌盛行現況 03
第二節 乳癌患者的心理衝擊 04
第三節 乳癌患者罹患憂鬱症的危險因子 05
第四節 乳癌患者的家庭支持 07
第三章 研究方法 09
第一節 資料來源 09
第二節 收案標準 10
第三節 資料收集—問卷與量表 10
第四節 資料分析與統計方法 11
第四章 研究結果 13
第一節 基本人口學資料 13
第二節 憂鬱症與心理社會因子分析 13
第三節 憂鬱症與乳癌治療相關因子之分析 14
第四節 憂鬱症與家庭支持之分析 14
第五節 相關因子整體之多變項邏輯迴歸分析 15
第五章 討論 16
第六章 結論、建議與研究限制 22
參考文獻 24
表格 31
附錄 37



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