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研究生: 蔡鈊甯
Tsai, Shin Ning
論文名稱: 肺癌患者於治療時期生活品質及失志相關性探討以北部某地區醫院患者為例
The relationship between quality of life and demoralization in patients of lung cancer treatment (Take patients from a hospital in a northern area as an example )
指導教授: 曾治乾
Tseng, Chie-Chien
口試委員: 葉國樑 吳岱穎 周明岳 曾治乾
口試日期: 2022/01/14
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 77
中文關鍵詞: 肺癌生活品質失志症候群困擾溫度計
英文關鍵詞: lung cancer, Quality of Life, Demoralization, Distress Thermometer
研究方法: 現象分析
DOI URL: http://doi.org/10.6345/NTNU202200307
論文種類: 學術論文
相關次數: 點閱:174下載:0
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  • 摘 要
    本研究之目的為探討治療中的肺癌患者的生活品質與失志症候群以及心理痛苦溫度計之間的關係。本研究共蒐集45位確診肺癌並在治療中之病人,以北部某地區教學醫院胸腔科、血液腫瘤科門診個案為收案對象,以問卷方式進行資料蒐集,問卷內容包括個人基本資料人口學變項與疾病特性、生活品質量表(肺癌生活品質問卷(QLQ-LC13)/癌症生活品質核心問卷(LQ-C30))、失志量表(Demoralization Scale Mandarin Version, DS-MV)、困擾溫度計(Distress Thermometer, DT),有效問卷經編碼後以SPSS26版統計軟體進行資料建檔及分析。
    整體而言,研究對象生活品質是屬於不佳,研究對象之失志症候群呈現高失志。本研究結果顯示困擾溫度計第二部分計分對生活品質的預測力為48.1%。困擾溫度計第二部分對生活品質量表之β值.379為最大,影響力最大,其次是失志症候群對生活品質β值為.304,最後為困擾溫度計第一部分對生活品質β值為.303。背景因素中除不同年齡於困擾溫度計第二部分計分具有顯著差異外,其餘均無顯著差異。生活品質與失志症候群、困擾溫度計的相關性分析中顯示生活品質與失志症候群有顯著相關。另生活品質分別與困擾溫度計第一部分計分及第二部分計分皆有顯著相關,因此可推論失志症候群、困擾溫度計對生活品質有顯著影響。
    未來研究方向建議可增加腫瘤個案管理師介入後之生活品質、心理層面調適等因素之探討。

    Abstract
    This study purposed to explore the correlations between European Organization for Research and Treatment Quality of Life, Demoralization Scale Mandarin Version, and Distress Thermometer in lung cancer patients. A total of 45 patients diagnosed with lung cancer and under treatment were collected. The subjects were outpatients of the department of thoracic and hematology and oncology in a regional teaching hospital in Taipei. Questionnaire survey was conducted to collect subjects' demographic information, quality of life scale (Lung Cancer Quality of Life Questionnaire, QLQ-LC13); Cancer Quality of Life Core Questionnaire (LQ-C30), Depression Scale (Demoralization Scale Mandarin Version, DS-MV), and Distress Thermometer (Distress Thermometer, DT). Valid questionnaires were coded and SPSS26 statistical software was used for data filing and analysis.
    The results showed subjects' quality of life were poor, and their dementia syndrome in this study showed a high level of dementia. The β value of the second part of the distress thermometer on the quality of life scale is .379, which has the greatest influence of the all and can predict 48% of the variance of quality of life; followed by the β value of the dementia syndrome on the quality of life .304; then β value of the first part of the distress thermometer, .303.
    The subjects in different age groups showed significant difference in the scores of the second part of the distress thermometer, while other demographic parameters showed no significant difference. The subjects' quality of life is significantly correlated with their demoralization syndrome. And their quality of life was also significantly correlated with the scores of the first part and the second part of the distress thermometer respectively. So it can be inferred that the demoralization syndrome and the distress thermometer had a significant impact on the quality of life scale.
    Suggestions for future research should include the discussion on the improvement of quality of life and psychological adjustment after intervention by oncology case managers.

    第一章 緒論1 第一節 研究背景與動機2 第二節 研究目的 6 第三節 研究問題 7 第四節 研究假設 8 第五節 名詞解釋 9 第六節 研究限制 14 第二章 文獻探討 15 第一節 肺癌流行病學及治療準則15 第二節 肺癌患者的失志19 第三節 肺癌患者的生活品質22 第四節 失志症候群與生活品質25 第三章 研究方法 29 第一節 研究對象 29 第二節 研究架構 30 第三節 研究實施與步驟31 第四節 研究工具32 第五節 資料分析方法36 第四章 研究結果與討論37 第一節 研究樣本之描述性統計37 第二節 生活品質、失志症候群及困擾溫度計量表得分情形39 第三節 治療中肺癌患者基本變項之生活品質、失志差異性53 第四節 治療中肺癌患者之生活品質與失志症候群相關性55 第五章 結論與建議58 第一節 結論58 第二節 建議59 中文文獻60 英文文獻62 附錄1-癌症病人生活品質問卷70 附錄2-失志量表 (DS-MV)75 附錄3-困擾溫度計(Distress Thermometer, DT)77

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