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

Abstract

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 psychologicaladjustment after intervention by oncology case managers.