台北市某區域教學醫院大腸直腸癌症病人失志症候群及困擾溫度計對生活品質相關因素探討

Abstract

本研究目的為探討失志症候群及困擾溫度計大腸、直腸癌患者生活品質相關影響因素。本研究採橫斷式研究，自2020年8月至2021年7月間，於北部某區域教學醫院門診及住院收案，採立意取樣針對大腸、直腸癌症的患者共109位進行調查。以「失志量表」、「困擾溫度計」及「生活品質問卷」為研究工具。結果顯示大腸、直腸癌症患者失志量表平均得分為25.75分（SD=16.10），困擾溫度計平均得分為3.30分（SD=2.72），生活品質功能性指標平均得分為76.75分（SD=17.47）；生活品質症狀性指標平均得分為21.08分（SD=15.05），在接受治療中與治療後的患者之間有顯著差異；癌症不同期別的患者在失志量表、困擾溫度計及生活品質問卷的得分皆有顯著差異；研究發現困擾溫度計可做為失志症候群的重要預測因子，可預測失志症候群78%之變異量。期盼透過本研究讓醫療照護者能主動關注大腸、直腸癌化學治療患者的失志程度及困擾溫度指數，主動提供心理照護上的支持。

The purpose of this study is to explore the factors that affect colorectal cancer patients' quality of life with demoralization syndrome and Distress Thermometer. A cross-sectional survey was taken place from August 2020 to July 2021, collecting the outpatient and inpatient admissions of a regional teaching hospital in Taipei. A total of 109 patients with colorectal cancer were sampled and the participants' "DS-MV", "Distress Thermometer" and "quality of life" data were collected. The results of the study showed that the average score of the DS-MV for colorectal cancer patients was 25.75 (SD=16.10). The average score of the Distress Thermometer was 3.30 (SD=2.72). The average score of the functional indicators of quality of life was 76.75 (SD=17.47) ; and the average score of symptomatic indicators of quality of life is 21.08 points (SD=15.05). There is a significant difference between receiving treatment patients and after treatment patients. The difference between each cancer stage are also significant in the DS-MV, Distress Thermometer and quality of life questionnaire.The Distress Thermometer is found to be an important predictor for Demoralization syndrome, which can predict 78% of the variance of the demoralization syndrome. It is hoped that through this research, medical caregivers can start to pay more attention on Demoralization syndrome and Distress Thermometer when patients are undergoing chemotherapy for colorectal cancer, and to actively provide psychological care support.