癌症病患症狀困擾與不確定感關係之探討

The Investigation of the Relationship Between Symptom Distress and Uncertainty

本研究目的在了解癌症病患之基本資料及症狀困擾對癌症病患疾病不確定感的影響。研究設計採橫斷式相關研究方法，以東部某醫學中心及東北部某區域教學醫院腫瘤科癌症病患為母群體採方便取樣，共收案100名，分有無癌症疼痛者50名，癌症疼痛者50名，利用結構式問卷及深入訪談進行研究。統計方法以SPSS10.0軟體採相關性分析。研究結果顯示：非疼痛的癌症病患在疾病不確定感得分3.20低於疼痛組3.39(t=2.78，p<0.00)；非疼痛的癌症病患症狀困擾得分4.29低於疼痛組4.56(t=-1.36，p<0.00)；非疼痛組與疼痛組的癌症病患不確定感，症狀困擾，影響癌症病患不確定感方面的變項統計中發現，症狀困擾可解釋不確定感之總變異量達31%，本研究結果可使護理人員明白癌症病患症狀困擾與不確定感的關係，進而設計介入措施以改善病患症狀困擾降低不確定感提升癌症病患的生活品質。The purpose of this study was to understand the effects of demographic characteristics and symptom distress of uncertainty in patients with cancer. Cross-sectional and correlational study was conducted. One hundred subjects, of a hospital in Eastern Taiwan were recruited, used convenience sampling. These subjects were divided into two groups, pain (n=50) and non-pain groups (n=50). A structured questionnaire and in-depth interview were used to assess the pain of patients with cancer. Correlational analysis was used to analyze data, using SPSS 10.0 software. The results indicated that, regarding uncertainty, there was a statistically significant difference between pain and non-pain groups (t=2.78, p<0.00). Furthermore, regarding symptom distress, there was also a statistically significant difference between the two groups (t=-1.36, p<0.00). Symptom distress that explained 31% variances in uncertainty was the most predictive variable to predict uncertainty in the whole groups. Based on the findings of this study, health providers develop interventions to decrease patients' uncertainty and symptom distress. Hopefully, their Quality of life could be improved.