門診病人接受化學治療之症狀困擾與處置經驗

The Symptom Distress and Management Experience of the Patients Who Received Chemotherapy in the Outpatient Department

本研究的目的在瞭解某醫學中心於門診接受化學治療的病人，所產生的副作用困擾程度、處置經驗及其效果。採結構式問卷進行訪談收集資料，自民國94年3月1日至94年4月15日於門診化學治療中心共收案119位研究對象。研究結果發現如下：個案在接受化學治療後平均每人出現9個副作用，症狀困擾較嚴重的前十項依序為：食慾不振、失眠、嘔吐、掉頭髮、疼痛、排尿型態改變、口腔潰瘍、便秘、噁心、疲倦。個案採處置行為較多的症狀，依序為疲倦、掉頭髮、食慾不振、口乾、噁心，而處置行為主要是從使用藥物、改變自己的飲食及行為活動方面著手。本研究建議應多提供化學治療副作用症狀與可採行的處置方法之衛教單張或諮詢電話，以協助個案改善返家後因副作用所造成的困擾。

The purpose of this study was to investigate the symptom distress from the side effect, themanagement process, and its effect on patients who received chemotherapy in the outpatient departmentof a medical center.We adopted a structured questionnaire, interviewed and collected thedata. 119 patients were recorded in the outpatient chemotherapy center. The results were as thefollowing: After the chemothaerapy, these were in average nine side effects found in each case,and ten critical symptomdistresses including anorexia, insomnia, vomiting, hair loss, pain, incontinence,oral ulcer, constipation, nausea, and fatigue. The main behaviors treatment were medication, adjustingdiet and physical activities. This study suggests that more information pamphlets on side effectsymptoms and adoptable managements or contact methods should be provided in order to improvethe side effect distress of each case after returning home.