Background:
The high incidence of cancer and subsequent treatment is likely to bring many temporary or permanent social-psychological problems. Reviewing cancer survivor cases demonstrates that many suffer from emotional distress that falls short of clinical criteria for anxiety disorder or depression. However, the secondary symptoms interfere with the quality of ordinary life quality, showing the significance of a psychological change in curing cancer patient
Objective:
In view of the increasing number of cancer patients and new cancer patients, this study investigates the cases with a primary DT>5 points, finding how psychosomatic interventions' risk and difference affect patients emotional distress and life quality.
Methods:
This is a cross-sectional questionnaire survey is used to collect data from the cancer patients diagnosed with DT ≥ 5 points for the first time in a cancer hospital in Taipei City. Particularly, DT table, HADS (Hospital Anxiety and Depression Scale), WHOQOL-BREF (World Health Organization Brief Questionnaire), SPSS 20 statistical software is adopted for data filing and analysis.
Results:
By analyzing the difference in demographic characteristics and scale scores, this study finds the female, over 60 years old, unpartnered, highly educated, unemployed, living alone, lower income, higher stage of cancer, have recurrence that emotional distress is comparatively high. On the contrary,Male, under 59 years old, with a companion, with a job, high education level, living with family members, high income level, and no recurrence had better quality of life. Demographic characteristics and risk and correlation analysis of psychosomatic intervention, female, under 59 years old, high cancer stage, malignant neoplasms of lymphoid and haematopoietic related tissue, living with family members, less education, no partner, housewives, and those with higher incomes, and those with relapses had a higher risk of psychosomatic intervention. The overall multiple regression model did not reach a statistically significant level for DT, depression and anxiety after controlling for demographic characteristics. The pattern explained 13% of the predictive power of psychosomatic interventions for quality of life, and the overall scores for quality of life in the malignant neoplasms of lymphoid and haematopoietic related tissue,and those with a companion were higher than those of the other groups, and were comparable to psychosomatic interventions,it shows a statistically significant level.
Conclusion:
This study demonstrates the anxiety levels are more significant than depression levels. The women's anxiety level is higher than men's, and the many of elderly suffers from emotional distress. Age and work status have a significant in depression level, marital status and DT have a significant correlation with quality of life, work status has a positive correlation with quality of life, and cancer category has a significant correlation with environment in quality of life.The psychosomatic intervention effectively improves life quality, while the group without psychosomatic intervention did not. Monitoring patients' emotions and providing psychotherapeutic or psychosocial resources for cancer patients for patients who have emotional distress (DT>5) but have not been intervened by the Department of Psychiatry, a specific psychological tumor screening ,and monitoring plan should be formulated in the follow-up treatment process to ultimately improve or alleviate the psychosocial problems of cancer patients , get the best quality of life.
誌謝
中文摘要…………………………………………………………..………………………… I
英文摘要…………………………………………………………………………………… III
目錄……………………………………………………………………………….………… V
圖次………………………………………………………………………………………. VII
表次………………………………………………………………………………………. VII
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