自我照顧方案對乳癌病患接受化學治療期間疲憊程度的改善成效之
探討
The Effects of Self-Care Program on Decreasing Fatigue in Breast Cancer Patients Receiving Chemotherapy
中文摘要
論文名稱:自我照顧方案對乳癌病患接受化學治療期間疲憊程度的改善成效之探 討
研究所名稱:臺北醫學大學護理學研究所 研究生姓名:陳麗雪
畢業時間:九十三學年度第二學期
指導教授:賴裕和 臺北醫學大學護理學研究所教授
疲憊是乳癌病患接受化學治療期間最困擾的症狀,為改善乳癌病患於化學治療期 間的疲憊問題,本研究目的在測試自我照顧方案對於術後乳癌病患接受輔助性化 學治療期間疲憊改善的成效。研究設計採實驗法及前、後縱貫式收集資料,選取 符合收案條件之乳癌病患,以抽籤方式將個案隨機分派到實驗組(接受疲憊自我 照顧方案)及控制組(接受一般常規照護),實驗組 10 人,控制組 13 人,比較 兩組在化學治療前、化學治療後第 7 天、化學治療後第 21 天、再次化學治療後 第 7 天、再次化學治療後第 21 天的疲憊程度及焦慮憂鬱程度的變化及差異。分 析方法採描述性分析、卡方檢定、獨立 t 檢定、單因子變異數分析及重複測量變
異數分析。研究結果:(1)兩組個案的疲憊程度、焦慮及憂鬱程度在化學治療後
第七天明顯高於前測和化學治療後第二十一天且在統計上有顯著的差異;(2)兩
組個案的疲憊程度、焦慮及憂鬱程度,經介入自我照顧方案後,兩組前後測的改 變量在統計上沒有顯著差異(p > .05)。
關鍵詞:自我照顧方案、乳癌、化學治療、疲憊、焦慮、憂鬱
英文摘要 Abstract
Title of Thesis: The Effects of Self-Care Program on Decreasing Fatigue in Breast Cancer Patients Receiving Chemotherapy
Institution: Graduate Institute of Nursing, Taipei Medical University
Author: Li-Hsueh Chen
Thesis directed by: Yeur-Hur Lai, Ph. D., Professor
Fatigue is one of the most annoyed problems in the breast cancer patients receiving chemotherapy. The purpose of this study is to assess the effects of self-care program on decreasing fatigue in breast cancer patients receiving adjuvant chemotherapy. A control clinical trial was conducted to evaluate the effects of the self-care program.
Eligible breast cancer patients were randomized assigned into experimental group (receiving fatigue self-care program) (n=10) or control group (receiving routine hospital care) (n=13). Fatigue experiences were evaluated by the levels of fatigue, anxiety and depression across 5 time points (pre-chemotherapy, the 7th and 21 days of both first and courses of chemotherapy). Data were analyzed by descriptive statistics, Chi-Square test, t-test, one-way ANOVA and repeated measures ANOVA. The results showed that there were no statistical differences in the levels of fatigue, anxiety and depression between control and experimental groups. Possible reasons for the results were discussed. Future study should further validate the effects of this fatigue
self-care program after considering the potential reasons found in this study.
Key word: breast cancer, chemotherapy, self-care, fatigue, anxiety