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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 蕭妃秀(Fei-Hsiu Hsiao) | |
dc.contributor.author | Chia-Chen Hsieh | en |
dc.contributor.author | 謝佳真 | zh_TW |
dc.date.accessioned | 2021-06-13T07:54:40Z | - |
dc.date.available | 2016-10-07 | |
dc.date.copyright | 2011-10-07 | |
dc.date.issued | 2011 | |
dc.date.submitted | 2011-07-21 | |
dc.identifier.citation | 參考資料
中文部份 行政院衛生署國民健康局(2009)•中華民國九十七年癌症登記年度報告•民100年6月5日,取自:http://crs.cph.ntu.edu.tw/crs_c/ annual.html 王功亮、陳子健、陳祈安(2004)•上皮性卵巢癌之治療•台灣醫學,8(5),738-743。 王鵬會(2006)•子宮內膜癌•中華民國婦癌醫學雜誌,2,7-10。 許維中、鐘娜娜、陳宇嘉、詹淑卿、丁禮莉、蔡崇煌等人(2004)。早期子宮頸癌治療後長期生活品質之研究•中華放射醫誌,29,21-28。 陳祈安(2003)•子宮頸癌之治療•台灣醫學,7(6),954-957。 謝佳琳(2006)•子宮頸癌簡介•中華民國婦女內膜異位症婦女協會會刊,13(3),8-8。 國家衛生研究院(2004)•子宮頸癌篩檢、子宮頸癌、子宮內膜癌、上皮性卵巢癌臨床指引•台北市:臺灣癌症臨床研究合作組織婦癌研究委員會。 曾文星、徐靜(2005)•新編精神醫學(二版)•台北市:水牛。 賴虹均(2008)•癌症患者的憂鬱症•腫瘤護理雜誌,8(1),1-11。 英文部分 Anderson, B., & Lutgendorf, S. (2000). Quality of life as an outcome measure in gynecologic malignancies. Current Opinion in Obstetrics and Gynecology, 12, 21-26. Andrykowski, M. A., Lykins, E., & Floyd, A. (2008). Psychological Health In Cancer Survivors. Seminars in Oncology Nursing, 24(3), 193-201. Auchincloss, S. S.(1995). After treatment. Psychosocial issues in gynecologic cancer survivorship. Cancer, 76(10 Suppl), 2117-2124. Badr, H., & Taylor, C. L. (2008). Effects of Relationship Maintenance on Psychological Distress and Dyadic Adjustment Among Couples Coping With Lung Cancer. Health Psychology. 27(5), 616-627. Bartoces, M. G., Severson, R. K., Rusin, B. A., Schwartz, K. L., Ruterbusch, J. J., & Neale, A. V. (2009). Quality of Life and Self-Esteem of Long-Term Survivors of Invasive and Noninvasive Cervical Cancer. Journal of Women’s Health, 18(5), 655-661. Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. (1996). Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588-597. Becze, E. (2009). Identify and treat sleep-wake disturbances in patients with cancer. ONS connect, 24(10), 18-19. Boyes, A. W., Girgis, A., Zucca, A. C., & Lecathelinais, C. (2009). Anxiety and depression among long-term survivors of cancer in Australia: results of a population-based survey. Medical Journal of Australia, 190(7), 94-98. Bradley, S., Rose, S., Lutgendorf, S., Costanzo, E., & Anderson, B. (2006). Quality of life and mental health in cervical and endometrial cancer survivors. Gynecologic Oncology, 100, 479-486. Carpenter, K. M., Andersen, B. L., Fowler, J. M., & Maxwell, G. L. (2009). Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors. Arch Sex Behav, 38, 828-841. Carter, J., Chi, D. S., Brown, C. L., Abu-Rustum, N. R., Sonoda, Y., Aghajanian, C., et al. (2010). Cancer-Related Infertility in Survivorship. International Journal of Gynecological Cancer, 20(1), 2-8. Champion, V., Williams, S. D., Miller, A., Reuille, K. M., Ziner, K. W., Monahan, P.O., et al. (2007). Quality Of Life in Long-trem Surviors of Ovarian Germ Cell Tumors: A Gynecologic Oncology Group Study. Gynecologic Oncology, 105(3), 687-694. Chan, Y. M., Ngan, H. Y., Yip, P. S., Li, B. Y., Lau, O. W., & Tang, G. W. (2001). Psychosocial Adjustment in Gynecologic Cancer Survivors: A Longitudinal Study on Risk Factors for Maladjustment. Gynecologic Oncology, 80(3), 387-394. Christman, N. J., Oakle, M. G., & Cronin, S. N. (2001). Developing and Using Preparatory Information for Women Undergoing Radiation Therapy for Cervical or Uterine Cancer. Oncology Nursing Forum, 28(1), 93-98. Cicero, V., Coco, G. L., Gullo, S., & Verso, G. L. (2009). The role of attachment dimensions and perceived social support in predicting adjustment to cancer. Psycho-Oncology, 18, 1045-1052. Davidson, J. R., MacLeana, A. W., Brundageb, M. D., & Schulze, K. (2002). Sleep disturbance in cancer patients. Social Science & Medicine, 54(9), 1309-1321. Ell, K., Sanchez, K., Vourlekis, B., Lee, P. J., Dwight-Johnson, M., Lagomasino, I., et al. (2005). Depression, Correlates of Depression, and Receipt of Depression Care Among Low-Income Women With Breast or Gynecologic Cancer. American Society of Clinical Oncology, 23(13), 3052-3060. Ferrans, C. E., & Powers, M. J. (1985). Quality of Life Index: Development and psychometric. Advanced in Nursing Science, 8(1), 15-24. Fleming, L., Gillespie, S., & Espie, C. A. (2009). The development and impact of insomnia on cancer survivors: a qualitative analysis. Psycho-Oncology. Retrieved April 25, 2010, from the World Wide Web: http://www.interscience.wiley.com Fox, S. W., & Lyon, D. (2007). Symptom Clusters and Quality of Life in Survivors of Ovarian Cancer. Cancer Nursing, 30(5), 354-361. Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78, 350–365. Frumovitz, M., Sun, C. C., Schover, L. R., Munsell, M. F., Jhingran, A., Wharton, J. T., et al. (2005). Quality of Life and Sexual Functioning in Cervical Cancer Survivors. Journal of Clinical Oncology, 23(30), 7428-7436. Goncalves, V. (2010). Long-term quality of life in gynecological cancer survivors. Current Opinion in Obstetrics and Gynecology, 22, 30-35. Gotay, C. C, Farley, J. H., Kawamoto, C. T., & Mearig, A. (2008). Adaptation and Quality of Life among Long-Term Cervical cancer survivors in the military health care system. Military Medicine, 173(10), 1035-1041. Greenwald, H. P., & McCorkle, R. (2008). Sexuality and Sexual Function in Long-Term Survivors of Cervical Cancer. Journal of Women’s Health, 17(6), 955-963. Greimel, E. R., Winter, R., Kapp, K. S., & Haas, J. (2009). Quality of life and sexual functioning after cervical cancer treatment: a long-term follow-up study. Psycho-Oncology, 18, 476-482. Hardern, A. (2008). Intimacy and sexuality after cancer: a critical review of the literature. Cancer Nursing, 31(2), 9-17. Hays, R. D., Martin, S. A., Sesti, A. M., & Spritzer, K. L. (2005). Psychometric properties of the Medical Outcomes Study sleep measure. Sleep Medicine, 6(1), 41-44. Hazan, C., & Shaver, P. (1987). Romantic Love Conceptualized as an Attachment Process. Journal of Personality and Social Psychology, 52(3), 511-524. Hodgkinson, K., Butow, P., Fuchs, A., Hunt, G. E., Stelake, A., Hobbs, K. M., et al. (2007). Long-term survival from gynecologic cancer: Psychosocial outcomes, supportive care needs and positive outcomes. Gynecologic Oncology, 104, 381-389. Hordern, A., & Street, A. (2007). Issues of Intimacy and Sexuality in the Face of Cancer. Cancer Nursing, 30(6), 11-18. Hunter, M. J., Davis, P. J., & Tunstall, J. R. (2006). The influence of attachment and emotional support in end-stage cancer. Psycho-Oncology, 15, 431-444. Jensen, P. T., Klee, M. C., & Groenvold, M. (2002). Validation of a questionnaire for self-rating of urological and gynaecological morbidity after treatment of gynaecological cancer. Radiotherapy and Oncology, 65, 29-38. Juraskova, I., Butow, P., Robertson, R., Sharpe, L., McLeod, C., & Hacker, N. (2003). Post-treatment sexual adjustment following cervical and endometrial cancer: a qualitative insight. Psycho-Oncology, 12, 267-279. Katz, A. (2009). Interventions for Sexuality After Pelvic Radiation Therapy and Gynecological Cancer. The Cancer Journal, 15(1), 45-47. Kim, K., Uchiyama, M., Okawa, M., Liu, X., & Ogihara, R. (2000). An epidemiological study of insomnia among the Japanese general population. Sleep, 23(1), 41-47. Kobayashi, M., Ohno, T., Noguchi, W., Matsuda, A., Matsushima, E., Kato, S., & Tsujii, H. (2009). Psychological Distress and Quality of Life in Cervical Cancer Survivors After Radiotherapy. International Journal of Gynecological Cancer, 19(7), 1264-1268. Kornblith, A. B., Powell, A., Regan, M. M., Bennett, S., Krasner, C., Moy, B., et al. (2007). Long-term psychosocial adjustment of older vs younger survivors of breast and endometrial cancer. Psycho-Oncology, 16, 895-903. Kumar, V. J., Nin, C. Y., Kuei, L. Y., Tan, K. H., Yeo, R., & Lam, P. Y. (2010). Survival and disease relapse in surgical stage I endometrioid adenocarcinoma of the uterus after adjuvant vaginal vault brachytherapy. International Journal of Gynecological Cancer, 20(4), 564-569. Levin, A. O., Carpenter, K. M., Fowler, J. M., Brothers, B. M., Andersen, B. L., & Maxwell, G. L. (2010). Sexual Morbidity Associated With Poorer Psychological Adjustment Among Gynecological Cancer Survivors. International Journal of Gynecological Cancer, 20(3), 461-470. Li, H. C., & Lopez, V. (2004). Psychometric evaluation of the Chinese version of the State Anxiety Scale for Children. Research in nursing and health, 27(3), 198-207. Manne, S., Badr, H. (2008). Intimacy and Relationship Processes in Couples’ Psychosocial Adaptation to Cancer. American Cancer Society, 112(11), 2541-2555. Mao, J. J., Armstrong, K., Bowman, M. A., Xie, S. X., Kadakia, R., & Farrar, J. T. (2007). Symptom burden among cancer survivors: impact of age and comorbidity. Journal of American of Board Family Medicine, 20(5), 434-443. Matulonis, U. A., Kornblith, A., Lee, H., Bryan, J., Gibson, C., Wells, C., et al. (2008). Long-term adjustment of early-stage ovarian cancer Survivors. International Journal of Gynecological Cancer, 18, 1183-1193. Miller, B. E., Pittman, B., Case, D., & McQuellon, R. P. (2002). Quality of Life after Treatment for Gynecologic Malignancies: A Pilot Study in an Outpatient Clinic. Gynecologic Oncology, 12, 178-184. Mirabeau-Beale, K. L., Kornblith, A. B., Penson, R. T., Lee, H., Goodman, A., Campos, S. M., et al. (2009). Comparison of the quality of life of early and advanced stage ovarian cancer survivors. Gynecologic Oncology, 114, 353-359. Monahan, P.O., Champion, V. L., Zhao, Q., Miller, A. M., Gershenson, D., Williams, S. D., & Cella, D. (2008). Case-Control Comparison of Quality of Life in Long-Term Ovarian Geim Cell Tumor Survivors: A Gynecologic Oncology Group Study. Journal of Psychosocial Oncology, 26(3), 19-42. O'Donnell, J. F. (2004). Insomnia in cancer patients. Clinical Cornerstone, 6(suppl 1), 6-14. Park, S. Y., Bae, D. S., Nam, J. H., Park, C. T., Cho, C. H., Lee, J. M., et al. (2007). Quality of Life and Sexual Problems in Disease-Free Survivors of Cervical Cancer Compared With the General Population. American Cancer Society, 110(12), 2716-2725. Pearman. T. (2003). Quality of life and psychosocial adjustment in gynecologic cancer Survivors. Health and Quality of Life Outcomes, 1(33), 1-6. Price, M. A., Zachariae, R., Butow, P. N., DeFazio, A., Chauhan, D., Espie, C. A., et al. (2009). Prevalence and predictors of insomnia in women with invasive ovarian cancer: Anxiety a major factor. European Journal of Cancer, 45, 3262-3270. Reis, N., Beji, N. K., & Coskun, A. (2009). Quality of life and sexual functioning in gynecological cancer patients:Results from quantitative and qualitative data. European Journal of Oncology Nursing, 14(2), 137-146. Rodin, G., Walsh, A., Zimmermann, C., Galiese, L., Jones, J., Shepherd, F. A., et al. (2007). The contribution of attachment security and social support to depressive symptoms in patients with metastatic cancer. Psycho-Oncology, 16, 1080-1091. Roscoe, J. A., Kaufman, M. E., Matteson-Rusby, S. E., Palesh, O. G., Ryan, J. L., Kohli, S., et al. (2007). Cancer-Related Fatigue and Sleep Disorders. The Oncologist, 12(suppl 1), 35-42. Skjeldestad, F. E., & Rannestad, T. (2009). Urinary incontinence and quality of life in long-term gynecological cancer survivors: a population-based cross-sectional study. Acta Obstetricia et Gynecologica, 88(2), 192-199. Stevinson, C., Steed, H., Faught, W., Tonkin, K., Vallance, J. K., Ladha, A. B., et al. (2009). Physical Activity in Ovarian Cancer Survivors: Associations With Fatigue, Sleep, and Psychosocial Functioning. International Journal of Gynecological Cancer, 19(1), 73-78. Sun, C. C., Frumovitz, M., & Bodura, D. C. (2005). Quality of life and gynecologic malignancies. Current Oncology Reports, 7(6), 459-465. Thiriaway, K., Fallowfield, L., & Cuzick, J. (1996). The Sexual Activity Questionnaire: A measure of women’s sexual functioning. Quality of Life Research, 5, 81-90. Vachon, M. (2006). Psychosocial distress and coping after cancer treatment. AJN, 26-31. Vistad, I., Fossa, S. D., & Dahl, A. A. (2006). A critical review of patient-rated quality of life studies of long-term survivors of cervical cancer. Gynecologic Oncology, 102, 563-572. Ware, J. E., Kosinski, M. M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity. Medical care, 34(3), 220-233. Wei, M., Russell, D. W., Mallinckrodt, B., & Vogel, D. L. (2007). The Experiences in Close Relationship Scale (ECR)-Short Form: Reliability, Validity, and Factor Structure. Journal of Personality Assessment, 88(2), 187-204. Wenzel, L. B., Donnelly, J. P., Fowler, J. M., Habbal, R., & Taylor, T. H. (2002). Resilience, reflection, and residual stress in ovarian cancer survivorship: a gynecologic oncology group study. Psycho-Oncology, 11, 142-153. Wenzel, L., DeAlba, I., Habbal, R., Kluhsman, B. C., Fairclough, D., Krebs, L. U., et al. (2005). Quality of life in long-term cervical cancer survivors. Gynecologic Oncology, 97, 310-317. World Health Organization. (1997). The World Health Organization Quality of Life (WHOQOL): Measuring Quality of Life. Switzerland: WHOQOL group. Retrieved April 28, 2010, from the World Wide Web: http://www.who.int/mental_health/media/68.pdf Zheng, Y. P., Wei, L. A., Goa, L. G., Zhang, G. C., & Wong, C. G. (1988). Applicability of the Chinese Beck Depression Inventory. Comprehensive Psychiatry, 29(5), 484-489. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/36240 | - |
dc.description.abstract | 背景:近幾年由於婦癌篩檢的推廣以及治療的進展,使許多罹癌婦女的存活期因而延長,伴隨而來的是如何與病共存的挑戰,因此婦癌存活者生活品質的探討儼然成為重要課題。
目的:比較婦癌存活者與非罹癌婦女之生活品質,以及睡眠、心理困擾、性功能、親密關係和生活品質的相關性。 方法:採個案對照研究法(case control study),85位已完成治療六個月以上之婦癌存活者為個案組,85位社區中年齡配適(Age-matched)之未罹癌婦女為對照組。透過結構式問卷進行資料收集,包括:「基本資料量表」、「SF-12生活品質量表」、「MOS睡眠品質量表」、「貝氏憂鬱量表」、「焦慮狀態評估量表」、「性生活量表」與「親密關係量表」。以平均數差異檢定、相關分析和階層迴歸分析比較兩組的生活品質及其影響因素。 結果:本研究結果發現相較於對照組,婦癌存活者在生活品質、睡眠品質、心理困擾和親密關係方面沒有顯著困擾,但在性生活方面,目前沒有性生活的人數較多,且有較低的性愉悅和較高的性困擾。較高程度的焦慮依附可預測婦癌存活者較差的生理健康層面之生活品質,而無宗教信仰和有慢性病則可預測非罹癌婦女較差的生理健康。焦慮同時是兩組婦女心理健康層面之生活品質的預測因子。疾病治療相關變項和性功能對婦癌存活者之生理健康和心理健康皆無顯著預測力。 結論:婦癌患者於存活期的生活品質可恢復至與非罹癌婦女相同,但在性生活方面仍存在較多困擾。兩組生活品質預測因子的差異在於焦慮依附僅會影響婦癌存活者的生理健康,而焦慮情緒則普遍影響兩組婦女的心理健康。結果或許說明婦癌患者於存活期雖然有較差的性功能,但對親密關係的不安全感才是影響其生理層面之生活品質的主要因素。 | zh_TW |
dc.description.abstract | Background: In the recent years, the survival rates of gynecological cancer patients have been increasing due to advances in the screening and treatment. How to live with the cancer becomes a great challenge for survivors. Therefore, it urges to study about the quality of life among gynecological cancer survivors.
Purpose/Objectives: To compare quality of life and it’s related factors including sleep, psychological distress, sexual functions between gynecological cancer survivors and healthy women. Methods: This case-control study included 85 gynecological cancer survivors with completing active treatments for at least 6 months and 85 age-matched community women with no cancer history as a control group. Data were collected by using structured questionnaires including “personal characteristics questionnaire,” “SF-12 Health Surveys (SF-12),” “the MOS 12-Item Sleep Scale (MOS-sleep),” “Beck Depression Inventory-II (BDI),” “State-Trait Anxiety Inventory (STAI),” “Sexual Activity Questionnaire (SAQ), and “The Experiences in Close Relationships-Revised (ECR-R).” Results: There were no significant differences in the quality of life, sleep problem index, psychological distress, attachment-related anxiety or attachment-related avoidance between cancer survivors and healthy groups. However, compared with healthy control group, the lower sexual activity rates, lower sexual pleasure and higher sexual distress were shown in cancer survivor group. Hierarchical regression model revealed that higher levels of attachment-related anxiety played as the main predictor for the lower physical component summary (PCS) scores in cancer survivor group while without religious beliefs, and with chronic illness were the predictors for the lower PCS scores in healthy control group. Anxiety acted as a predictor for lower mental component summary (MCS) scores in both groups. Notably, either disease and treatment related variables or sexual functioning variables could not predict quality of life in cancer survivor group. Conclusions: The quality of life was comparable between gynecological cancer survivors and healthy women but sexual function distress more likely occurred in the cancer survivors. The main differences in the factors influencing quality of life between two groups were that the attachment-related anxiety only affected physical healthy in gynecological cancer survivors. Nevertheless, anxiety levels affected mental health for both groups. These findings suggested that gynecological cancer survivors had lower sexual function; however, rather than sexual function, the sense of insecurity in close relationships was the main factor influencing their physical aspect of quality of life. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T07:54:40Z (GMT). No. of bitstreams: 1 ntu-100-R95426021-1.pdf: 1098050 bytes, checksum: 646f72058da71b53fdd2d63474476911 (MD5) Previous issue date: 2011 | en |
dc.description.tableofcontents | 致謝 I
中文摘要 II 英文摘要 IV 目錄 VI 圖目錄 VIII 表目錄 IX 第一章 緒論 1 第一節 研究動機及重要性 1 第二節 研究目的 4 第三節 名詞解釋 4 第二章 文獻探討 6 第一節 婦癌的疾病特性與治療 6 第二節 婦癌存活者的生活品質 11 第三節 治療方式與疾病期別對生活品質的影響 13 第四節 睡眠對生活品質的影響 16 第五節 心理困擾對生活品質的影響 18 第六節 性功能與親密關係對生活品質的影響 21 第三章 研究方法 27 第一節 研究架構 27 第二節 研究設計 28 第三節 研究對象 28 第四節 研究假設 29 第五節 研究工具 30 第六節 研究步驟 33 第七節 資料整理與分析 36 第八節 研究對象權益維護 38 第四章 研究結果 39 第一節 婦癌存活者與非罹癌婦女基本屬性之比較分析 39 第二節 婦癌存活者與非罹癌婦女之睡眠品質、心理困擾、性功能、親密關係和 生活品質的差異分析 42 第三節 婦癌存活者與非罹癌婦女之睡眠品質、心理困擾、性功能、親密關係與生活品質的相關分析 47 第四節 婦癌存活者與非罹癌婦女生活品質的迴歸預測分析 49 第五章 討論 57 第一節 婦癌存活者與非罹癌婦女生活品質之差異 57 第二節 婦癌存活者與非罹癌婦女之基本屬性和生活品質的相關性 58 第三節 婦癌存活者與非罹癌婦女之性功能和生活品質的相關性 59 第四節 婦癌存活者與非罹癌婦女之睡眠品質、心理困擾及親密關係和生活品質 的相關性 61 第六章 結論與建議 65 第一節 研究結論 65 第二節 研究限制 66 第三節 研究應用與建議 66 參考資料 68 中文部份 68 英文部分 69 附錄 77 附錄一 基本資料表 77 附錄二 生活品質量表 79 附錄三 睡眠品質量表 81 附錄四 憂鬱量表 82 附錄五 焦慮量表 85 附錄六 性生活量表 86 附錄七 親密關係量表 88 附錄八 性生活量表使用同意涵 90 | |
dc.language.iso | zh-TW | |
dc.title | 比較婦癌存活者與健康婦女之生活品質及其影響因素 | zh_TW |
dc.title | The comparison of quality of life and its related factors between gynecological cancer survivors and healthy women | en |
dc.type | Thesis | |
dc.date.schoolyear | 99-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 陳祈安(Chi-An Chen),孫秀卿(Shiow-Ching Shun) | |
dc.contributor.oralexamcommittee | #VALUE! | |
dc.subject.keyword | 婦癌存活者,生活品質,性功能,焦慮依附,焦慮,個案對照研, | zh_TW |
dc.subject.keyword | gynecological cancer survivors,quality of life,sexual function,attachment-related anxiety,anxiety,case-control study, | en |
dc.relation.page | 91 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2011-07-21 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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