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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 賴裕和(Yeur-Hur Lai) | |
| dc.contributor.author | Yi-Chen Pan | en |
| dc.contributor.author | 潘怡蓁 | zh_TW |
| dc.date.accessioned | 2023-03-19T21:07:02Z | - |
| dc.date.copyright | 2022-10-04 | |
| dc.date.issued | 2022 | |
| dc.date.submitted | 2022-09-20 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/83415 | - |
| dc.description.abstract | 分化型甲狀腺癌為常見之預後良好癌症，即使預後良好，卻因癌症診斷、治療及相關症狀等可能影響此族群病人之睡眠品質。睡眠為維持基本生活功能之重要因素，長期睡眠不足對健康造成不良影響，本研究目的為(1)探討分化型甲狀腺癌病人睡眠品質之現況、病人生理症狀、身體活動量、害怕癌症復發程度，(2)分析分化型甲狀腺癌病人睡眠品質之相關因素。 本研究設計為橫斷式研究，收集182位診斷三年內完成甲狀腺切除手術之分化型甲狀腺癌病人，以結構式問卷進行資料蒐集，於台北某醫學中心之外科門診收案。問卷內容包含：「匹茲堡睡眠品質指標」、「症狀嚴重程度量表」、「Godin休閒時間運動量表」、「害怕癌症復發嚴重度子量表」、「疾病基本資料」，收集之資料以描述性統計、Spearman's相關係數檢定、單因子變異數分析和複回歸分析。 本研究結果發現，依照匹茲堡睡眠品質指標發現分化型甲狀腺癌病人有72%屬睡眠不佳，病人呈現輕度症狀嚴重度，僅有19.2%的病人達到世界衛生組織建議身體活動量，有45.8%的病人有明顯之害怕癌症復發的問題。以複回歸分析發現，睡眠品質主要相關因子為病人診斷前有無使用助眠藥物(β=0.18，p=0.05)、症狀嚴重度(β=0.45，p<0.01)、害怕癌症復發(β=0.20，p=0.05)、身體活動量(β=-0.16，p=0.01)、受教育年數(β=0.13，p<0.05)，整體解釋力可達40.4%。 整體而言，雖分化型甲狀腺癌病人多為受到輕度症狀困擾，但病人仍有害怕癌症復發之擔憂且多數病人身體活動量不足，導致睡眠品質不佳，本研究可了解影響病人睡眠品質之相關因子，經由適當評估進而可介入措施，提升病人睡眠品質。 | zh_TW |
| dc.description.abstract | Differentiated thyroid cancer (DTC) is a common cancer around the world. Although it has relatively good prognosis, patients might be still under stress and influence their sleep quality. Unfortunately, relatively limited research has explored the issue. The purposes of this study are to (1) examine the current status of sleep quality, physical activity, physiological symptoms, and fear of cancer recurrence (FCR), and (2) examine the above factors and related disease-treatment related factors of sleep quality in patients with DTC. This is a cross-sectional study to recruit patients from a medical center in Northern Taiwan. Eligible subjects were patients with DTC who had undergone thyroidectomy within three years of diagnosis. Patients were assessed by a set of questionnaires, including “Pittsburgh’s Sleep Quality Index”, “Symptom Severity Scale”, “Godin Leisure-Time Exercise Questionnaire”, “Fear of Cancer Recurrence Inventory-Severity” and background information form. The data was analyzed by descriptive statistics, Spearman’s correlation coefficient, t-test, ANOVA and multiple linear regression. A total of 182 patients were recruited. Results show that 72% of subjects reported impaired sleep quality according to the Pittsburgh’s Sleep Quality Index. Patients’ symptom severity is mild severity. Only 19.2% of the patients reached the World Health Organization recommended physical activity level. 45.8% of the patients had significant level of FCR. From regression analysis, patients used sleep medicine before diagnosis (β=0.18, p=0.05), symptom severity (β=0.45, p<0.01), physical activity (β=-0.16, p=0.01), and years of education(β=0.13, p<0.05) were the most important factors related to sleep impairment and accounted for 40.4% of the variance of sleep quality. In conclusion, there are close to half of patients with DTC are worried about fear of cancer recurrence and lack of sufficient physical activity. Relatively high proportion of patients having sleep dysfunction should be an issue to be further concerned. Future research to develop and test the interventions related to sleep impairment in patients with DTC is strongly suggested. | en |
| dc.description.provenance | Made available in DSpace on 2023-03-19T21:07:02Z (GMT). No. of bitstreams: 1 U0001-2009202210460400.pdf: 1457557 bytes, checksum: 9ee3c9e66731642ad78b0d47bac7ce0c (MD5) Previous issue date: 2022 | en |
| dc.description.tableofcontents | 口試委員審定書 1 謝辭 2 中文摘要 3 英文摘要 4 第一章 緒論 7 第一節 研究背景與重要性 7 第二節 研究目的 10 第二章 文獻查證 11 第一節 分化型甲狀腺癌簡介與治療 11 第二節 分化型甲狀腺癌病人之身體活動情形及症狀困擾 14 第三節 分化型甲狀腺癌病人之心理擔憂 16 第四節 分化型甲狀腺癌病人之睡眠品質及相關因素 18 第三章 研究方法 22 第一節 研究設計 22 第二節 研究架構與操作型定義 23 第三節 研究假設 25 第四節 研究工具 26 第五節 資料分析與處理 28 第六節 研究流程與倫理考量 29 第四章 研究結果 30 第一節 人口學特性及疾病治療特性 30 第二節 症狀嚴重度現況 31 第三節 害怕癌症復發嚴重度現況 32 第四節 身體活動量現況 33 第五節 睡眠品質現況 34 第六節 睡眠品質與相關性因素分析 36 第七節 睡眠品質與預測因子 37 第五章 討論 38 第一節 分化型甲狀腺癌病人身體活動量、症狀、害怕癌症復發現況探討 38 第二節 分化型甲狀腺癌病人睡眠品質現況探討 41 第三節 分化型甲狀腺癌病人睡眠品質與其相關因子之探討 44 第六章 結論與建議 49 第一節 結論 49 第二節 研究限制 51 第三節 建議 52 第七章 參考文獻 53 附錄 66 表格 67 | |
| dc.language.iso | zh-TW | |
| dc.title | 探討影響分化型甲狀腺癌病人之睡眠品質相關因素 | zh_TW |
| dc.title | Sleep Quality and Related Factors in Differentiated Thyroid Cancer Patients | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 110-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳坤源(Kuen-Yuan Chen),吳明勳(Ming-Hsun Wu),李芸湘(Yun-Shiang Lee) | |
| dc.subject.keyword | 分化型甲狀腺癌,症狀嚴重度,身體活動量,害怕癌症復發,睡眠品質, | zh_TW |
| dc.subject.keyword | differentiated thyroid cancer,symptom severity,physical activity,fear of cancer recurrence,sleep quality, | en |
| dc.relation.page | 78 | |
| dc.identifier.doi | 10.6342/NTU202203625 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2022-09-20 | |
| 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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