Exploration of Relevant Factors between Degree of Depression and Quality of Life of Women with Early Stage Breast Cancer—Taking A District Hospital in Central Taiwan as An Example

• Main Authors: Hsueh-Ming Cheng, 程雪敏
• Other Authors: Hsin-Shu Huang
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/36514145884655439980

碩士 === 中臺科技大學 === 護理研究所 === 99 === Breast cancer for women comes first in the incidence of cancers. The depression state felt by the breast cancer patients comes third when compared to all of the other cancer patients. Depression causes a decrease in the willingness of an individual to participate in the medical care, increases the length of stay in a hospital, increases health care costs, decreases the ability of one to look after oneself, deteriorates the course of a disease, decreases quality of life and survival rate as well. The aim of this research is to investigate the women population for early breast cancer, disease characteristics, state of depression, and the correlation between the current status of the quality of life and the variables. The design of the research adopts cross-section method, and takes an outpatient unit of a hospital somewhere in the mid region to follow up on cases of breast cancers to be the sample for this research. To carry out with the data collection, the Chinese version of the Beck Depression Inventory Ⅱ, the cross-section questionnaire of the quality of life for the World Health Organization Taiwan concise version, and the last record of the tumor marker CA15-3 investigation are used. There are 95 effective sample recovered, and the rate of recovery is 80.5%. The SPSS forWindow 18.0 software is used to test for the frequency, percentage, means, standard deviation and t-tests, ANOVA analysis, Pearson correlation and level regression analysis, in an attempt to find the predictors affecting the quality of life for the women in early breast cancers. The findings of the research have shown: the average score of the total for the women in early breast cancers in depression is 9.02, there are 71 individuals scored within the normal range and covered 74.7%; 18 individuals scored in the mild depression range and covered 18.8%; 4 individuals scored in the moderate depression range and covered 4.2%; 2 individuals scored in the severe depression range and covered 2.1%. The total average value of the quality of life for the women in early breast cancer is 97.14, which indicates that he quality of life for the women in early breast cancer in this research achieved a level well above the middle range. As with the four areas, the environmental area has come on top, and the area of the social relation has scored the lowest. The characteristics of demographics for the degree of depression have achieved significant difference, while the characteristics of disease have caused no significant difference. Both the characteristics of the demographics and disease for the four areas in the quality of life have caused no significant difference. The status of depression has caused a significant negative correlation for the quality of life. The age, personal health conscious status, personal overall life-happiness status, tumor marker and the degree of depression can all be used to significantly predict the quality of life, and out of all the abovementioned predictors, the degree of depression possesses higher predictive power. Therefore, this research has proposed three suggestions of the clinical medical care for the women in breast cancer: 1. the clinical case manager responsible for the clinical case should care actively about the physical and mental problems of the individual involved, if problems arise, patients should be able to obtain professional caring consultation, and the assistance for the problems in life, lectures for gender relations and the discussion activities of the experience-sharing for the patient groups should be held more often to encourage individuals walk out of the shadow of breast cancers. 2. Individuals should be taught to express pains with hesitation, and misconceptions of patients about painkillers should be corrected, and clinically speaking, the primary job is to ease the physical symptom distress for the patient, so that the quality of sleep can be improved. 3. Multidisciplinary in-service education and interdisciplinary cross-training of multiple tasks for the nursing staff should be provided, in order to elevate their autonomy and professionalism, so that the problems can be detected earlier, mental and physical health for the women in breast cancer can also be promoted, or appropriate referral should be done. It is to expect that the care quality of the breast cancer cases can be raised, and in doing so, increase the competitive advantage of this hospital in health care service for cancer patients.