| Summary: | 碩士 === 義守大學 === 醫務管理學系 === 105 === Background and purpose：
Cancer has been among the top ten leading causes of death in the country since 1982, while breast cancer is the first in Taiwan for women, and one of the main causes of death. With the promotion of anti-cancer screening policy, the breast cancer cases are early discovered, early treatment, and five years of overall survival rate of up to 90%. The Breast cancer is a major stressful event for women, especially in the face of cancer diagnosis, which represents the impending challenge and impact of health and quality of life, and patients are in fear and depression in the face of surgical treatment, side effects of adjuvant therapy and uncertainty about the possibility of relapse. Therefore, in the treatment, the symptoms encountered, negative emotional reactions, and psychological pressure, all will lead to lower quality of life. The purpose of this study was to investigate the status of sleep disorder, anxiety and depression in women with breast cancer, and to explore the characteristics of individual and disease, sleep disorder, anxiety, depression and quality of life.
Methods：
The design of the research on the transverse and fault-taking of the patients with breast cancer in a regional teaching hospital in southern region, and convenient sampling the number was 145 patients, which collected data from patients in the clinic or hospitalized chemotherapy and back-clinic tracking. And studied tool was using structured questionnaires, including patient''s basic attribute questionnaire, Pittsburg Sleep Quality Scale, Hospital Anxiety and Depression Scale and SF-36 Health-realted quality of Life Scale, and so on. Data statistics was using the personal computer SPSS 18.0 Chinese version of the statistical software, to describe the basic attributes of statistical analysis of the object, the average and standard deviation of sleep quality, anxiety, depression and quality of life, and the predictive factors of the correlation degree and quality of life of each variable were discussed by the one-wayanalysis of variance（ANOVA）, independent-sample T test,Pearson correlation and multiple regression.
Results:
Sleep disorders were significantly positively correlated with anxiety and depression (r = .389, p <.001；r = .187, p = .027)；sleep disorders were negatively correlated with physical and psychological life quality (r = -.268 , p = .001；r = -.311, p <.001)；That is, severe sleep disorders, the degree of anxiety and depression more serious, the physiological and psychological quality of life worse. The depressive symptoms of breast cancer women with low level of educational and less family monthly income were higher. Sleep disorders are important predictors of anxiety, depression and quality of life. Secondly, education is a predictor of depression and physiological quality of life. The diagnosis period is also a predictor of physiological quality of life. This study found that women with breast cancer sleep disorders and anxiety, depression and quality of life are related, it is suggested that in the face of clinical, nursing staff can early detection of patients with sleep disorders, early prevention and provision of necessary medical care measures to improve the sleep problems of patients with breast cancer will reduce anxiety and depression and improve the quality of life of patients.
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