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口腔癌術後病人之身體心像、失志與生活品質相關性探討= The assoc...

李玟萱

口腔癌術後病人之身體心像、失志與生活品質相關性探討= The association of body image, demoralization, and quality of life after oral cancer surgery/

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	口腔癌術後病人之身體心像、失志與生活品質相關性探討= / 李玟萱
其他題名:	The association of body image, demoralization, and quality of life after oral cancer surgery/
其他題名:	The association of body image, demoralization, and quality of life after oral cancer surgery.
作者:	李玟萱
出版者:	[高雄市]: [撰者], : 2023[民112],
面頁冊數:	181葉: 圖; : 30公分;
附註:	指導教授: 曾惠珍, 陳麗糸.
提要註:	口腔癌是台灣前十大癌症之一，主要的治療又以手術為主，口腔癌的手術易造成病人頭頸外觀改變及語言、吞嚥、說話等生理功能受損，特別是接受治療後6個月內影響更是明顯，外觀和生理功能變化引發病人身體心像改變，而現有文獻探討口腔癌術後病人身體心像大多為治療後1-3個月以上的研究，缺乏病人剛接受手術治療後之身體心像的實證資料。本研究目的：（一）探討口腔癌術後病人身體心像、失志及生活品質現況；（二）探討口腔癌術後病人基本變項於身體心像、失志及生活品質之關係；（三）探討口腔癌術後病人身體心像、失志及生活品質的相關性；（四）探討COVID-19疫情期間口腔癌術後病人身體心像的重要預測因子。　　本研究為橫斷式研究設計，於2022-2023年台灣COVID-19疫情流行期間收案，以南台灣某一家醫學中心之20歲以上口腔癌手術後10-14天的132位病人作為收案對象。採用病人基本資料表、身體心像問卷(Body Image Questionaire, BIQ)、中文版失志量表(Demoralization Scale- Mandarin Version, DS-MV)及癌症治療功能評估量表－頭頸癌(Functional Assessment of Cancer Therapy- Head and Neck Cancer, FACT-H&N)等結構式問卷收集資料，利用統計軟體SPSS 20 for Windows進行資料建檔並進行描述性、獨立樣本T檢定及單因子變異數分析、皮爾森積差相關分析及逐步回歸分析。　　研究結果得知口腔癌術後10-14 天病人的BIQ平均分數45.61±7.18/總分75，有中等程度的身體心像困擾，且最負向的層面在於「感知改變」。DS-MV平均分數32.89±16.09/總分96，呈現高失志，對於其生命「失敗感」感受最深。FACT-H&N平均分數84.53±18.58/總分108，呈現較差的生活品質。口腔癌術後病人身體心像與初診斷與否有顯著差異(t(130)= -2.200, p=.030)。失志與工作性質(F(4, 127)= 2.818, p=.028)、經濟來源(t(130)= -2.870, p= .005)、初診斷與否(t(130)= -2.425, p=.017)皆有顯著差異。生活品質與教育程度有顯著差異(F(3, 128)= 3.657, p=.014)。身體心像困擾與失志呈中度正相關(r= .63, p< .01)，身體心像困擾與生活品質呈中度負相關(r= -.49, p< .01)。失志、頭頸部特定評估項目及生理幸福感是身體心像重要預測因子，可解釋46.8%總變異量。　　當失志情形越高、頭頸部特定症狀表現越差、生理幸福感越低，可預測有較嚴重的身體心像問題。非初診斷的口腔癌術後病人有較負面的身體心像及高失志，若病人是無工作或已退休、經濟來源為他人時，也有較嚴重的失志情形。.
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口腔癌術後病人之身體心像、失志與生活品質相關性探討= The association of body image, demoralization, and quality of life after oral cancer surgery/
李玟萱

口腔癌術後病人之身體心像、失志與生活品質相關性探討= The association of body image, demoralization, and quality of life after oral cancer surgery/ The association of body image, demoralization, and quality of life after oral cancer surgery.李玟萱 - [高雄市]: [撰者], 2023[民112] - 181葉: 圖; 30公分

指導教授: 曾惠珍, 陳麗糸.

碩士論文--高雄醫學大學護理學系碩士班.

參考書目：葉.

目錄

　　口腔癌是台灣前十大癌症之一，主要的治療又以手術為主，口腔癌的手術易造成病人頭頸外觀改變及語言、吞嚥、說話等生理功能受損，特別是接受治療後6個月內影響更是明顯，外觀和生理功能變化引發病人身體心像改變，而現有文獻探討口腔癌術後病人身體心像大多為治療後1-3個月以上的研究，缺乏病人剛接受手術治療後之身體心像的實證資料。本研究目的：（一）探討口腔癌術後病人身體心像、失志及生活品質現況；（二）探討口腔癌術後病人基本變項於身體心像、失志及生活品質之關係；（三）探討口腔癌術後病人身體心像、失志及生活品質的相關性；（四）探討COVID-19疫情期間口腔癌術後病人身體心像的重要預測因子。　　本研究為橫斷式研究設計，於2022-2023年台灣COVID-19疫情流行期間收案，以南台灣某一家醫學中心之20歲以上口腔癌手術後10-14天的132位病人作為收案對象。採用病人基本資料表、身體心像問卷(Body Image Questionaire, BIQ)、中文版失志量表(Demoralization Scale- Mandarin Version, DS-MV)及癌症治療功能評估量表－頭頸癌(Functional Assessment of Cancer Therapy- Head and Neck Cancer, FACT-H&N)等結構式問卷收集資料，利用統計軟體SPSS 20 for Windows進行資料建檔並進行描述性、獨立樣本T檢定及單因子變異數分析、皮爾森積差相關分析及逐步回歸分析。　　研究結果得知口腔癌術後10-14 天病人的BIQ平均分數45.61±7.18/總分75，有中等程度的身體心像困擾，且最負向的層面在於「感知改變」。DS-MV平均分數32.89±16.09/總分96，呈現高失志，對於其生命「失敗感」感受最深。FACT-H&N平均分數84.53±18.58/總分108，呈現較差的生活品質。口腔癌術後病人身體心像與初診斷與否有顯著差異(t(130)= -2.200, p=.030)。失志與工作性質(F(4, 127)= 2.818, p=.028)、經濟來源(t(130)= -2.870, p= .005)、初診斷與否(t(130)= -2.425, p=.017)皆有顯著差異。生活品質與教育程度有顯著差異(F(3, 128)= 3.657, p=.014)。身體心像困擾與失志呈中度正相關(r= .63, p< .01)，身體心像困擾與生活品質呈中度負相關(r= -.49, p< .01)。失志、頭頸部特定評估項目及生理幸福感是身體心像重要預測因子，可解釋46.8%總變異量。　　當失志情形越高、頭頸部特定症狀表現越差、生理幸福感越低，可預測有較嚴重的身體心像問題。非初診斷的口腔癌術後病人有較負面的身體心像及高失志，若病人是無工作或已退休、經濟來源為他人時，也有較嚴重的失志情形。.

(平裝)Subjects--Index Terms:

口腔癌

口腔癌術後病人之身體心像、失志與生活品質相關性探討= The association of body image, demoralization, and quality of life after oral cancer surgery/
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245 1 0 $a 口腔癌術後病人之身體心像、失志與生活品質相關性探討= $b The association of body image, demoralization, and quality of life after oral cancer surgery/ $c 李玟萱
246 1 1 $a The association of body image, demoralization, and quality of life after oral cancer surgery.
260 # $a [高雄市]: $b [撰者], $c 2023[民112]
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504 $a 參考書目：葉.
505 0 # $a 目錄
520 3 $a 　　口腔癌是台灣前十大癌症之一，主要的治療又以手術為主，口腔癌的手術易造成病人頭頸外觀改變及語言、吞嚥、說話等生理功能受損，特別是接受治療後6個月內影響更是明顯，外觀和生理功能變化引發病人身體心像改變，而現有文獻探討口腔癌術後病人身體心像大多為治療後1-3個月以上的研究，缺乏病人剛接受手術治療後之身體心像的實證資料。本研究目的：（一）探討口腔癌術後病人身體心像、失志及生活品質現況；（二）探討口腔癌術後病人基本變項於身體心像、失志及生活品質之關係；（三）探討口腔癌術後病人身體心像、失志及生活品質的相關性；（四）探討COVID-19疫情期間口腔癌術後病人身體心像的重要預測因子。　　本研究為橫斷式研究設計，於2022-2023年台灣COVID-19疫情流行期間收案，以南台灣某一家醫學中心之20歲以上口腔癌手術後10-14天的132位病人作為收案對象。採用病人基本資料表、身體心像問卷(Body Image Questionaire, BIQ)、中文版失志量表(Demoralization Scale- Mandarin Version, DS-MV)及癌症治療功能評估量表－頭頸癌(Functional Assessment of Cancer Therapy- Head and Neck Cancer, FACT-H&N)等結構式問卷收集資料，利用統計軟體SPSS 20 for Windows進行資料建檔並進行描述性、獨立樣本T檢定及單因子變異數分析、皮爾森積差相關分析及逐步回歸分析。　　研究結果得知口腔癌術後10-14 天病人的BIQ平均分數45.61±7.18/總分75，有中等程度的身體心像困擾，且最負向的層面在於「感知改變」。DS-MV平均分數32.89±16.09/總分96，呈現高失志，對於其生命「失敗感」感受最深。FACT-H&N平均分數84.53±18.58/總分108，呈現較差的生活品質。口腔癌術後病人身體心像與初診斷與否有顯著差異(t(130)= -2.200, p=.030)。失志與工作性質(F(4, 127)= 2.818, p=.028)、經濟來源(t(130)= -2.870, p= .005)、初診斷與否(t(130)= -2.425, p=.017)皆有顯著差異。生活品質與教育程度有顯著差異(F(3, 128)= 3.657, p=.014)。身體心像困擾與失志呈中度正相關(r= .63, p< .01)，身體心像困擾與生活品質呈中度負相關(r= -.49, p< .01)。失志、頭頸部特定評估項目及生理幸福感是身體心像重要預測因子，可解釋46.8%總變異量。　　當失志情形越高、頭頸部特定症狀表現越差、生理幸福感越低，可預測有較嚴重的身體心像問題。非初診斷的口腔癌術後病人有較負面的身體心像及高失志，若病人是無工作或已退休、經濟來源為他人時，也有較嚴重的失志情形。.
520 3 $a Oral cancer is one of the top ten cancers in Taiwan, and its primary treatment is surgery. Unfortunately, surgery can lead to changes on patients’ facial appearances and impair physiological function such as language, swallowing, and speaking. These changes were particularly evident within 6 months after treatment. The drastic changes in appearance and physiological function can cause patients to experience adaptation from body image. However, previous studies mostly focused on investigating the body image of oral cancer patients after 1-3 months of treatment, resulting in a lack of empirical evidence during the periods of the immediate post operation. The purpose of this study was presented for postoperative oral cancer patients: (1) to explore the current status of body image, demoralization and quality of life ; (2) to investigate the relationship between the demographic variables, body image, demoralization and quality of life; (3) to examine the correlation among body image, demoralization and quality of life; (4) to identify the important predictors for body image. The research was designed as a cross-sectional study design. 132 postoperative oral cancer patients over 20 years old during the periods of 10-14 days in a medical center in southern Taiwan were enrolled as subjects. Structural questionnaires such as the demographic data sheet, Body Image Questionnaire (BIQ), Demoralization Scale- Mandarin Version (DS-MV), and Functional Assessment of Cancer Therapy- Head and Neck Cancer (FACT-H&N) were used to collect data. The statistical software SPSS 20 for Windows was used to file the data and conduct descriptive analysis, independent sample T-test analysis and one way ANOVA, Pearson correlation analysis and stepwise regression analysis. Results of the study showed that patients’ average body image score was 45.61±7.18/ total score of 75, presenting the moderate level of body image disturbance. The most negative experience was related to the "perceived change". Additionally, the average demoralization score was 32.89±16.09/ total score of 96, indicating the higher level of demoralization, with a profound sense of "failure" regarding their life experiences. Furthermore, the average score of the Functional Assessment of Cancer Therapy- Head and Neck Cancer was 84.53±18.58/ total score of 108, which showed poor quality of life. Significant statistics differences were found in body image related to their initial diagnosis (t(130)= -2.200, p=.030). Demoralization also exhibited statistics significant differences depending on job status (F(4, 127)= 2.818, p=.028), source of income (t(130)= -2.870, p= .005), primary diagnosis or not (t(130)= -2.425 , p=.017). Significant statistics differences were found in quality of life related to their education leverl (F(3, 128)= 3.657, p=.014). Body image was moderately positively correlated with demoralization(r= .63, p< .01), and body image was moderately negatively correlated with quality of life(r= -.49, p< .01). The factors of demoralization, head and neck cancer subscale, and physical well-being were important predictive factors, explaining 46.8% of the total variance. This study reveals that increased levels of demoralization, decresed well-being in head and neck specific symptoms, and lower physical well-being significantly predict more severe body image problems. No newly diagnosed postoperative oral cancer patients exhibit a more negative body image and experience higher levels of demoralizaiton. Additionally, unemployed or retired patients and rely on others as their source of income, which experience more severe demoralization..
563 $a (平裝)
653 # # $a 口腔癌 $a 身體心像 $a 身體心像問卷 $a 失志 $a 生活品質 $a 癌症治療功能評估量表 $a 頭頸癌.
653 # # $a Oral cancer $a Body image $a Body Image Questionaire $a Demoralization $a Quality of life $a Functional Assessment Of Cancer Therapy $a BIQ $a FACT-H&N.
856 7 # $u https://handle.ncl.edu.tw/11296/3r2mka $z 電子資源 $2 http