p.3
2008年台灣地區十大常見癌症排行中口腔癌位居第六名
Oral Cavity Cancer ranks 6th amid ten top leathal cancers in 2008, Taiwan.
每十萬人口年齡標準化死亡率為8.3%，平均死亡年齡約54歲
The death rate from every 100,000 age-standardized population is 8.3%, at an average age of 54.
年輕化的趨勢
Juvenilized!
p.4
根治疾病
A Thorough Cure
控制腫瘤發展
Deterioration Control
緩解症狀
Symptoms of Relief
存活率提高
Survival Rate Increasing
身心靈社會之衝擊
Socail Impact Upon Physical, Mental, And Spiritual Aspects
p.5
壯年期 - 生產階級
Meridian - Working Class
(疾病)
(Ailment)
心理備感壓力
Stressed
自我封閉
Isolated
罪惡感
Guilty
低自尊
Low Self-esteem
低自我價值
Low Self-identification
社交隔離
Social Segregation
憂鬱
Depressed
發生率 12％-40％
Probability 12% ~ 14%
p.6
研究動機與重要性
Incentive and Importance
癌症的治療首要目的是提高病人的存活率與延長存活期，但如果忽視其心理困擾將導致嚴重的後果。
The main goal of cancer treatment is to enhance patient's survival rate and longevities, yet the negligence of their mental status may result in unexpected serious consequences.
國內過去有關口腔癌的研究大多著重於治療方式與致病機轉上的討論，然而由於醫療水準的提升，口腔癌病人的存活率大幅的提高，逐漸開始出現有關病人心理、社會層面相關議題的探討。
Most domestic researches on oral cavity cancer in the past would focus on the treatment procedures or the pathological factors while more papers emerged on patient's mental, social aspects with a view to the medical improvement, which has been of much beneft to the survival rate of oral cavity cancer patients.
但對於口腔癌病人憂鬱之相關性研究較為缺乏，[僅陳（2006）] 相較於國外，此類相關研究文獻較為豐富，且有不少成果。因此本研究旨在探討憂鬱情緒及其影響相關因素並了解影響口腔癌病人其憂鬱之重要預測因子，期能再依研究結果研擬適合本國口腔癌病人之照護措施。
However, researches on mental status of oral cavity cancer patients, i. e. concerning depression problems, are relatively scarce (as shown the outputs in 2006). In comparison to those from the international, such topics are abundant and fruitful. Therefore will this topic be oriented to spot precisely the indicative factors to oral cavity cancer patients' depression stutus which would improve the nurse caring for native patients.
p.7
研究目的：
Goals are to:
暸解接受治療之口腔癌病人憂鬱之現況。
understand the current circumstances of depressed mental status of oral cavity cancer patients under treatment.
暸解接受治療之口腔癌病人其「基本屬性」、「疾病特性」、「功能狀態」、「症狀困擾」及「社會支持」與憂鬱之關係。
understand the associations between their 1. basic profiles, 2. pathogical features, 3. functional conditions, 4. symptom distress, 5. social supports and the formation of depression.
確認接受治療之口腔癌病人憂鬱的預測因子。
identify the indicative factors to oral cavity cancer patients' depression stutus.
p.29
研究結果 - 憂鬱之預測因子
Research Output - indicative factors to oral cavity cancer patients' depression stutus
經濟狀況
Financial Status
經濟狀況為支出大於收入的口腔癌病人有憂鬱傾向的機會為經濟狀況為收入大於之出或收支平衡的16.992倍。
Deficits are 16.992 times more depressed than the balanced.
手術次數
Multipal Operations
重複手術治療之口腔癌病人有憂鬱傾向的機會為單次手術病人的27.811倍。
The undertaking of mulitpal operations are 27.811 times more depressed than that of single operation.
功能狀態
Functional status
功能狀態每增加1分，其有憂鬱的傾向的機會為0.984倍。
The increase of functional status by 1 point, the tendeancy of depression will increase as much as 0.984 time.
症狀困擾
Symptom distress
症狀困擾每增加1分，其有憂鬱傾向的機會為1.313倍。
The increase of symptom status by 1 point, the tendeancy of depression will increase as much as 1.313 times.
Social support
社會支持每增加1分，其有憂鬱傾向的機會為0.835倍。
The increase of social status by 1 point, the tendeancy of depression will increase as much as 0.835 time.
2008年台灣地區十大常見癌症排行中口腔癌位居第六名
Oral Cavity Cancer ranks 6th amid ten top leathal cancers in 2008, Taiwan.
每十萬人口年齡標準化死亡率為8.3%，平均死亡年齡約54歲
The death rate from every 100,000 age-standardized population is 8.3%, at an average age of 54.
年輕化的趨勢
Juvenilized!
p.4
根治疾病
A Thorough Cure
控制腫瘤發展
Deterioration Control
緩解症狀
Symptoms of Relief
存活率提高
Survival Rate Increasing
身心靈社會之衝擊
Socail Impact Upon Physical, Mental, And Spiritual Aspects
p.5
壯年期 - 生產階級
Meridian - Working Class
(疾病)
(Ailment)
心理備感壓力
Stressed
自我封閉
Isolated
罪惡感
Guilty
低自尊
Low Self-esteem
低自我價值
Low Self-identification
社交隔離
Social Segregation
憂鬱
Depressed
發生率 12％-40％
Probability 12% ~ 14%
p.6
研究動機與重要性
Incentive and Importance
癌症的治療首要目的是提高病人的存活率與延長存活期，但如果忽視其心理困擾將導致嚴重的後果。
The main goal of cancer treatment is to enhance patient's survival rate and longevities, yet the negligence of their mental status may result in unexpected serious consequences.
國內過去有關口腔癌的研究大多著重於治療方式與致病機轉上的討論，然而由於醫療水準的提升，口腔癌病人的存活率大幅的提高，逐漸開始出現有關病人心理、社會層面相關議題的探討。
Most domestic researches on oral cavity cancer in the past would focus on the treatment procedures or the pathological factors while more papers emerged on patient's mental, social aspects with a view to the medical improvement, which has been of much beneft to the survival rate of oral cavity cancer patients.
但對於口腔癌病人憂鬱之相關性研究較為缺乏，[僅陳（2006）] 相較於國外，此類相關研究文獻較為豐富，且有不少成果。因此本研究旨在探討憂鬱情緒及其影響相關因素並了解影響口腔癌病人其憂鬱之重要預測因子，期能再依研究結果研擬適合本國口腔癌病人之照護措施。
However, researches on mental status of oral cavity cancer patients, i. e. concerning depression problems, are relatively scarce (as shown the outputs in 2006). In comparison to those from the international, such topics are abundant and fruitful. Therefore will this topic be oriented to spot precisely the indicative factors to oral cavity cancer patients' depression stutus which would improve the nurse caring for native patients.
p.7
研究目的：
Goals are to:
暸解接受治療之口腔癌病人憂鬱之現況。
understand the current circumstances of depressed mental status of oral cavity cancer patients under treatment.
暸解接受治療之口腔癌病人其「基本屬性」、「疾病特性」、「功能狀態」、「症狀困擾」及「社會支持」與憂鬱之關係。
understand the associations between their 1. basic profiles, 2. pathogical features, 3. functional conditions, 4. symptom distress, 5. social supports and the formation of depression.
確認接受治療之口腔癌病人憂鬱的預測因子。
identify the indicative factors to oral cavity cancer patients' depression stutus.
p.29
研究結果 - 憂鬱之預測因子
Research Output - indicative factors to oral cavity cancer patients' depression stutus
經濟狀況
Financial Status
經濟狀況為支出大於收入的口腔癌病人有憂鬱傾向的機會為經濟狀況為收入大於之出或收支平衡的16.992倍。
Deficits are 16.992 times more depressed than the balanced.
手術次數
Multipal Operations
重複手術治療之口腔癌病人有憂鬱傾向的機會為單次手術病人的27.811倍。
The undertaking of mulitpal operations are 27.811 times more depressed than that of single operation.
功能狀態
Functional status
功能狀態每增加1分，其有憂鬱的傾向的機會為0.984倍。
The increase of functional status by 1 point, the tendeancy of depression will increase as much as 0.984 time.
症狀困擾
Symptom distress
症狀困擾每增加1分，其有憂鬱傾向的機會為1.313倍。
The increase of symptom status by 1 point, the tendeancy of depression will increase as much as 1.313 times.
Social support
社會支持每增加1分，其有憂鬱傾向的機會為0.835倍。
The increase of social status by 1 point, the tendeancy of depression will increase as much as 0.835 time.
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