結腸直腸癌病人疼痛、憂鬱、焦慮與睡眠品質之相關性探討

The purpose of this study was to explore the relationships among pain, depression, anxiety and sleep quality in patients with colorectal cancer. The research participants were recruited from the outpatient units at a medical center in the North and a regional teaching hospital in the South. Convenient sampling was used to collect 131 colorectal cancer patients. Research instruments included ”Personal Attributes Scale”, ”Brief Pain Inventory-Chinese version,” ”Hospital Anxiety and Depression Scale,” and ”Pittsburgh Sleep Quality index.” The data were analyzed by descriptive statistical analysis, t-test, one-way ANOVA, Pearson's correlation, and multiple regression using SPSS for Window version 17.0 .The findings are as follows: 1. Depression and sleep quality in colorectal cancer patients showed a positive correlation (r=0.231, p=0.008); 2. Anxiety and sleep quality in colorectal cancer patients showed a positive correlation(r=0.208, p=0.017); 3. Pain intensity did not show a statistically significant difference with respect to sleep quality (r=0.009, p=0.921); and 4. Depression (p=0.022) and treatment method (p=0.048) were significant predictive factors for sleep quality. Therefore, we can enhance the sleep quality of the colorectal cancer patients by lowering the depression and anxiety degree.