Department of Nursing, Cathay General Hospital, Taipei, Taiwan.
J Adv Nurs. 2010 Oct;66(10):2278-86. doi: 10.1111/j.1365-2648.2010.05395.x. Epub 2010 Aug 16.
This article is a report of a study conducted to examine acceptance of disability among patients with colorectal cancer and its relationships to other disease-related factors.
Colorectal cancer had become the third leading cause of cancer death worldwide. Recently, the topic of acceptance of disability in patients with chronic disease, especially cancer, has attracted enormous attention because the higher acceptance, the better coping with disease and the better quality of life after therapy.
A cross-sectional study was carried out with 110 patients with colorectal cancer recruited from a medical centre in northern Taiwan in 2008. Data were collected using the Acceptance of Disability Scale. Descriptive statistics, Pearson correlations and multiple linear regression analysis were used for analysis.
Participants reported moderate levels of acceptance of disability. The regression model showed that those with shorter disease duration, stoma, lower educational level (below 9th grade), or in Duke C1 stage or above reported lower levels of acceptance, and these variables accounted for 25% of the total variance.
The results suggest that acceptance of disability (i) is a useful construct to examine in future studies on psychosocial adaptation to cancer, and (ii) can be integrated into a clinical intervention programme of providing holistic care to patients with colorectal cancer.
本文是一项研究报告，旨在探讨结直肠癌患者对残疾的接受程度及其与其他疾病相关因素的关系。
结直肠癌已成为全球癌症死亡的第三大主要原因。最近，慢性病患者（尤其是癌症患者）对残疾的接受程度这一话题引起了极大关注，因为接受程度越高，患者对疾病的应对能力越强，治疗后的生活质量也越好。
2008 年，我们对台湾北部一家医疗中心的 110 名结直肠癌患者进行了横断面研究。使用残疾接受量表收集数据。采用描述性统计、皮尔逊相关分析和多元线性回归分析进行分析。
参与者报告的残疾接受程度为中等水平。回归模型显示，疾病持续时间较短、有造口、教育程度较低（9 年级以下）或处于 Duke C1 期及以上的患者报告的残疾接受程度较低，这些变量占总方差的 25%。
研究结果表明，残疾接受程度（i）是未来癌症心理社会适应研究中一个有用的构建，（ii）可以纳入结直肠癌患者整体护理的临床干预方案。
