[[alternative]]Associated Factors of Body Image in Prostate Cancer Patient Receiving Androgen Deprivation Therapy

[[abstract]]研究目的：探討接受荷爾蒙治療之前列腺癌病患的身體心像及其相關因子。研究背景：前列腺癌的發生率在全球中各地區有所不同，佔台灣男性癌症第五位及死亡率排名為第七位。臨床上得知前列腺癌的治療對患者的身體外觀及功能上具有明顯的影響，然而，較少文獻針對男性癌症患者的身體心像進行探討。研究方法：採橫斷式研究設計，以方便取樣並使用結構式問卷於北部某醫學中心泌尿科門診進行收案。研究工具包含患者基本資料、前列腺癌綜合指標之荷爾蒙層面、一般自我效能量表及身體心像量表。所得資料透過SPSS 25.0套裝軟體進行描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關及階層複迴歸分析。研究結果：本研究共收得177份有效問卷。單變量分析中，病患之年齡(r = -0.179；p =0.017)、家庭年收入(t = -2.451；p = 0.016)、荷爾蒙症狀與困擾(r = - 0.316；p <0.001)及自我效能(r = 0.211；p = 0.005)與身體心像有顯著相關。當患者的年齡越小，家庭年收入大於51萬及症狀與困擾越明顯時，則有較差的身體心像；而自我效能與身體心像之間有顯著相關。經複迴歸分析結果得知患者的年齡、家庭年收入、荷爾蒙症狀與困擾及自我效能共可解釋身體心像變異量的27%。結論與建議：本研究發現患者的家庭年收入、荷爾蒙症狀與困擾及自我效能與身體心像具有顯著相關性。建議醫療團隊可針對前列腺癌患者在接受荷爾蒙治療前給予症狀相關衛教如預防及緩解方法，期盼此研究結果能提供醫護人員照護患者之依據，減少患者的衝擊感，提升患者的生活品質。[[abstract]]Purpose：To investigate the associated factors of body image in prostate cancer patients receiving androgen deprivation therapy.Background : The incidence of prostate cancer varies in different parts of the world. Prostate cancer is ranked as the fifth most common cancer among Taiwanese male, and ranked seventh in mortality rate. It is known that clinically, the treatment of prostate cancer has a significant impact on the patient's physical appearance and function. However, little research has been done on the body image in man with cancer.Methods： This study used a cross-sectional design, and adopted convenience sampling and structured questionnaire to recruit outpatients in the urology department of a medical center in northern Taiwan. Instruments included demographic and clinical characteristic questionnaire, the Expanded Prostate Cancer Index Composite – Hormonal Domain (EPIC- Hormonal Domain), General Self-Efficacy Scale (GSE), and Body Image Scale (BIS). The data were analyzed with SPSS 25.0 statistical software for Descriptive statistics, Independent-sample t-test, One-way ANOVA, Pearson product-moment correlation coefficient, and Hierarchical multiple regression analysis.Results：A total of 177 subjects were recruited in the study. In the anlysis of One-way ANOVA, the study indicated that patient’s age (r = -0.179；p = 0.017), annual household income (t = - 2.451；p = 0.016), hormonal symptoms and distress (r = - 0.316；p