| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 104 === The purpose of the study was to determine psychosocial distress and associated factors in Patient waiting for diagnosis for their breast and colorectal abnormal foci. This was a correlation study. A consecutive sample of 260 people from the breast or colorectal surgery department clinics in a medical center in the north of Taiwan participated in this study. They were at least 20 years old, with abnormalities or positive in cancer screening in breast or colorectal, no history of breast or colorectal cancer.
Subjects participated in the study with averaged age of 46.7(±13.33).The majority of them had education of college or higher, was married, worked currently, found breast or colorectal abnormality by themselves, and had fine needle biopsy or Colorectal endoscopy for the first time of 66.2%. The patient reported a psychosocial distress before the clinic consultation for diagnosis as a mean of 3.1(±2.67) on Distress Thermometer and of 4.0(±3.62) on Brief Symptom Rating Scale. But, 4.3% of them reported mild to moderate suicidal thought. The people also reported self- efficacy showed a mean of 26.9 (±5.87) on General Self-Efficacy Scale. consciously with cancer rate showed a mean of 27.8 (±22.27). 49.2% had Resource Utilisation . Multiple regression analysis showed the BSRS-5 part, that the level of physical distress (β=0.25), life distress (β=0.13), family distress (β=0.13), consciously with cancer rate (β=0.13), self- efficacy (β=-0.21) to predict the psychosocial distress and can explain 33.8% variance. In the DT part, physical distress (β=0.13),life distress (β=0.12), family distress (β=0.12),resource utilisation(β=0.11),consciously with cancer rate (β=0.22),self- efficacy(β=-0.22) explained 34.7% of psychosocial distress.
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