進階搜尋


   電子論文尚未授權公開,紙本請查館藏目錄
(※如查詢不到或館藏狀況顯示「閉架不公開」,表示該本論文不在書庫,無法取用。)
系統識別號 U0026-1508201800020800
論文名稱(中文) 生活品質探討:於台灣勞工及大腸癌症患者之應用
論文名稱(英文) Quality of Life Investigation: Application for Workers and Colorectal Cancer Survivors in Taiwan
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 106
學期 2
出版年 107
研究生(中文) 楊尚育
研究生(英文) Shang-Yu Yang
學號 TA8031127
學位類別 博士
語文別 英文
論文頁數 121頁
口試委員 指導教授-張哲豪
口試委員-王榮德
口試委員-張瑩如
口試委員-李政昌
口試委員-許德仁
召集委員-陳美香
中文關鍵字 生活品質  包裝工人  大腸癌 
英文關鍵字 Quality of life  Packaging workers  Colorectal cancer 
學科別分類
中文摘要 前言:
世界衛生組織多年來一直倡導推廣生活品質,以重視一般民眾、工人和病患的安適感。透過對生活品質的研究調查,我們可以了解一個人在工作期間或在疾病治療過程中安適感的變化,以降低工作壓力與疾病對個人健康帶來的負面影響。因此,本論文包括兩個研究。我們在研究1中調查了影響包裝工人生活品質的因子。在研究2中,我們對大腸癌病患,提供健康生活型態教育來檢視他們的生活品質變化。
台灣的半導體產業需要大量的包裝工人,但一般來說,這些工人的工作位階較低,對工作的控制力較小,且需在有限的時間內完成包裝任務而常感到壓力。然而這種高工作要求、低決策或工作控制都可能會造成職場疲勞等負面影響。這些負面影響因子也都會降低這些工人的生活品質,因此值得研究探討。透過探討這些影響因子,我們可以了解是何種因子影響公司或組織中工人的健康,進一步改善和管理他們的環境和設備,提升他們的健康和生活品質。
大腸(直腸)癌是世界上最常見的癌症疾病之一。大腸癌患者常遭受癌症疾病本身和治療過程中副作用的影響,而惡化他們的生活品質、日常生活功能和情緒。透過探討影響大腸癌患者生活品質的因子,我們可以發展相關教育手冊,以促進他們有健康生活型態和改善他們的生活品質。
研究目的:
本文的研究目的如下:在研究1中,探討有哪些因子影響半導體廠包裝工人的生活品質。在研究2中,檢驗職能治療師使用健康生活型態教育對改善大腸癌病患的生活品質、日常生活功能與健康生活行為的成效,以及這種健康生活型態教育與大腸癌病患在生活品質、日常生活功能、情緒與健康生活行為的改善之相關性。
研究方法:
研究1採用方便取樣,在2015年和2016年從台灣的一家半導體工廠招聘了247名包裝工人參與本研究(男性162人,女性85人;平均年齡:35.6歲)。問卷包括四部分:個人基本資料、台灣簡明版世界衛生組織生活品質問卷(WHOQOL-BREF)、職場疲勞量表與北歐肌肉骨骼問卷調查表。WHOQOL-BREF的四個領域被定義為依變數。預測因子(自變數)包括性別(參考組:男性),年齡(參考組:≤35),BMI(參考組:≤23),教育水平(參考組:大學以下),婚姻/伴侶身份(參考組:已婚/同居),工作年數(參考組:≤5),工作班次(參考組:白班),個人疲勞,工作疲勞,工作過度投入以及身體不適部位的總數(0-9)。
研究2我們設計了隨機控制試驗,來檢驗職能治療師使用這種健康生活型態教育對改善大腸癌病患的生活品質、日常生活功能和健康生活行為方面的成效。我們於2017年8月至2018年2月期間從成大醫院癌症中心招募了68名大腸癌患者,並將其隨機分配至職能治療(OT)介入組和無介入組。OT介入組接受職能治療師提供的健康生活型態教育作為出院準備計畫,並在第一、三個月回診時給予諮商;無介入組只有收到健康生活型態教育手冊(未經職能治療師的指導)作為出院準備計畫。主要結果評估是使用WHOQOL-BREF測量生活品質。次要結果評估是評估日常生活功能、情緒和健康生活行為的變化。在出院準備期間,我們進行評估並在出院後1個月和3個月追蹤評估。
研究結果:
研究1結果指出,生理健康生活品質與夜班工作、個人疲勞和身體不適部位的總數有顯著負相關 (p<0.05)。心理健康生活品質與夜班工作和個人疲勞有顯著負相關 (p<0.05)。環境生活品質與男性、夜班工作和個人疲勞有顯著負相關 (p<0.05)。研究2:在隨機控制實驗研究結果指出,跟無介入組比,OT介入組的個案在WHOQOL-BREF中二個項目的得分,在統計學上有顯著差異。二個項目包括:“整體生活品質”(p<0.05)與“負面感受”(p<0.05)。此外,在第1個月的追蹤評估發現生理健康生活品質、心理健康生活品質與情緒的改善,與參與者的活動參與量有顯著正相關 (p<0.05~0.01)。在第3個月的追蹤評估,發現生理健康生活品質與參與者的運動量有顯著正相關 (p<0.01)。
研究結論:
建議未來可透過減少肌肉骨骼不適、降低個人疲勞和適當的工作時間表來改善包裝工人的生活品質。針對研究2:對於大腸癌病患而言,透過職能治療師的介入可獲得更好的生活品質。接受職能治療師提供的健康生活型態教育作為出院準備計畫與出院後的諮詢,對大腸癌病患是有益的。
英文摘要 BACKGROUND:
Quality of life (QoL) has been advocated by World Health Organization for many years to emphasize the well-being of ordinary people, workers, and patients. Through the investigation of QoL, we can look at changes in a person’s wellbeing during employment or over the course of treatment to reduce the negative impact of work stress and illness on personal health. Therefore, this dissertation includes two studies. We investigated the factors influencing the QoL of packaging workers in Study 1. In Study 2, we applied healthy lifestyle education for CRC survivors to examine their changes in QoL.
Packaging workers, which comprise the greatest number of laborers in the Taiwan semiconductor industry, generally have low work positions, little work control, and experience stress related to completing tasks within a limited time period. Their high-demand tasks and low decision or task control could result in negative effects such as occupational burnout. All of the above factors could influence their QoL and are thus worthy of exploration. Through an understanding of these factors, we can determine the factors that affect health in a company or organization and then improve and manage their environment and equipment so as to enhance employee health and QoL.
Colorectal cancer (CRC) is one of the world’s most common cancers. CRC survivors suffer from this disease and related treatments, which thus deteriorates their QoL and activities of daily living (ADL), as well as causing them emotional distress. By exploring the factors influencing QoL, we plan to develop an education handbook to facilitate a healthy lifestyle and improve the QoL in this population.
Aim
The present dissertation has the following aims: Study 1 explores the factors influencing the QoL of packaging workers in a semiconductor plant. Study 2 determines the potential effects of healthy lifestyle education provided by occupational therapist on QoL, ADL and healthy lifestyle behaviors in CRC survivors, and also to explore the association between the improvements in the QoL, ADL, emotional distress and the healthy lifestyle factors and the educational intervention.
Methods
In Study 1, 247 packaging workers (162 male and 85 female; Mean age: 35.6 years old) were recruited in 2015 and 2016 from a semiconductor plant in Taiwan using convenience sampling. The questionnaire comprised four parts: demographics, the World Health Organization QoL (WHOQOL-BREF), an occupational burnout inventory, and the Nordic Musculoskeletal Questionnaire. The four domains of the WHOQOL-BREF were defined as outcome variables. Predictive factors included gender (reference: male), age (reference: ≤ 35), BMI (reference: ≤ 23), educational level (reference: below university), marital/partner status (reference: married/cohabiting), years of work (reference: ≤ 5), work shift (reference: day shift), personal burnout, work-related burnout, over-commitment to work, and the number of body parts with discomfort (0-9).
Study 2 designed a randomized clinical trial (RCT) to examine the effect of occupational therapists’ use of the healthy lifestyle education on QoL, ADL and the healthy lifestyle behavior in CRC survivors. We recruited 68 CRC survivors from the cancer center of National Cheng Kung University Hospital, Taiwan between August 2017 and February 2018 and randomly assigned them into an occupational therapy (OT) intervention group and non-intervention group. Participants in the OT intervention group were given an OT consultation based on a CRC education handbook at discharge preparation and on 1-month, 3-month follow-up clinic; participants of the non-intervention group were given the same CRC education handbook only at discharge preparation. The primary outcome was the QoL measured using WHOOQOL-BREF. Secondary outcomes were changes in ADL, emotional distress and healthy lifestyle behaviors. Outcomes were examined in baseline (discharge preparation), 1-month and 3-months follow-up clinic.
Results
The findings of Study 1 showed that physical QoL was negatively correlated with night-shift work, personal burnout, and number of body parts with discomfort (p<0.05). Psychological QoL was negatively correlated with night-shift work and personal burnout. Environment QoL was negatively correlated with being male, night-shift work, and personal burnout (p<0.05).
In Study2: the RCT findings showed statistically significant improvement on scores on two items in the WHOQOL-BREF, including “overall quality of life” (p<0.05) and “negative feelings” (p<0.05) in the OT intervention group. The findings also indicated that at the 1-month follow-up, improvements in physical health QoL, psychological health QoL and emotional distress were found to be significantly associated with participation in activities (p<0.05~0.01); in the 3-month follow-up, improvements in physical health QoL was found to be significantly associated with more exercise (p<0.01).
Conclusion
In the future, we can try to improve the QoL among packaging workers by reducing musculoskeletal discomfort, personal burnout, and by improving work schedules. The findings of Study 2 showed that having occupational therapists work with CRC survivors can help these survivors have better QoL. It could be beneficial for CRC survivors to receive occupational therapist’s consultations based on healthy lifestyle for discharge preparation and in the first three months after discharge.
論文目次 TABLE OF CONTENTS
口試委員會審定書 ..............................II
中文摘要..................................III
ABSTRACT...................................V
致謝 ...................................VIII
TABLE OF CONTENTS.............................IX
LIST OF TABLES..............................XI
LIST OF FIGURES..............................XII
CHAPTER 1 INTRODUCTION ........................1
1.1 Background and significance..........................1
1.2 Purpose of study ..............................6
1.3 Hypothesis .................................7
CHAPTER 2 LITERATURE REVIEW ......................9
2.1 Quality of life and packaging workers.......................9
2.2 Quality of life and colorectal cancer survivors......................12
2.3 Occupational therapy for lifestyle of cancer survivors .............24
CHAPTER 3 METHODOLOGY ........................27
3.1 Primary outcome measure: WHOQOL-BREF..................28
3.2 Materials and methods for packaging workers (Study 1)....................29
3.3 Materials and methods for colorectal cancer survivors (Study2)...........................32
CHAPTER 4 RESULTS and DISCUSSION for PACKAGING WORKERS..........40
4.1 Results...................................40
4.2 Discussion....................................47
CHAPTER 5 RESULTS and DISCUSSION for COLORECTAL CANCER
SURVIVORS................................52
5.1 Results ........................................52
5.2 Discussion....................................59
CHAPTER 6 CONCLUSION ............................65
6.1 Quality of life for packaging workers..........................65
6.2 Quality of life for colorectal cancer survivors.......................67
6.3 Comparing the quality of life among the related populations...................................69
REFERENCES.................................72
APPENDICES................................88
Appendix A: Occupational burnout inventory......................88
Appendix B: National Cheng Kung University Institutional Review Board.......89
Appendix C: Questionnaires: demography .....................................................................90
Appendix D: WHOOQOL-BREF..........................91
Appendix E: BSRS-5..............................93
Appendix F: Barthel Index.........................94
Appendix G: Self-checklist for the CRC education handbook...............95
Appendix H: ClinicalTrials.gov Protocol Registration and Results System.....96
Appendix I: CRC education handbook........................97
Appendix J: Regression coefficients based on mixed-effects model analysis of each item of WHOQOL-BREF.............................119
參考文獻 REFERENCES

Adams, S. V., Ceballos, R., & Newcomb, P. A. (2016). Quality of life and mortality of long-term colorectal cancer survivors in the Seattle Colorectal Cancer Family Registry. PLoS One, 11(6), e0156534.
Ahlberg, K., Ekman, T., Gaston-Johansson, F., & Mock, V. (2003). Assessment and management of cancer-related fatigue in adults. The Lancet, 362(9384), 640-650.
Akechi, T., Kugaya, A., Okamura, H., Yamawaki, S., & Uchitomi, Y. (1999). Fatigue and its associated factors in ambulatory cancer patients: a preliminary study. Journal of Pain and Symptom Management, 17(1), 42-48.
Alabbas, F. F., Al-Otaibi, S. M., Pasha, M. H. C., Alghamdi, A. M., Al-Hindi, H. M., Al-Ahwal, M. S., & El-Deek, B. S. (2016). Impact of physiological symptoms and complications of colorectal cancer on the quality of life of patients at King Abdulaziz university hospital. Journal of Cancer Education, 31(2), 221-227.
American Cancer Society. (2017). Cancer Information in Chinese. Available at https://www.cancer.org/ (accessed 13 Feb 2018).
Andre, T. (2004). Multicenter international study of oxaliplatin/5-fluorouracil/leukovorin in the adjuvant treatment of colon cancer (MOSAIC) investigators: oxaliplatin, fluorouracil and leukovorin as adjuvant treatment for colon cancer. New England Journal of Medicine, 50, 2243-2251.
Andreyev, H., Norman, A., Oates, J., & Cunningham, D. (1998). Why do patients with weight loss have a worse outcome when undergoing chemotherapy for gastrointestinal malignancies? European Journal of Cancer, 34(4), 503-509.
Ariëns, G., Bongers, P., Douwes, M., Miedema, M., Hoogendoorn, W., van der Wal, G., . . . van Mechelen, W. (2001). Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occupational and Environmental Medicine, 58(3), 200-207.
Arndt, V., Merx, H., Stegmaier, C., Ziegler, H., & Brenner, H. (2004). Quality of life in patients with colorectal cancer 1 year after diagnosis compared with the general population: a population-based study. Journal of Clinical Oncology, 22(23), 4829-4836.
Aström, M., Adolfsson, R., & Asplund, K. (1993). Major depression in stroke patients. A 3-year longitudinal study. Stroke, 24(7), 976-982.
Baker, F., Denniston, M., Zabora, J., Polland, A., & Dudley, W. N. (2002). A POMS short form for cancer patients: psychometric and structural evaluation. Psycho‐Oncology, 11(4), 273-281.
Bareau of Foreign Trade. (2017). The main import and export goods report. Available at: https://www.trade.gov.tw/Pages/List.aspx?nodeID=1375. (accessed 13 Feb 2018).
Baxter, M. F., Newman, R., Longpré, S. M., & Polo, K. M. (2017). Occupational therapy’s role in cancer survivorship as a chronic condition. American Journal of Occupational Therapy, 71(3), 7103090010P7103090011-7103090010P7103090017.
Berger, A. M., & Farr, L. (1999). The influence of daytime inactivity and nighttime restlessness on cancer-related fatigue. Paper presented at the Oncology nursing forum.
Bibbins-Domingo, K., Coxson, P., Pletcher, M. J., Lightwood, J., & Goldman, L. (2007). Adolescent overweight and future adult coronary heart disease. New England Journal of Medicine, 357(23), 2371-2379.
Blanchard, C. M., Courneya, K. S., & Stein, K. (2008). Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. Journal of Clinical Oncology, 26(13), 2198-2204.
Boer, K. R., Van Ruler, O., Reitsma, J. B., Mahler, C. W., Opmeer, B. C., Reuland, E. A., . . . Gerhards, M. F. (2007). Health related quality of life six months following surgical treatment for secondary peritonitis–using the EQ-5D questionnaire. Health and Quality of Life Outcomes, 5(1), 35.
Cai, C., Zhou, Z., Yu, L., & Wan, Y. (2011). Predictors of the health‐related quality of life of patients who are newly diagnosed with lung cancer in China. Nursing & Health Sciences, 13(3), 262-268.
Camilleri‐Brennan, J., & Steele, R. (1998). Quality of life after treatment for rectal cancer. British Journal of Surgery, 85(8), 1036-1043.
Chakraborty, R., Chatterjee, A., & Chaudhury, S. (2012). Internal predictors of burnout in psychiatric nurses: An Indian study. Industrial Psychiatry Journal, 21(2), 119.
Chang, M.-Y., Hsu, W.-Y., Hsu, C.-Y., & Lin, L.-Y. (2016). Quality of life and related factors in patients with newly diagnosed cancer. VGH Nursing 33(3), 293-302.
Chang, V. T., Thaler, H. T., Polyak, T. A., Kornblith, A. B., Lepore, J. M., & Portenoy, R. K. (1998). Quality of life and survival. Cancer, 83(1), 173-179.
Chang, Y.-J., Yeh, W.-Y., Chen, C.-W., Chen, C.-J., Shih, T.-S., & Cheng, Y. (2008). Factors associated with workers’ burnout and “over-commitment to work”: a survey among employees of 36 companies in Taipei city. Taiwan Journal of Public Health, 27(6), 463-477.
Changchien, C.-R. (2012). Epidemiology of colorectal cancer in Taiwan. Journal of Clinical Oncology, 24(3), 143-147.
Chen, D.-F. (2012). Diagnosis and treatment of colorectal cancer. Journal of Taipei Medical Association 56(3), 11-13.
Chen, H.-C., Wu, C.-H., Lee, Y.-J., Liao, S.-C., & Lee, M.-B. (2005). Validity of the five-item Brief Symptom Rating Scale among subjects admitted for general health screening. Journal of the Formosan Medical Association= Taiwan yi zhi, 104(11), 824-829.
Chen, M.-B., Hsieh, L.-F., Lin, H.-L., Lee, S.-C., Lin, C.-R., & Tsai, S.-L. (2004). Predicting Factors on Quality of Life in Cancer Patients. VGH Nursing, 21(4), 352-362.
Chiang, J.-M. (2008). Surgery for rectal cancer: the state of the art. Journal of the Chinese Oncology Society, 24(3), 167-171.
Chiu, C.-H., Kuo, C.-J., Chen, Y.-Y., Chen, C.-C., Lee, M.-B., Lin, C.-H., . . . Lin, C. C. (2006). Comparison of epidemiological characteristics between first-ever and repeated suicide attempters. Taipei City Medical Journal, 3(10), 1000-1007.
Chiu, H.-M. (2008). screening, diagnosis and treatment of early colorectal cancer. Journal of the Chinese Oncology Society, 24(3), 148-156.
Chung, W.-S., Lan, Y.-L., & Yang, M.-C. (2012). Psychometric testing of the short version of the world health organization quality of life (WHOQOL-BREF) questionnaire among pulmonary tuberculosis patients in Taiwan. BMC Public Health, 12(1), 1.
Cohen, G. L., & Sherman, D. K. (2014). The psychology of change: Self-affirmation and social psychological intervention. Annual Review of Psychology, 65.
Collin, C., Wade, D., Davies, S., & Horne, V. (1988). The Barthel ADL Index: a reliability study. International Disability Studies, 10(2), 61-63.
Costa, G. (1996). The impact of shift and night work on health. Applied Ergonomics, 27(1), 9-16.
Cowell, A. J. (2006). The relationship between education and health behavior: some empirical evidence. Health Economics, 15(2), 125-146.
Crawford, J. O. (2007). The Nordic musculoskeletal questionnaire. Occupational Medicine, 57(4), 300-301.
Davis, M. P., & Walsh, D. (2000). Treatment of nausea and vomiting in advanced cancer. Supportive Care in Cancer, 8(6), 444-452.
Diehl, M., Coyle, N., & Labouvie-Vief, G. (1996). Age and sex differences in strategies of coping and defense across the life span. Psychology and Aging, 11(1), 127.
Dodd, M. J., Miaskowski, C., & Paul, S. M. (2001). Symptom clusters and their effect on the functional status of patients with cancer. Paper presented at the Oncology nursing forum.
Duvdevany, I., & Arar, E. (2004). Leisure activities, friendships, and quality of life of persons with intellectual disability: Foster homes vs community residential settings. International Journal of Rehabilitation Research, 27(4), 289-296.
Dyk, R. B., & Sutherland, A. M. (1956). Adaptation of the spouse and other family members to the colostomy patient. Cancer, 9(1), 123-138.
Emerson, E. B. (1985). Evaluating the impact of deinstitutionalization on the lives of mentally retarded people. American Journal of Mental Deficiency, 90(3), 277-288.
Fang, F. M., Liu, Y. T., Tang, Y., Wang, C. J., & Ko, S. F. (2004). Quality of life as a survival predictor for patients with advanced head and neck carcinoma treated with radiotherapy. Cancer, 100(2), 425-432.
Farquhar, M. (1995). Definitions of quality of life: a taxonomy. Journal of Advanced Nursing, 22(3), 502-508.
Fekete, C., Wahrendorf, M., Reinhardt, J. D., Post, M. W., & Siegrist, J. (2014). Work stress and quality of life in persons with disabilities from four European countries: the case of spinal cord injury. Quality of Life Research, 23(5), 1661-1671.
Felce, D., & Perry, J. (1995). Quality of life: Its definition and measurement. Research in Developmental Disabilities, 16(1), 51-74.
Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., . . . Bray, F. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer, 136(5), E359-E386.
Garrido, M. V., Bittner, C., Harth, V., & Preisser, A. M. (2015). Health status and health-related quality of life of municipal waste collection workers–a cross-sectional survey. Journal of Occupational Medicine and Toxicology, 10(1), 22.
Geethu Mathew, N. R., Shanbhag, D., Goud, R., Subramanian, S., Lobo, C., Xavier, A., & Dasari, P. (2016). Quality of life and probable psychological distress among male workers at a construction site, Kolar district, Karnataka, India. Indian Journal of Occupational and Environmental Medicine, 20(1), 54.
Gérard, J.-P., Chapet, O., Nemoz, C., Romestaing, P., Mornex, F., Coquard, R., . . . Freyer, G. (2003). Preoperative concurrent chemoradiotherapy in locally advanced rectal cancer with high-dose radiation and oxaliplatin-containing regimen: the Lyon R0–04 phase II trial. Journal of Clinical Oncology, 21(6), 1119-1124.
Gingras, J., De Jonge, L. A., & Purdy, N. (2010). Prevalence of dietitian burnout. Journal of Human Nutrition and Dietetics, 23(3), 238-243.
Girish, N., Ramachandra, K., Arun G, M., & Asha, K. (2012). Prevalence of musculoskeletal disorders among cashew factory workers. Archives of Environmental & Occupational Health, 67(1), 37-42.
Gonzalez‐Saenz de Tejada, M., Bilbao, A., Bare, M., Briones, E., Sarasqueta, C., Quintana, J., & Escobar, A. (2016). Association of social support, functional status, and psychological variables with changes in health‐related quality of life outcomes in patients with colorectal cancer. Psycho‐Oncology, 25(8), 891-897.
Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118(8), 622-629.
Hamilton, W., Round, A., Sharp, D., & Peters, T. (2005). Clinical features of colorectal cancer before diagnosis: a population-based case–control study. British Journal of Cancer, 93(4), 399.
Haukenes, I., Farbu, E. H., Riise, T., & Tell, G. S. (2014). Physical health-related quality of life predicts disability pension due to musculoskeletal disorders: seven years follow-up of the Hordaland Health Study Cohort. BMC Public Health, 14(1), 1.
Health Promotion Administration. (2016). Cancer Registry Annual Report 2014. Available at https://www.hpa.gov.tw/File/Attach/7330/File_6792.pdf (accessed 13 Feb 2018).
Hsueh, I.-P., Lin, J.-H., Jeng, J.-S., & Hsieh, C.-L. (2002). Comparison of the psychometric characteristics of the functional independence measure, 5 item Barthel index, and 10 item Barthel index in patients with stroke. Journal of Neurology, Neurosurgery & Psychiatry, 73(2), 188-190.
Hu, W.-Y., Chiu, T.-Y., Bhikkhu, H.-M., Chen, C.-Y., & Chen, Y.-C. (1999). Spiritual needs of terminal cancer patients from the viewpoint of medical professionals. Formosan Journal of Medicine, 3(1), 8-19.
Huang, C.-L., & Tang, H.-Y. (2011). A nursing experience of helping a colostomy patient with body image disturbance. Ditmanson Medical Foundation Chiayi Christian Hospital Journal of Nursing, 11(2), 47-57.
Huang, H.-R., Wu, H.-A., Chu, J.-Y., & Hsu, C.-H. (2015). Chinese medical treatment on side effects of chemotherapy and operation : A colon cancer case Report. Journal of Traditional Chinese Internal Medicine, 13(2), 21-35.
Hung, M.-C., Lu, H.-M., Chen, L., Lin, M.-S., Chen, C.-R., Yu, C.-J., & Wang, J.-D. (2012). Cost per QALY (quality-adjusted life year) and lifetime cost of prolonged mechanical ventilation in Taiwan. PLoS One, 7(9), e44043.
Hunter, E. G., Gibson, R. W., Arbesman, M., & D’Amico, M. (2017a). Systematic review of occupational therapy and adult cancer rehabilitation: Part 1. Impact of physical activity and symptom management interventions. American Journal of Occupational Therapy, 71(2), 7102100030p7102100031-7102100030p7102100011.
Hunter, E. G., Gibson, R. W., Arbesman, M., & D’Amico, M. (2017b). Systematic review of occupational therapy and adult cancer rehabilitation: part 2. impact of multidisciplinary rehabilitation and psychosocial, sexuality, and return-to-work interventions. American Journal of Occupational Therapy, 71(2), 7102100040p7102100041-7102100040p7102100048.
Husson, O., Mols, F., van de Poll-Franse, L. V., & Thong, M. S. (2015). The course of fatigue and its correlates in colorectal cancer survivors: a prospective cohort study of the PROFILES registry. Supportive Care in Cancer, 23(11), 3361-3371.
Ibbotson, T., Maguire, P., Selby, P., Priestman, T., & Wallace, L. (1994). Screening for anxiety and depression in cancer patients: the effects of disease and treatment. European Journal of Cancer, 30(1), 37-40.
Iconomou, G., Mega, V., Koutras, A., Iconomou, A. V., & Kalofonos, H. P. (2004). Prospective assessment of emotional distress, cognitive function, and quality of life in patients with cancer treated with chemotherapy. Cancer, 101(2), 404-411.
Jackson, J., Carlson, M., Mandel, D., Zemke, R., & Clark, F. (1998). Occupation in lifestyle redesign: the well elderly study occupational therapy program. American Journal of Occupational Therapy, 52(5), 326-336.
Jha, A., Sadhukhan, S. K., Velusamy, S., Banerjee, G., Banerjee, A., Saha, A., & Talukdar, S. (2012). Exploring the quality of life (QOL) in the Indian software industry: a public health viewpoint. International Journal of Public Health, 57(2), 371-381.
Kahraman, T., Genç, A., & Göz, E. (2016). The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disability and Rehabilitation, 38(21), 2153-2160.
Kennedy, F., Hicks, B., & Yarker, J. (2014). Work stress and cancer researchers: an exploration of the challenges, experiences and training needs of UK cancer researchers. European Journal of Cancer Care, 23(4), 462-471.
Kim, D. (2017). The effects of a combined physical activity, recreation, and art and craft program on ADL, cognition, and depression in the elderly. Journal of Physical Therapy Science, 29(4), 744-747.
Kim, D., Park, S., Yang, D., Cho, M., Yoo, C., Park, J., . . . Yang, Y. (2015). The relationship between obesity and health-related quality of life of office workers. Journal of Physical Therapy Science, 27(3), 663-666.
Kim, W., Kim, T. H., Lee, T.-H., Choi, J. W., & Park, E.-C. (2016). The impact of shift and night work on health related quality of life of working women: findings from the Korea Health Panel. Health and Quality of Life Outcomes, 14(1), 162.
King, D. E., Mainous, A. G., Carnemolla, M., & Everett, C. J. (2009). Adherence to healthy lifestyle habits in US adults, 1988-2006. The American Journal of Medicine, 122(6), 528-534.
Kopp, I., Bauhofer, A., & Koller, M. (2004). Understanding quality of life in patients with colorectal cancer: comparison of data from a randomised controlled trial, a population based cohort study and the norm reference population. Inflammation Research, 53, S130-S135.
Koster, M., & Bergsma, J. (1990). Problems and coping behaviour of facial cancer patients. Social Science & Medicine, 30(5), 569-578.
Kozak, A., Kersten, M., Schillmöller, Z., & Nienhaus, A. (2013). Psychosocial work-related predictors and consequences of personal burnout among staff working with people with intellectual disabilities. Research in Developmental Disabilities, 34(1), 102-115.
Kuebler, J. P., Wieand, H. S., O'Connell, M. J., Smith, R. E., Colangelo, L. H., Yothers, G., . . . Atkins, J. N. (2007). Oxaliplatin combined with weekly bolus fluorouracil and leucovorin as surgical adjuvant chemotherapy for stage II and III colon cancer: results from NSABP C-07. Journal of Clinical Oncology, 25(16), 2198-2204.
Kuiper, J. G., Phipps, A. I., Neuhouser, M. L., Chlebowski, R. T., Thomson, C. A., Irwin, M. L., . . . Jackson, R. D. (2012). Recreational physical activity, body mass index, and survival in women with colorectal cancer. Cancer Causes & Control, 23(12), 1939-1948.
Kwekkeboom, K. L., Abbott-Anderson, K., & Wanta, B. (2010). Feasibility of a patient-controlled cognitive behavioral intervention for pain, fatigue, and sleep disturbance in cancer. Paper presented at the Oncology nursing forum.
Lai, Y.-H. (1998). Symptom Distress and Home Care Needs in Patients Receiving Chemotherapy in an Outpatient Setting. Nursing Research, 6(4), 279-289.
Law, M., Cooper, B., Strong, S., Stewart, D., Rigby, P., & Letts, L. (1996). The person-environment-occupation model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63(1), 9-23.
Leclerc, A., Pietri, F., Boitel, L., Chastang, J.-F., Carval, P., & Blondet, M. (1992). Level of education, lifestyle, and morbidity in two groups of white collar workers. Journal of Epidemiology and Community Health, 46(4), 403-408.
Lee, J. E., & Loh, S. Y. (2013). Physical activity and quality of life of cancer survivors: a lack of focus for lifestyle redesign. Asian Pacific Journal of Cancer Prevention, 14(4), 2551-2555.
Lee, P.-C., Kuo, M.-J., & Li, C.-Y. (2005). Quality of life among manual workers in the steel manufacturing industry. Fu-Jen Journal of Medicine, 3(2), 81-90.
Lee, Y.-S., Tsai, Y.-F., Lai, Y.-H., & Kao, R.-H. (2002). Fatigue levels and related factors in lung cancer patients during chemotherapy. Formosan Journal of Medicine, 6(6), 797-804.
Leung, S. O., Chan, C. C., & Shah, S. (2007). Development of a chinese version of the modified Barthel Index—validity and reliability. Clinical Rehabilitation, 21(10), 912-922.
Lev, E. L., Daley, K. M., Conner, N. E., Reith, M., Fernandez, C., & Owen, S. V. (2001). An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients. Research and Theory for Nursing Practice, 15(3), 277-294.
Lien, C., Chen, S., Tsai, P., Chen, K., Hsieh, Y., & Liang, Y. (2010). Effectiveness of nursing instruction in reducing uncertainty, anxiety and self-care in breast cancer women undergoing initial chemotherapy. Hu li za zhi The Journal of Nursing, 57(6), 51-60.
Lin, C.-S., Liu, H.-E., & Wang, J.-Y. (1996). An exploration of the quality of life and related factors for patients with colorectal cancer. The Journal of Nursing Research, 4(1), 13-26.
Lin, C.-Y., Chen, H., & Pakpour, A. H. (2016). Correlation between adherence to antiepileptic drugs and quality of life in patients with epilepsy: a longitudinal study. Epilepsy & Behavior, 63, 103-108.
Lin, C.-Y., Li, Y.-P., Lin, S.-I., & Chen, C.-H. (2016). Measurement equivalence across gender and education in the WHOQOL-BREF for community-dwelling elderly Taiwanese. International psychogeriatrics, 28(8), 1375-1382.
Lin, C.-Y., Yang, S.-C., Lai, W.-W., Su, W.-C., & Wang, J.-D. (2017). Rasch models suggested the satisfactory psychometric properties of the World Health Organization Quality of Life—Brief among lung cancer patients. Journal of Health Psychology, 22(4), 397-408.
Lin, Y.-C. (2002). A Study of the Relationships Between Female Manager Quality-Work life and Work Adjustment. (Master), Zhongyuan University, Taoyuan.
Lin, Y.-C., Chiang, J.-M., Chen, J.-S., Tang, R., Changchien, C.-R., Hsieh, P.-S., . . . Chaing, S.-F. (2017). Reasonable follow up interval of colonoscopy for resected stage I colorectal cancer patient. Journal of Society of Colon and Rectal Surgeons, R.O.C., 28(2), 80-87.
Liu, C., Wang, L., & Zhao, Q. (2015). Factors related to health-related quality of life among Chinese psychiatrists: occupational stress and psychological capital. BMC Health Services Research, 15(1), 1.
Lu, I.-C., Jean, M.-C. Y., Lei, S.-M., Cheng, H.-H., & Wang, J.-D. (2011). BSRS-5 (5-item Brief Symptom Rating Scale) scores affect every aspect of quality of life measured by WHOQOL-BREF in healthy workers. Quality of Life Research, 20(9), 1469-1475.
Lundy, J. J., Coons, S. J., Wendel, C., Hornbrook, M. C., Herrinton, L., Grant, M., & Krouse, R. S. (2009). Exploring household income as a predictor of psychological well-being among long-term colorectal cancer survivors. Quality of Life Research, 18(2), 157-161.
Lynch, B. M., Cerin, E., Owen, N., & Aitken, J. F. (2007). Associations of leisure-time physical activity with quality of life in a large, population-based sample of colorectal cancer survivors. Cancer Causes & Control, 18(7), 735-742.
Macfarlane, G. J., Thomas, E., Papageorgiou, A. C., Croft, P. R., Jayson, M. I., & Silman, A. J. (1997). Employment and physical work activities as predictors of future low back pain. Spine, 22(10), 1143-1149.
Maisey, N., Norman, A., Watson, M., Allen, M., Hill, M., & Cunningham, D. (2002). Baseline quality of life predicts survival in patients with advanced colorectal cancer. European Journal of Cancer, 38(10), 1351-1357.
Malloney, F. (1965). Functional evaluation: the Barthel index. A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Maryland State Medical Journal, 61-65.
Maughan, T. S., James, R. D., Kerr, D. J., Ledermann, J., McArdle, C., Seymour, M., . . . Stephens, R. J. (2002). Comparison of survival, palliation, and quality of life with three chemotherapy regimens in metastatic colorectal cancer: a multicentre randomised trial. The Lancet, 359(9317), 1555-1563.
Maurer, C., Z'graggen, K., Renzulli, P., Schilling, M., Netzer, P., & Büchler, M. (2001). Total mesorectal excision preserves male genital function compared with conventional rectal cancer surgery. British Journal of Surgery, 88(11), 1501-1505.
McLeod, R. S., & Fazio, V. W. (1984). Quality of life with the continent ileostomy. World Journal of Surgery, 8(1), 90-95.
McPhee, S. J., Papadakis, M. A., & Tierney, L. M. (2010). Current medical diagnosis & treatment 2010: McGraw-Hill Medical New York:.
Mermelstein, H. T., & Lesko, L. (1992). Depression in patients with cancer. Psycho‐Oncology, 1(4), 199-215.
Milbury, K., Cohen, L., Jenkins, R., Skibber, J. M., & Schover, L. R. (2013). The association between psychosocial and medical factors with long-term sexual dysfunction after treatment for colorectal cancer. Supportive Care in Cancer, 21(3), 793-802.
Mirowsky, J., & Ross, C. E. (1998). Education, personal control, lifestyle and health: A human capital hypothesis. Research on Aging, 20(4), 415-449.
Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. The Lancet Oncology, 12(2), 160-174.
Mock, V., Mccorkle, R., Ropka, M. E., Pickett, M., & Poniatowski, B. . (2002). Fatigue and physical functioning during breast cancer treatment. In Oncology Nursing Forum, 29(2), 338.
Mock, V., Pickett, M., Ropka, M. E., Lin, E. M., Stewart, K. J., Rhodes, V. A., . . . McCorkle, R. (2001). Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Practice, 9(3), 119-127.
Mosher, C. E., Sloane, R., Morey, M. C., Snyder, D. C., Cohen, H. J., Miller, P. E., & Demark‐Wahnefried, W. (2009). Associations between lifestyle factors and quality of life among older long‐term breast, prostate, and colorectal cancer survivors. Cancer, 115(17), 4001-4009.
Musa, J., Achenbach, C. J., O’Dwyer, L. C., Evans, C. T., McHugh, M., Hou, L., . . . Jordan, N. (2017). Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis. PLoS One, 12(9), e0183924.
Naz, S., Hashmi, A. M., & Asif, A. (2016). Burnout and quality of life in nurses of a tertiary care hospital in Pakistan. JPMA. The Journal of the Pakistan Medical Association, 66(5), 532-536.
Neill, C. M., & Kahn, A. S. (1999). The role of personal spirituality and religious social activity on the life satisfaction of older widowed women. Sex Roles, 40(3), 319-329.
Noh, J.-W., Kim, J., Park, J., Kim, H.-j., & Kwon, Y. D. (2015). Gender difference in relationship between health-related quality of life and work status. PLoS One, 10(12), e0143579.
Otto, S., Korfage, I., Polinder, S., van der Heide, A., de Vries, E., Rietjens, J., & Soerjomataram, I. (2015). Association of change in physical activity and body weight with quality of life and mortality in colorectal cancer: a systematic review and meta-analysis. Supportive Care in Cancer, 23(5), 1237-1250.
Park, H. K., Chun, S. Y., Choi, Y., Lee, S. Y., Kim, S. J., & Park, E.-C. (2015). Effects of social activity on health-related quality of life according to age and gender: an observational study. Health and Quality of Life Outcomes, 13(1), 140.
Pergolotti, M., Cutchin, M. P., Weinberger, M., & Meyer, A.-M. (2014). Occupational therapy use by older adults with cancer. American Journal of Occupational Therapy, 68(5), 597-607.
Phipps, E., Braitman, L. E., Stites, S., & Leighton, J. C. (2008). Quality of life and symptom attribution in long‐term colon cancer survivors. Journal of Evaluation in Clinical Practice, 14(2), 254-258.
Pontieri-Lewis, V. (2006). Basics of ostomy care. Medsurg Nursing, 15(4), 199.
Poulsen, M. G., Poulsen, A. A., Khan, A., Poulsen, E. E., & Khan, S. R. (2012). Factors associated with subjective well‐being in cancer workers in Queensland. Journal of Madical Imaging and Radiation Oncology, 56(3), 347-353.
Powell, P. A., Azlan, H. A., Simpson, J., & Overton, P. G. (2016). The effect of disgust-related side-effects on symptoms of depression and anxiety in people treated for cancer: a moderated mediation model. Journal of Behavioral Medicine, 39(4), 560-573.
Ramsey, S. D., Andersen, M. R., Etzioni, R., Moinpour, C., Peacock, S., Potosky, A., & Urban, N. (2000). Quality of life in survivors of colorectal carcinoma. Cancer, 88(6), 1294-1303.
Ramsey, S. D., Berry, K., Moinpour, C., Giedzinska, A., & Andersen, M. R. (2002). Quality of life in long term survivors of colorectal cancer. The American Journal of Gastroenterology, 97(5), 1228.
Ratjen, I., Schafmayer, C., di Giuseppe, R., Waniek, S., Plachta-Danielzik, S., Koch, M., . . . Schlesinger, S. (2017). Postdiagnostic physical activity, sleep duration, and TV watching and all-cause mortality among long-term colorectal cancer survivors: a prospective cohort study. BMC Cancer, 17(1), 701.
Ravasco, P., Monteiro-Grillo, I., Vidal, P. M., & Camilo, M. E. (2005). Dietary counseling improves patient outcomes: a prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy. Journal of Clinical Oncology, 23(7), 1431-1438.
Reis, P. F., Peres, L. S., Tirloni, A. S., Reis, D. C. d., Estrázulas, J. A., Rossato, M., & Moro, A. R. P. (2012). Influence of anthropometry on meat-packing plant workers: an approach to the shoulder joint. Work, 41(Supplement 1), 4612-4617.
Ribeiro, S. M. d. F., Braga, C. B. M., Peria, F. M., Martinez, E. Z., Rocha, J. J. R. d., & Cunha, S. F. C. (2017). Effects of zinc supplementation on fatigue and quality of life in patients with colorectal cancer. Einstein (São Paulo), 15(1), 24-28.
Rios, K. A., Barbosa, D. A., & Belasco, A. G. S. (2010). Evaluation of quality of life and depression in nursing technicians and nursing assistants. Revista Latino-americana De Enfermagem, 18(3), 413-420.
Rusli, N. B., Edimansyah, A. B., & Naing, L. (2008). Working conditions, self-perceived stress, anxiety, depression and quality of life: a structural equation modelling approach. BMC Public Health, 8(1), 1.
Saksvik‐Lehouillier, I., Bjorvatn, B., Hetland, H., Sandal, G. M., Moen, B. E., Magerøy, N., . . . Pallesen, S. (2013). Individual, situational and lifestyle factors related to shift work tolerance among nurses who are new to and experienced in night work. Journal of Advanced Nursing, 69(5), 1136-1146.
Salamonsen, A., Kiil, M. A., Kristoffersen, A. E., Stub, T., & Berntsen, G. R. (2016). “My cancer is not my deepest concern”: life course disruption influencing patient pathways and health care needs among persons living with colorectal cancer. Patient Preference and Adherence, 10, 1591.
Saltz, L. B., Meropol, N. J., Loehrer Sr, P. J., Needle, M. N., Kopit, J., & Mayer, R. J. (2004). Phase II trial of cetuximab in patients with refractory colorectal cancer that expresses the epidermal growth factor receptor. Journal of Clinical Oncology, 22(7), 1201-1208.
Schernhammer, E. S., Laden, F., Speizer, F. E., Willett, W. C., Hunter, D. J., Kawachi, I., . . . Colditz, G. A. (2003). Night-shift work and risk of colorectal cancer in the nurses’ health study. Journal of the National Cancer Institute, 95(11), 825-828.
Schmidt, C. E., Bestmann, B., Küchler, T., Longo, W. E., & Kremer, B. (2005). Ten-year historic cohort of quality of life and sexuality in patients with rectal cancer. Diseases of the Colon & Rectum, 48(3), 483-492.
Schmidt, M. E., Wiskemann, J., Armbrust, P., Schneeweiss, A., Ulrich, C. M., & Steindorf, K. (2015). Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: a randomized controlled trial. International Journal of Cancer, 137(2), 471-480.
Seib, C., Parkinson, J., McDonald, N., Fujihira, H., Zietek, S., & Anderson, D. (2018). Lifestyle interventions for improving health and health behaviours in women with type 2 diabetes: A systematic review of the literature 2011-2017. Maturitas.
Servaes, P., Verhagen, C., & Bleijenberg, G. (2002). Fatigue in cancer patients during and after treatment: prevalence, correlates and interventions. European Journal of Cancer, 38(1), 27-43.
Sharpley, C. F., Bitsika, V., & Christie, D. R. (2010). ‘Why I feel bad’: refinement of the Effects of Prostate Cancer Upon Lifestyle Questionnaire and an initial exploration of its links with anxiety and depression among prostate cancer patients. Psycho‐Oncology, 19(8), 839-846.
Short, P. F., & Mallonee, E. L. (2006). Income disparities in the quality of life of cancer survivors. Medical Care, 16-23.
Siegel, R., DeSantis, C., & Jemal, A. (2014). Colorectal cancer statistics, 2014. CA: A Cancer Journal for Clinicians, 64(2), 104-117.
Siegel, R., Naishadham, D., & Jemal, A. (2012). Cancer statistics, 2012. CA: A CancerJournal for Clinicians, 62(1), 10-29.
Silander, E., Nyman, J., Bove, M., Johansson, L., Larsson, S., & Hammerlid, E. (2012). Impact of prophylactic percutaneous endoscopic gastrostomy on malnutrition and quality of life in patients with head and neck cancer—a randomized study. Head & Neck, 34(1), 1-9.
Sprangers, M., Taal, B., Aaronson, N., & Te Velde, A. (1995). Quality of life in colorectal cancer. Diseases of the Colon & Rectum, 38(4), 361-369.
Steele Jr, G. (1992). Adjuvant therapy for patients with colon and rectal cancer: clinical indications for multimodality therapy in high-risk groups and specific surgical questions for future multimodality trials. Surgery, 112(5), 847.
Strasser, B., Steindorf, K., Wiskemann, J., & Ulrich, C. M. (2013). Impact of resistance training in cancer survivors: a meta-analysis. Medicine & Science in Sports & Exercise, 45(11), 2080-2090.
Taghavi, S. M., Mokarami, H., Nazifi, M., Choobineh, A., Marioryad, H., & Kujerdi, M. F. (2014). The influence of socio-demographic, health and work-related factors on health-related quality of life among Iranian industrial workers. Health, 6(16), 2250.
Teles, M. A. B., Barbosa, M. R., Vargas, A. M. D., Gomes, V. E., e Ferreira, E. F., de Barros Lima, A. M. E., & Ferreira, R. C. (2014). Psychosocial work conditions and quality of life among primary health care employees: a cross sectional study. Health and Quality of Life Outcomes, 12(1), 1.
Tepas, D. I., Barnes-Farrell, J. L., Bobko, N., Fischer, F. M., Iskra-Golec, I., & Kaliterna, L. (2004). The impact of night work on subjective reports of well-being: an exploratory study of health care workers from five nations. Revista de Saúde Pública, 38, 26-31.
The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(03), 551-558.
The WHOQOL-Taiwan Group. (2005). The User’s Manual of the Development of the WHOQOL-BREF Taiwan Version. 2nd ed. Taiwan: Taipei.
Thomas, J., Beinhorn, C., Norton, D., Richardson, M., Sumler, S.-S., & Frenkel, M. (2010). Managing radiation therapy side effects with complementary medicine. Journal of the Society for Integrative Oncology, 8(2), 65.
Tominaga, T., Nonaka, T., Sumida, Y., Hidaka, S., Sawai, T., & Nagayasu, T. (2016). The c-reactive protein to albumin ratio as a predictor of severe side effects of adjuvant chemotherapy in stage III colorectal cancer patients. PLoS One, 11(12), e0167967.
Tseng, H. (2002). Job stress and health status among employees of the high-tech microelectronic industry in Taiwan: evaluation of two alternative job stress models-Karsek’s demand-support and Siegrist’s effort-reward imbalance model. Thesis, National Cheng Kung University,
Vadiraja, H., Rao, R. M., Nagarathna, R., Nagendra, H., Patil, S., Diwakar, R. B., . . . Ajaikumar, B. (2017). Effects of yoga in managing fatigue in breast cancer patients: A randomized controlled trial. Indian Journal of Palliative Care, 23(3), 247.
Vanaki, Z., & Vagharseyyedin, S. A. (2009). Organizational commitment, work environment conditions, and life satisfaction among Iranian nurses. Nursing & Health Sciences, 11(4), 404-409.
Vivar, C. G., Canga, N., Canga, A. D., & Arantzamendi, M. (2009). The psychosocial impact of recurrence on cancer survivors and family members: a narrative review. Journal of Advanced Nursing, 65(4), 724-736.
Wang, L.-C., Wang, R.-H., & Huang, W.-T. (2009). Health Problems on Colorectal Cancer Inpatients Receiving Chemotherapy: A Preliminary Study. Taiwan Journal of Hospice Palliative Care, 14(3), 284-295.
Welfare, M. o. H. a. (2016). Statistical Analysis of Death Causes of Taiwanese in 2015. Available at: http://www.mohw.gov.tw/news/572256044. (accessed 13 Feb 2018).
Whelan, T. J., Mohide, E., Willan, A. R., Arnold, A., Tew, M., Sellick, S., . . . Levine, M. N. (1997). The supportive care needs of newly diagnosed cancer patients attending a regional cancer center. Cancer, 80(8), 1518-1524.
Winters-Stone, K. M., Dobek, J., Bennett, J. A., Nail, L. M., Leo, M. C., & Schwartz, A. (2012). The effect of resistance training on muscle strength and physical function in older, postmenopausal breast cancer survivors: a randomized controlled trial. Journal of Cancer Survivorship, 6(2), 189-199.
Wolpin, B. M., & Mayer, R. J. (2008). Systemic treatment of colorectal cancer. Gastroenterology, 134(5), 1296-1310. e1291.
Yang, P.-F. (2015). Surgical treatment of colorectal cancer. Available at http://www.kmuh.org.tw/www/kmcj/data/10405/9.htm (accessed 13 Feb 2018).
Yanos, P. T., Rosenfield, S., & Horwitz, A. V. (2001). Negative and supportive social interactions and quality of life among persons diagnosed with severe mental illness. Community Mental Health Journal, 37(5), 405-419.
Yao, G., Chung, C.-W., Yu, C.-F., & Wang, J.-D. (2002). Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. Journal of the Formosan Medical Association, 101(5), 342-351.
Yao, Y.-H., Shieh, D.-C., Su, S.-F., & Wang, S.-Y. (2011). Current trends in the treatment of colorectal cancer. Hungkuang Academic Review, 65, 72-92.
Yeh, C.-C., Hsieh, L.-L., Tang, R., Chieh, C., & Sung, F.-C. (2003). Risk factors for colorectal cancer in Taiwan: a hospital-based case-control study. Journal of the Formosan Medical Association, 102(5), 305-312.
Yeh, W.-Y., Cheng, Y., Chen, C.-J., Hu, P.-Y., & Kristensen, T. S. (2007). Psychometric properties of the Chinese version of Copenhagen burnout inventory among employees in two companies in Taiwan. International Journal of Behavioral Medicine, 14(3), 126-133.
Yeh, W.-Y., Cheng, Y., Chen, M.-J., & Chiu, A. W.-H. (2008). Development and validation of an occupational burnout inventory. Taiwan Journal of Public Health, 27(5), 349-364.
Yen, J.-Y., Ko, C.-H., Yang, M.-J., Shih, C.-H., Huang, W.-C., Lian, Y.-D., & Lee, M.-B. (2005). Screening depression in the community: comparison between Taiwanese depression scale and the 5-Item Brief Symptom Rating Scale. Taipei City Medical Journal, 2(8), 737-744.
Yoo, H. J., Kim, J. C., Eremenco, S., & Han, O. S. (2005). Quality of life in colorectal cancer patients with colectomy and the validation of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C), Version 4. Journal of Pain and Symptom Management, 30(1), 24-32.
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho‐Oncology, 10(1), 19-28.
Zollinger, R. M., & Ellison, E. C. (2011). Zollinger's Atlas of Surgical Operations: McGraw-Hill Medical.
Zygogianni, A. G., Kyrgias, G., Karakitsos, P., Psyrri, A., Kouvaris, J., Kelekis, N., & Kouloulias, V. (2011). Oral squamous cell cancer: early detection and the role of alcohol and smoking. Head & Neck Oncology, 3(1), 2.


論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2021-08-15起公開。
  • 同意授權校外瀏覽/列印電子全文服務,於2021-08-15起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw