某教學醫院肝癌病患生活品質及其相關因素之探討

Factors Associated with Quality of Life Among Patients with Liver Cancer in a Teaching Hospital

本研究目的在了解肝癌病患生活品質情形及其相關因素。本研究為橫斷式描述性相關性研究。採立意取樣，以北部某醫學中心肝膽腸胃科病房肝癌病患為研究對象，共收案58人，以結構式問卷會談法收集資料，以「慢性肝病生活品質測量」、「慢性肝病社會支持測量」、「多層面健康控制重心測量」等量表來收集資料。將所得的資料以描述性統計、獨立樣本t檢定、單因子變異數分析及皮爾森積差相關分析進行統計分析，主要結果如下：（1）整體來看，肝癌病患整體生活品質是差的，其中以生理層面最差，社會層面較好；（2）肝癌病患的人口學特性及疾病特徵與生活品質皆無顯著相關；（3）在健康控制重心與生活品質方面，「機運控制者」與整體生活品質呈正相關；（4）肝癌病患整體的社會支持是中上的，社會支持與生活品質呈負相關，但無顯著相關。本研究發現可為臨床照護計畫之參考及進一步研究之基礎。

The purpose of this study was to explore the quality of life of liver cancer patients and the factors correlated with this quality of life. The approach involved the use of a cross sectional descriptive correlational study. Samples were obtained by purposive sampling. Fifty-eight liver cancer patients were recruited from hepatology wards at a medical center in northern Taiwan. Data were collected through structured questionnaires. The test instruments used in the study were the “Chronic Liver Disease Quality of Life Questionnaire”, the “Chronic Liver Disease Social Support Questionnaire” and the “Multidimensional Health Locus of Control Scale”. The results were statistically analyzed by means of descriptive analysis, independent-sample t tests, one-way ANOVA and Pearson product moment correlations. The major findings of this study were as follows. Firstly, generally speaking, the quality of life for liver cancer patients was poor and the worst aspect was physiological and the best aspect was social. Secondly, quality of life was not associated with the patient’s demographic or disease characteristics. Thirdly, there was a positive correlation between the health locus of control measure and quality of life. Fourthly, patients with liver cancer had moderate to high levels of social support. Finally, there was a negative correlation between social support and quality of life, but this fi nding was not statistically significant. These findings should be helpful as a reference when planning clinical care standards that will improve the quality of care for liver cancer patients and also provide baseline data for future research. (Tzu Chi Nursing Journal, 2007; 6:6, 80-91.)