癌症病人之生活品質及其預測因子

Predicting Factors on Quality of Life in Cancer Patients

本研究目的在瞭解住院癌症病人的生活品質情形及具有預測力之因素，採橫斷式研究設計，以結構式問卷調查某醫學中心住院之癌症病人，研究工具包含台灣簡明版生活品質量表、症狀困擾量表、疼痛視覺類比量表、日常活動功能等，共回收問卷200份，研究結果發現癌症病人的生活品質屬中等程度，而症狀困擾、日常生活狀態可有意義地解釋生活品質的變異性，除此外，症狀困擾、日常活動功能及疾病期別因素對心理範疇之生活品質具有預測力，並且症狀困擾、年齡及性別因素對社會關係範疇之生活品質亦具預測力，因此，研究結果建議臨床上健康照護人員除提供症狀的控制與處理外，尚應針對影響生活品質之相關因素作有效處置，以促進癌症病人之生活品質。

The purposes of this study were to survey the quality of life (QOL) and to examine the predicting factors of life quality in cancer patients. A cross-sectional study design was conducted using a structured questionnaires in a medical center during a 12-month period. The sample consisted of 200 cancer inpatients. The measurement included WHOQOLBREF, symptom distress, pain visual analogy scale, and ECOG (Eastern Cooperative Oncology Group) performance status. The results found the quality of life in cancer patients were in the median level. Symptom distress, and ECOG performance status were significantly associated with the quality of life using stepwise analysis. Cancer patients with severe symptom distress, poor ECOG and illness stage IV were found significantly associated with poor psychological domain of QOL. Severe symptom distress, elder-age, and males were also found statistically associated with the poor social relationship domain of QOL. The finding suggest a health care team could provide symptoms management, and intervene in these predicting factors to improve the quality of life in cancer patients.