口腔癌病人生活品質及相關因素之探討

The quality of life and related factors toward the oral cancer patients

紀慧真(Hui-Chen Chi)

指導教授 ： 徐尚為

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2010年)

摘要

本研究主旨在探討影響口腔癌病人生活品質之相關因素，採橫斷式調查研究法，以中山醫學大學口腔癌門診住院之病人為母群體，收案時間自2010/01/30至2010/04/15止，計收案50人。
本研究之主要結論如下：
1.本研究之口腔癌病人的性別比為9：1，年齡集中於40-59歲的青壯年(30/50，60%)，相關危險因子方面，吃檳榔的比率高達84.0%，與台灣其他相關研究具有一致性的疾病人口學特性。
2.本研究發現，即使是確診時間在一年以內的病人，竟有近半數(6/13，46.2%)的病人已經為第三或第四期的病人，顯示此類病人對於疾病(指口腔癌)的警覺心仍有不足之處。
3.手術前後的自評健康相關生活品質的平均分數前後差異高達28.9分，顯見手術對於口腔癌病人的健康相關生活品質造成嚴重的影響。
4.家人、親友及醫療專業人員的社會支援程度並未與口腔癌病人的整體品質生活滿意度、手術後健康相關生活品質滿意度，以及手術前後的健康相關生活品質滿意度之評分呈現正相關。
研究結果可以提供護理人員對於口腔癌病人疾病照護的相關訊息，使更瞭解病人所面臨的問題與困擾，以提升病人對生活品質的滿意度。

關鍵字

口腔癌 ； 生活品質

並列摘要

The main purpose of the study is to investigate relevant factors affecting the quality of life of oral cancer patients. A cross-sectional study was conducted and the subjects were the patients hospitalized at the Division of Oral Cancer of Chung Shan Medical University Hospital. A total of 50 subjects were enrolled from January 30、2010 to April 15、2010.
The main conclusions are as follows:
1. The gender ratio of oral cancer patients is 9: 1 and the average age is 40-59. Most of the patients are the middle age (30/50、60%). As for relevant risk factors、as high as 84.0% of the patients are betel nut chewers、which is consistent with the disease demographics in other relevant studies in Taiwan.
2. This study found that、even for the patients whose disease was identified over the past year、approximately half of them (6/13、46.2%) have already been stage III or stage IV patients、indicating that the lack of awareness of such a disease (oral cancer) is still common in these patients.
3. The difference in the average score between the preoperative and postoperative self-rated health-related quality of life (QOL) is 28.9、indicating that the surgery has severe impact on the health-related QOL of oral cancer patients.
4. The extent of social support provided by family、friends and relatives、and professional medical staff is not positively correlated with the oral cancer patients』 satisfaction with overall QOL、postoperative health-related QOL、and both preoperative and postoperative health-related QOL scores.
The research results provide relevant information on the care of oral cancer patients to nursing staff to make them understand the problems and persecution encountered by patients to increase their satisfaction with quality of life.

並列關鍵字

Oral cancer ； Quality of life

參考文獻

林曜祥、任益民、李日清、林釗正、王炳龍（2002）．台灣地區頭頸癌概況．中華民國耳鼻喉科醫學雜誌，37（3），176-181。

陸玿玲（1998）．台灣地區生活品質研究概況．中華衛誌，17(6)，442-457。

梁錦榮、陳大為（2004）．高雄榮總治療上顎口腔癌之臨床分析．中華民國口腔顎面外科學會雜誌，15(2)，92-98。

黃振勳、郭生興、郭英雄（1994）．口腔癌在台灣：文獻回顧．中華民國口腔顎面外科學會雜誌，5，13-22。

胡文郁（2004）．台灣文化脈絡下癌末病人之生活品質．台灣醫學，8(5)，688-697。