臨終與非臨終消化道癌症病患生活品質與其相關因素探討

Ouality of Life and Its Related Factors for Terminal and Non-terminal Patients with Gastrointestinal Cancer

唐婉如(Woung-Ru Tang) ； 羅文珮(Wen-Pei Lo) ； 郭小菁(Hsiao-Ching Kuo) ； 游瓊瑤(Chiung-Yao Yu)

《腫瘤護理雜誌》 4卷2期 (2004/12) Pp. 1-13

https://doi.org/10.6880/TJON.200412_4(2).01

摘要

The purpose of this study was to: (1) compare quality of life (QOL) between terminal and non-terminal gastrointestinal (GI) cancer patients, (2) understand influencing factors of GI cancer patients' QOL. A cross-sectional design with convenience sampling was used in this study. Structured questionnaires, such as demographic scale, McGill QOL instrument, Pain intensity subscale, Spiritual wellbeing scale, and Social support instrument were chosen to measure study variables.
Eighty-seven GI cancer patients (47 terminal and 40 non-terminal) were recruited from five teaching hospitals in the north, middle, and south part of Taiwan. Descriptive analysis and predictive analysis (independent t test, Pearson correlation and multiple regression) were used to answer research questions.
Findings from this study showed that terminal GI cancer patients had a significantly worse QOL than non-terminal GI cancer patients (t=-2.18, p＜0.05). Intensity of pain, physical performance status, spirituality, and social support as a set explained 39.4% of the variance on patients' QOL. GI cancer patients who suffered less pain, who had better physical health status as well as greater spirituality had a significantly better QOL.
This study should be replicated in the future using larger sample in order to validate findings from this study. It will be also valuable to use methodological triangulation by combining both quantitative and qualitative methodologies to further characterize QOL in cancer patients.

關鍵字

消化道癌症病患 ； 生活品質 ； 臨終

並列摘要

The purpose of this study was to: (1) compare quality of life (QOL) between terminal and non-terminal gastrointestinal (GI) cancer patients, (2) understand influencing factors of GI cancer patients' QOL. A cross-sectional design with convenience sampling was used in this study. Structured questionnaires, such as demographic scale, McGill QOL instrument, Pain intensity subscale, Spiritual wellbeing scale, and Social support instrument were chosen to measure study variables.
Eighty-seven GI cancer patients (47 terminal and 40 non-terminal) were recruited from five teaching hospitals in the north, middle, and south part of Taiwan. Descriptive analysis and predictive analysis (independent t test, Pearson correlation and multiple regression) were used to answer research questions.
Findings from this study showed that terminal GI cancer patients had a significantly worse QOL than non-terminal GI cancer patients (t=-2.18, p＜0.05). Intensity of pain, physical performance status, spirituality, and social support as a set explained 39.4% of the variance on patients' QOL. GI cancer patients who suffered less pain, who had better physical health status as well as greater spirituality had a significantly better QOL.
This study should be replicated in the future using larger sample in order to validate findings from this study. It will be also valuable to use methodological triangulation by combining both quantitative and qualitative methodologies to further characterize QOL in cancer patients.

並列關鍵字

GI cancer patient ； quality of life ； terminally ill