肝癌患者之希望、社會支持與生活品質的相關性探討

A Study of the relationships among the HCC patients’ hope, social support and quality of life

黃麗華(Li-Hua Huang)

指導教授 ： 郭碧照

中山醫學大學/醫學院/醫學研究所/碩士(2006年)

https://doi.org/10.6834/CSMU.2006.00104

摘要

本研究之目的在瞭解肝癌患者之希望、社會支持與生活品質情形，並探討其間之相關性和生活品質的重要影響因子。本研究為橫斷式相關性研究設計，採立意取樣，以中部某教學醫院之肝癌住院病患為研究對象，採結構式問卷進行調查，共獲得有效樣本60名。用結構式問卷進行資料的收集，採用的研究工具包括基本資料、赫氏希望量表、社會支持量表、生活品質核心問卷量表，量表經過內在一致性信度及專家效度檢定。所得資料以頻率、百分比、平均值、標準差、t-test、單因子變異數分析、皮爾森積差相關分析及複迴歸等進行統計分析。研究結果如下：（一）肝癌病患的希望為中等程度，其三個次量表的得分由高到低依序為：相互關聯、目前與未來感受、正向準備與期待。（二）肝癌病患的社會支持介於中等支持，其三個次量表的得分由高到低依序為：配偶的支持、醫護人員的支持、親友的支持。（三）肝癌病患的整體生活品質為中等程度。（四）生活品質與希望達統計學之顯著正相關；希望程度與社會支持無顯著相關；社會支持與生活品質亦無顯著相關。（五）住院次數、此次住院天數、希望量表總分、診斷時間、肝功能期數五個變項可有效解釋生活品質53.3%的變異量。本研究結果，可幫助護理人員瞭解肝癌病患之希望、社會支持與生活品質及護理介入之參考。

關鍵字

肝癌 ； 希望 ； 社會支持 ； 生活品質

並列摘要

The purpose of this study was to understand hope, social support and quality of life in patients with Hepatocellular Carcinoma (HCC). In addition, the relationships among these factors and the predictors of quality of life were explored as well. This study was conducted under cross-sectional description of correlations design with purposive sampling. A valid sample of 60 objects, which were all diagnosed as HCC patients, was obtained from the inpatient units of GI wards in a mid-Taiwan teaching hospital.
Structured questionnaires were administered as means of data collection. Research instruments in use include demographic data, the Herth Hope Index, the Social Support Scale, and the EORTCQOL-30 questionnaires. All these scales had undergone internal consistent reliability test and expert validity verifications. Statistical technologies including percentage, scope, mean, standard deviation, t test, One-Way ANOVA, Person’s product moment correlation and stepwise multiple regression were used for the data analysis.
Findings from this survey can be summarized as follows: 1. The hope of HCC patients was moderate. The score for its three sub-scales, from the highest to the lowest, was interconnectedness, temporality and future, positive readiness and expectancy. 2. Social support was moderate. The score for its three sub-scales, from the highest to the lowest, was conjugal support, doctors and nurses’ support, relatives and friends’ support. 3. Life quality of the HCC patients was moderate. 4. The correlation between overall quality of life and overall hope was significantly positive. The correlation between overall hope and overall social support was Non-significantly. The correlation between overall social support and overall quality of life was Non-significantly. 5. The predictors of overall quality of life implies times of admittance, days of admittance, overall hope, time of diagnosis liver reserve, moreover, the total explainable variance reaches 53.3%high.
Briefly, the information obtained from this study can improve clinical medical personnel’s understanding of HCC patients’ hope, social support, and quality of life, so as to facilitate them implementing more appropriate daily caring intervention.

並列關鍵字

Hepatocellular Carcinoma (HCC) ； hope ； social support ； quality of life

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