本研究目的在了解癌症病患人口學特性、疾病不確定感、症狀困擾、社會支持對癌症病患生活品質的影響。研究設計採橫斷式研究法,採立意取樣,以台灣東部某醫學中心及東北部某區域教學醫院腫瘤科癌症病患為母群體。共收案100名,分非疼痛者50名,疼痛者50名,利用結構式問卷及深入訪談進行研究。統計方法以SPSS 10.0軟體採用描述性分析。研究結果顯示生活品質與不確定感呈顯著負相關,與症狀困擾主顯著負相關,與社會支持呈顯著正相關。生活品質重要預測因子有,不確定感、症狀困擾、社會支持、職業、經濟來源、婚姻狀態等,可解釋總變異量的48.3%,以hierachical multiple regression來決定控制疼痛以外的因素後,疼痛對生活品質仍有14%的解釋量。藉由本研究結果可使護理人員明白癌症病患不確定感、症狀困擾、社會支持與生活品質的關係,進而設計介入措施,以提升癌症病患的生活品質。
The purpose of this study was to understand the impact on quality of life including among cancer patients' democrate data, uncertainty, symptom distress and social support. By means of cross-sectional study and purposive sampling, the researcher chose 100 cancer patients in an eastern medical center and a northeast regional hospital. There were 100 cancer patients classified into 2 groups with data obtained by indepth interview and questionnaire, and analysis by SPSS for Window 10.0. In addition, the overall uncertainty showed negative correlation with quality of life, the symptom distress showed negative correlation with quality of life, and the social support showed positive correlation with quality of life. Uncertainty, symptom distress, social support, occupation, economic resource and marital status showed predictive important variables for quality of life, which could explain 48.3% of the whole variance. Using hierachical multiple regression, and controlling the six variances, ”pain” could explain 14% of quality of life. The result generated from the study could provide clinical nursing staff reference about the relationship between cancer patients' basic data, uncertainty, symptom distress, social support and the quality of life. For future research, nurses could provide nursing intervention to help cancer patients promote Quality of Life.