消化系統癌症惡病質病患的個人基本屬性、營養狀況與日常生活活動能力及生活品質之相關性

本研究屬描述相關性研究，目的在探討南部某一醫學中心之40位消化系統癌症惡病質病患的個人基本屬性、營養狀況與日常生活活動能力及生活品質之相關性。研究工具採結構式問卷，內容包括個人基本屬性量表、感知日常生活活動能力量表及台灣簡明版生活品質量表等三部份，營養狀況之評估經由測量體重和三頭肌皮脂厚度。研究結果發現：（1）病患之日常生活活動能力，總分平均值為65.73分（總分為77分）。（2）病患之生活品質標準化得分為58.71，屬於中等程度，四範疇以社會關係範疇生活品質得分最高，生理健康範疇生活品質得分最低。（3）年齡及體重減輕百分比與日常生活活動能力有顯著差異及相關。（4）職業、身體症狀影響程度及理想體重百分比與生活品質總分有顯著差異及相關。（5）日常生活活動能力與生活品質總分、生理健康範疇及環境範疇之生活品質有顯著相關。因此，研究結果建議健康照護團隊除了協助病患症狀處理及照護外，更應針對與日常生活活動能力及生活品質之相關因素（如年齡等）做進一步探討瞭解其影響程度，以做為日後改善消化系統癌症惡病質病患日常生活活動能力及生活品質的參考。

關鍵字

消化系統癌症；惡病質；營養狀況；日常生活活動能力；生活品質

並列摘要

This was a descriptive correlation study and the purpose was to explore the association of personal characteristics, nutritional status with activities of daily living (ADL) and quality of life (QOL) in patients with gastrointestinal tract cancer (GI cancer) presenting with cachexia. A total of 40 GI cancer patients with cachexia were recruited from one medical center in southern Taiwan. Three structured questionnaires, the Personal Characteristics, Index of Self-Report ADL and Quality of Life Scale (WHOQOL-BREF) were used to collect data. Nutritional status was assessed by measurement of body weight and triceps skin-fold thickness. The results showed that: (1) the mean ADL score was 65.73 out of 77; (2) the standardized QOL score was 58.71, which was a middle level with highest score in the social relationships domain and lowest score in the physical health domain; (3) there are some significant differences and correlations to the ADL were age and percentage of body weight loss; (4) there are some significant differences and correlations to the total QOL were employment, the level of the physical symptoms influence and %IBW; (5) there are some significant correlations to the ADL were total QOL, physical health domain and environment domain of QOL. Thus, our results indicate that in addition to the provision of symptoms management and care, the health care team should also carefully examine the impact of ADL and QOL related factors (e.g., age, etc.) on the ADL and QOL of cachetic GI cancer patients. The information will be helpful to improve the ADL and QOL of cachetic GI cancer patients in the future.