- 學位論文
食道癌患者生活品質及其相關因素探討
A Study of life Quality among esophageal cancer patient and its related factors
摘要
食道癌患者疾病帶來的症狀困擾，及其治療對患者身體、心理、社會形成極大的衝擊，醫療目的除了使疾病獲得控制，更期望能延長病患的存活率以及提升病患的生活品質，護理人員能瞭解影響患者的生活品質的因素，則能提供更完善的護理照顧。 故本研究主要探討食道癌患者個人屬性、治療情況、症狀困擾與生活品質之關係，研究對象為中部某醫學中心食道癌門診及住院病患，於2004年5月至2005年3月共計130位個案參與。研究方法採橫斷面調查法，以歐洲癌症治療與研究組織生活品質核心問卷量表台灣中文版（EORTCQLQ-C30），症狀困擾及社會支持等量表為研究工具。研究資料進行百分比、平均值、標準差、無母數檢定Mann-Whitney U test 、Kruskal-Wallis test單因子變異數分析、皮爾森積差相關分析、簡單直線迴歸等統計分析。 研究結果發現:（一）食道癌病患不同婚姻狀況在整體健康方面呈現顯著差異，已婚者較未婚、離婚或寡居者為佳。（二）不同職業在生理功能方面有顯著差異，以從事工、商或其他有職業者較無職業者為佳。（三）治療情況中有接受空腸造瘻術者其整體生活品質及功能指標之生理、角色功能均較未接受空腸造瘻術者為差。（四）症狀困擾及徵狀尺度與整體生活品質及健康狀況呈負相關。（五）預測食道癌的生活品質及功能指標，最主要的是症狀困擾可解釋變異量為70.2﹪。本研究結果提供醫護人員了解症狀困擾為重要影響食道癌生活品質因素，可將此影響生活品質的相關因素評估納入護理過程，提供病患及家屬後續照護的協助。
並列摘要
The purpose of this study was to investigate individual characteristics, treatment conditions, social supports, symptom distresses, and other factors related to quality of life among 130 esophageal cancer patients. In this study, EORTCQOLC-30 questionnaires, symptom distresses questionnaires, social supports questionnaires and patient demographics were used as instrumental assessments of life quality. Expert opinions for content validity and Cronbach’s alpha for reliability were used. We found the following results: (1) There was correlation between individual characteristics, marital status and the quality of life; (2) There was correlation between individual characteristics, job status and the quality of life; (3) There was correlation between the jejunostomy treatment condition and the quality of life; (4) Symptom distresses negatively correlated with the quality of life; and (5) Symptom distresses were predictive of the quality of life in more than 70.2% of esophageal cancer patients. Our study results can provide nurses with the knowledge of factors that influence outcomes of esophageal cancer patients, and this knowledge will be important in future nursing care and research.