本研究目的在探討心臟移植患者出院後生活品質狀況及影響患者生活品質之相關因素，係一敘述性相關性研究，對象為在台北市三所醫學中心接受心臟移植手術後出院返家之患者，經個案同意以結構式問卷收集資料。研究工具包括個案基本資料、疾病特性以及生活品質指標、症狀困擾、健康知識等三個量表。共收得43位個案，81.4%為男性，平均年齡43.4歲，移植後月數平均為17.6個月。結果發現個案生活品質整體而言平均得分為22.07分，與最高可能得分(30分)之比例為0.74。各層面平均得分以家庭層面最高，健康功能層面居次，社會經濟層面最低。心臟移植從患者平均出現18個症狀或藥物副作用，最常見為毛髮增生、青春痘、月經周期改變、心悸、手顫抖、注意力不易集中等。而對個案造成困擾最嚴重的症狀為月經周期改變、疼痛、視力不良、手顫抖、容易忘記事情、疲倦等。患者對手術後自我照顧方面健康知識暸解情形，平均得分為19.09分，與最高可能得分(20分)之比例為0.95。個案的生活品質狀況不會因性別、年齡層、婚姻狀況、宗教信仰、醫療保險、社會地位、移植後月數之不同，而有顯著(p < 0.05 )之差異。個案出現藥物副作用或症狀的多寡以及受症狀困擾的嚴重程度之不同，其生活品質狀況有非常顯著(p < 0.01 )之差異，且有顯著的(p < 0.01 )負相關性。個案健康知識與其生活品質狀況有顯著(p < 0.05 )正相關。

The main purpose of this study is to explore the life quality of heart transplant recipients and correlated factors. Data was collected by a questionnaire composed of instruments including Quality of Life Index (QLI), Symptom Frequency Distress Checklists and Health Information Scale. Forty-three adult patients after heart transplantation completed the questionnaires either at their follow-up OPD appointment or at their home. The major findings of this study were: (1) QLI mean score is 22.07, which showed a moderated satisfaction after heart transplantation; (2) the most frequent and distressing symptoms for heart transplant recipients were excessive hair growth, acne, menstrual cycle disorders, palpitations, tremors, poor concentration and memory; (3) there were no significant differences between QLI in terms of age, sex, marriage, religion, social status; (4) those who with most frequent or higher distress symptoms correlated with less life satisfaction (p < 0.01) ; (5) higher health information score correlated significantly (p < 0.05) with better life satisfaction. Findings also indicated that most heart transplant recipients have better quality of life after transplant surgery.