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輔仁醫學期刊

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篇名 宜蘭縣泰雅族原住民肝硬化病患的生活品質及其相關因素之探討
卷期 2:2
並列篇名 Quality of Life and the Associated Factors among Tayal Aboriginal Patients with Liver Cirrhosis in I-Lan
作者 黃麗珠劉雪娥李中一邱愛富
頁次 027-037
關鍵字 原住民肝硬化病患生活品質身體症狀困擾及心理狀況社會支持aboriginalliver cirrhosisquality of lifephysical symptoms and mental statussocial support
出刊日期 200406

中文摘要

背景和目的:探討宜蘭縣泰雅族原住民肝硬化病患之生活品質狀況以及分析人口學變項、疾病特性、身體症狀困擾及心理狀況、社會支持與生活品質間的相關性。方法:為橫斷面描述性相關性設計,採立意取樣,以宜蘭縣二所區域教學醫院經診斷確定為肝硬化的泰雅族原住民患者(排除肝昏迷者) 共30 位為對象,以結構性問卷會談法收集資料,研究工具包括經過信效度驗證之生活品質量表、身體症狀困擾及心理狀況量表及社會支持量表;以百分比或平均值與標準差描述研究樣本之社會人口學特徵、疾病特性、以及在各量表的得分,並利用逐步複迴歸模式分析生活品質分數的顯著預測因子。結果:原住民肝硬化病患樣本的生活品質指標平均得分為18.5 分,其中家庭因素得分最高,健康因素得分最低;對生活品質有顯著預測力之因子包括身體症狀困擾與心理狀況及疾病嚴重度等二個變項,共可解釋生活品質的變異量為63.6%。結論:身體症狀困擾與心理狀況較差以及疾病嚴重較輕之泰雅原住民肝硬化病人的生活品質較低,未來研究應著重探討可能的介入措施以有效提升泰雅原住民肝硬化病患的生活品質。

英文摘要

Background and Purpose: To investigate the scale-based quality of life score (QOLS)and its potential associations with sociodemographic variables, diseases characteristics,physical symptoms andmental status, and social support among Tayal aboriginal patientswith liver cirrhosis in I-Lan. Methods:A convenient sample of 30 patients (excluding thosewith hepatic coma) was obtained from two regional teaching hospitals in I-Lan. The studyparticipants were personally interviewed with a structured questionnaire. Various scaleswith satisfactory validity and reliability were used for the collection of information onquality of life, physical symptoms and mental status, and social support. We calculatedpercentages or means and standard deviations of sociodemographic variables, diseasecharacteristics, physical symptoms and mental status, and various scale-based scores. Astepwise regression model was also used to identify factors that may significantly predictthe QOLS. Results: The mean score of overall QOLS was 18.5 for the study participants.Calculation of the score for each of the 5 subscales revealed that the highest and lowestscore was noted for the family related subscale and the health related subscale. Thestepwise regression model suggested that physical symptoms and mental status anddisease severity are the two variables significantly associated with the QOLS, jointlyaccounted for 63.6% of the variance of QOLS. Conclusion: Tayal aboriginal liver cirrhosispatients who suffered fromphysical and psychological distress or experienced a relativelymild condition tended to experience a lower QOLS. Future studies may consider toexploring clinical nursing interventions thatmay help promote quality of life of aboriginalpatients with liver cirrhosis.

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