肝癌患者之希望與生活品質的相關性：一個前導性研究

本研究之目的在瞭解肝癌患者之希望與生活品質情形，並探討其間之相關性和生活品質的重要影響因子。本研究為橫斷式相關性研究設計，採立意取樣，以中部某教學醫院之肝癌住院患者為研究對象，收案時間為2006年2月至7月，採結構式問卷進行調查，有效樣本為72人。以結構式問卷進行資料收集，採用的研究工具包括基本資料表、赫氏希望量表及生活品質核心問卷量表。研究結果如下：（一）肝癌患者的希望為中等程度，其三個次量表的得分由高到低依序為：相互關聯、目前與未來感受、正向準備與期待。（二）肝癌患者的整體生活品質為中等程度。（三）生活品質與希望達統計學之顯著正相關。（四）希望程度、住院次數、肝功能期數等三個變項解釋生活品質變異量達96.5%。本研究之結果可提供臨床護理人員瞭解肝癌患者之希望與生活品質的關係，並可作為臨床護理提升肝癌患者生活品質的希望介入措施參考。
The purpose of this cross-sectional correlation study was to understand the correlations and relationships hope attitude and quality of life in patients with hepatocellular carcinoma (HCC). Using purposive sampling, this study included 72 qualified patients diagnosed with HCC from in-patient unit of GI ward in a teaching hospital of central Taiwan. The participators were administered questionnaires of the Herth Hope Index and the EORTCQOL-30. Hope attitude was moderate and found to be most influenced by three subscales that included interconnectedness, temporality and future, and positive readiness and expectancy. Life of quality of HCC patients was moderate. We found a significant positive correlation between the quality of life and hope attitude. The predictors of overall quality of life were the score of hope attitude, times of hospitalization, and scales of hepatic function. These dependent variables explained 96.5% of variability of samples. The results of this study can provide clinical nurses an understanding of the levels of hope attitude and quality of life in HCC patients. This should help health care givers provide more appropriate daily care.