*中心館藏網址:http://tulips.ntu.edu.tw/record=b2169272*cht

[ 摘要 ]
主研究目的主要在探討原住民肝硬化病患人口學變項、疾病特性、身體症狀困擾及心理狀況、社會支持與生活品質的相關性，採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原住民患者（排除肝性腦病變者）共31位為對象，以結構性問卷會談法收集資料，研究工具包括生活品質量表、身體症狀困擾及心理狀況量表、及社會支持量表。所得資料以百分比、平均值、魏可遜二獨立樣本檢定─曼-惠特尼U檢定（Wilcoxan two-sample test─Mann-Whitney U test）、克-瓦二氏單因子等級變異數分析(Kruskal-Wallis)、Spearman等級相關、複迴歸(Multiple regression)進行統計分析。
研究結果顯示：一、原住民肝硬化病患整體的生活品質指標為18.47。家庭因素層面得分最高，健康因素層面得分最低；二、身體症狀困擾及心理狀況與整體生活品質指標呈顯著正相關，以疲倦因素層面相關性最高；三、社會支持與整體生活品質無顯著相關；四、原住民肝硬化病患的基本屬性，性別、年齡、婚姻狀況、教育程度、宗教信仰、工作、收入、肝硬化種類、疾病嚴重度、合併慢性病、罹病時間與整體生活品質並無顯著差異；五、對生活品質有預測力之因子為身體症狀困擾與心理狀況及疾病嚴重度二個自變項，共可解釋生活品質的變異量為62%，以身體症狀困擾與心理狀況具最大預測力。
根據研究結果，期望能提供適當的臨床護理措施，作為提升原住民肝硬化病患生活品質之參考。
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

[ 英文摘要 ]
Abstract
The purpose of this study was to identify the factors related to quality of life for aborigine patients with liver cirrhosis. A convenience sampling technique was used to obtain subjects from two teaching hospital in the
I-Lan.Thirty-one patients with liver cirrhosis completed a structured ques-
tionnaire including demographic data , disease characteristics, physical symptoms and mental status, social support and quality of life index (QLI).
Data were analyzed by using mean, standard deviation, percentage, Wilco-
xan two sample test─Mann-Whitney U test, Kruskal Wallis test, Spearm-
an’s rho correlations and Multiple regression.
The major findings of this study were as follows: (1)The mean score of overall QLI for the liver cirrhosis patients was 18.47. The highest score of QLI subscale was family subscale, and the lowest score was health sub-
scale；(2)Symptomatic distress was positively correlated with quality of life. The correlation of the fatigue domain was the highest.；(3)Social support was not related to quality of life ；(4)Quality of life had no difference in terms of gender, age, marital status, education, religion, employee status, income, classification of cirrhosis, Child-pugh classification, comorbility, onset of cirrhosis ；(5)Multiple regression showed that 62% of variance of quality of life could be predicted by two factors: physical symptoms and mental status and liver function (early cirrhosis or advanced cirrhosis). Physical symptoms and mental status was the strongest predictor of quality of life.The results of this study may help nurses to provide appropriate clinical nursing interventions and to promote quality of life of liver cirrhosis patients.
Key words: Aboriginal, liver cirrhosis, quality of life, physical symptoms and mental status, social support