Factors Related to Quality of Life in Breast Cancer Patients Receiving Chemotherapy

乳癌化學治療病人生活品質及其相關因素之研究

李惠玲 (Hui-Ling Lee)；顧乃平(Nai-Ping Ku)；竇維正(Wei-Jenq Dow)；白璐(Lu Pai)

生活品質 ； 乳癌 ； 化學治療 ； quality of life ； breast cancer ； chemotherapy

The Journal of Nursing Research

9卷3期（2001 / 06 / 01）

57 - 68

英文

本研究採敘述性相關研究法，目的在探討乳癌病人接受化學藥物治療期間的生活品質，及個人屬性、疾病特徵、心理因素（焦慮、憂鬱、自尊）、社會支持等因素與生活品質之關係。以台北地區150位乳癌病人為研究對象，採結構式問卷會談法收集資料。研究結果發現：乳癌病人整體生活品質為中等程度（M＝19.88）。在生活品質重要性及滿意度得分方面，皆以家庭因素得分最高，最不滿意的是健康因素。乳癌病人個人屬性中，以子女數及社經地位不同與其生活品質達顯著差異（p＜.05）。在疾病特徵中，乳癌病人的生活品質在疾病分期、接受化學治療之時問長短及化學治療次數不同等方面達顯著差異（p＜.05）。乳癌病人心理因素與生活品質呈顯著相關（p＜.05）。乳癌病人的社會支持與生活品質之相關性，在親友及健康專業人員兩方面均達顯著意義（p＜.01）。乳癌病人在個人屬性、疾病特徵、心理因素和社會支持等相關因素中，以自尊對整體生活品質最具影響力（p＜.001）。本研究結果可提供護理人員擬定改善乳癌病人生活品質措施之參考。

This descriptive correlation study investigated the relationship among individual characteristics, disease characteristics, psychological factors (anxiety, depression, self-esteem), social support, and quality of life in patients with breast cancer receiving chemotherapy. One hundred and fifty women from nine Taipei area hospitals were surveyed with a structured questionnaire. The total quality of life index for breast cancer patients was about average (M=19.88). The family factor scored highest for importance and satisfaction with quality of life. Patients showed the most dissatisfaction with the health factor. Of the individual characteristics affecting patient quality of life, number of children and social status were statistically significant (p ＜ .05). Of the disease characteristics, the stage of the disease, the commencement of chemotherapy, and the number of chemotherapy treatments were statistically significant (p ＜ .05). The psychological factors were significantly related to patients' quality of life (p ＜ .05). Social support of both relatives and health professionals was significantly related to patients' quality of life (p ＜ .01). Of the four independent variables (individual characteristics, disease characteristics, psychological factors and social support), the most influential factor affecting breast cancer patients' total quality of life was the psychological factor of self-esteem (p ＜.001). The findings can assist nurses to plan and improve the quality of breast cancer care in terms of understanding the factors affecting patients' quality of life.

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