肝臟移植病人生活品質之探討

Quality of Life among Patients with Liver Transplantation

10.6530/YYN.2010.4(2).04

高玉玲(Yu-Ling Kao)；謝宗保(Chung-Bao Hsieh)

肝臟移植 ； 生活品質 ； SF-36 ； liver transplantation ； quality of life ； SF-36

源遠護理

4卷2期（2010 / 11 / 01）

25 - 33

繁體中文

本研究旨在瞭解肝臟移植術後病人出院後之生活品質。藉由橫斷式敘述性的相關研究設計，本研究以台北市某醫學中心43位肝臟移植術後之出院病人為研究對象，採用結構性問卷進行資料收集。結果發現：病人肝臟移植後生活品質之「生理健康層面」得分為44.8，「心理健康層面」得分為47.4，各分項得分高低依序為「身體生理功能」、「社會功能」、「身體疼痛」、「心理健康」、「一般健康狀況」、「因情緒問題角色受限」、「活力」及「因身體生理問題角色受限」；肝臟移植術後病人之生活品質與性別、年齡、教育程度及婚姻狀況無顯著相關；活體肝臟移植術後者在「因情緒問題角色受限」得分較非活體肝臟移植者顯著的低；而移植至今的時間長短與「生理健康層面」、「因身體生理問題角色受限」、「身體疼痛」及「社會功能」有正相關；而症狀發生頻率愈高者，其肝臟移植術後的「身體疼痛」及「活力」之生活品質得分愈低。本研究結果可作為肝臟移植術後臨床照護之參考。

This is a cross-sectional descriptive correlation study regarding quality of life of post-liver transplantation after discharge. Data was collected using the Symptom Disturbance Questionnaire and Short Form (SF-36). Samples were 43 patients who received their liver transplantation at a metropolitan medical center in northern Taiwan. The score ranged from 0 to 100, with the higher score meaning better quality of life. Results showed that the physical component summary (PCS) was 44.76 and that the mental component summary (MCS) was 47.39. The scores, ranking from high to low, were (1) physical function (PF), (2) social functioning (SF), (3) bodily pain (BP), (4) mental health (MH), (5) general health (GH), (6) role limitation due to emotional problems (RE), (7) vitality (VT), and (8) role limitation due to physical problems (RP). There was positive correlation between the post-transplant period and the scores on PCS, RP, BP and SF; and negative correlation between the frequency of symptoms post liver transplantation and the scores on BP and VT. Gender, age, education level and marital status did not show correlation with quality of life. Those who received living donor liver transplantation showed lower scores on RE than those who did not.