肝硬化患者社會支持程度對其希望感與生活品質之影響; The Correlation of Social Support with Hope and Quality of Life in Liver Cirrhosis Patients.

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Title:	肝硬化患者社會支持程度對其希望感與生活品質之影響;The Correlation of Social Support with Hope and Quality of Life in Liver Cirrhosis Patients.
Authors:	賴惠玲;Hui-Ling Lai
Contributors:	中國醫藥大學：護理學系
Keywords:	肝硬化患者;疾病特性;社會支持;希望感;生活品質;Liver cirrhosis patients;disease characteristic;social support;hope;quality of life
Date:	2008-07-02
Issue Date:	2009-08-13 11:22:33 (UTC+8)
Abstract:	中文摘要本研究目的為瞭解肝硬化患者人口學資料、疾病特性、社會支持程度、希望感與生活品質之相關性，及探討肝硬化患者社會支持程度對其希望感及生活品性的預測情形探討肝硬化患者社會支援程度對其希望感及生活品性的預測情形。採橫斷式描述性相關性研究設計，以立意取樣於中部一所醫學中心及一所區域醫院，針對128位肝硬化病患進行結構性問卷調查。主要研究工具為:人口學資料、疾病特性、社會支持量表、赫氏希望量表、台灣簡明版生活品質量表等五部份。資料分析採描述性統計、Pearson''s相關係數、逐步迴歸分析。研究結果顯示肝硬化患者之訊息性支持愈高、收入主要來源為本人、Child-Pugh分級愈低者，其希望感愈好，可解釋希望的總變異量為21％；另外患者之讚賞性支持愈高、Child-Pugh分級愈低、收入足夠支出者，其生活品質愈佳，可解釋生活品質的總變異量為32％。本研究結果可提供護理人員了解肝硬化患者之疾病分期、訊息性支持及讚賞性支持對肝硬化患者之重要，以提供個別性及適時之照護，並增進肝硬化患者之希望感及生活品質。 Abstract The purpose of this descriptive correlation and cross-sectional study were to explore the relationship between liver cirrhosis patients and their demographic materials, disease characteristic, social support, hope and quality of the life. Also discussed the relation to the social support of liver cirrhosis patients with their quality of life and hope. The purposive sampling method was used to recruit 128 liver cirrhosis patients from a medical center and a regional hospital in mid-Taiwan. Measurement instruments included: Demographic materials, disease characteristic, the scale of society support, Herth Hope Index and the World Health Organization Quality of Life BREF Taiwan Version. The statistics used for data analysis included descriptive statistics, Pearson''s coefficient correlation, and stepwise regression. The result of study reveal that hope sensation is much better in liver cirrhosis patients who had lower grades of Child-Pugh, higher informational social support and income controlled by them self. The degree of variation in hope is 21%. The study also found that the quality of life is much better in patients who had higher appreciative support, lower grades of Child-Pugh and enough income. The degree of variation in life quality is 32%. The result of this study can offer a nursing staff to understand the importance of degree of the disease, the informational social support and the appreciating support to the liver cirrhosis patients. Also help them to promote the liver cirrhosis patient''s hope and quality of life.
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