放置T型管病患之居家生活品質探討

　　　　　本研究旨在探討放置T型管病患在居家之生活品質的情形， 以及影響因素， 以問 卷調查法針對某醫學中心之 54 位接受膽道手術後放置 T 型管， 且已出院接受門診的病患 為研究對象。 研究結果發現，放置T型管病患的整體生活品質指標為 17.89，而生活品質所 涵蓋的範圍中， 各次量表得分高低依序為：親密（ 21.33 ）、 家庭（ 21.23 ）、健康（ 17.05 ）、心理社會（ 16.87 ）、 環境（ 16.41 ）。放置 T 型管病患的生活品質指標不 因年齡、性別、教育程度、宗教信仰、婚姻狀況、就業、心理支持、自我照顧能力的不同而 有所不同。 病人的住院次數、患病期間與生活品質指標之間無明顯相關。而放置T型管後對 居家生活造成影響的程度與生活品質指標之間有明顯的負相關（ r=-0.5453,p<0.05 ），此 變項亦為重要的預測變項， 可以解釋生活品質總變異的 29%。 由研究結果可知，當放置 T 型管對人居家生活造成的影響程度愈高時，則生活品質指標的得分愈低。 要提昇放置 T 型 管病患的生活品質，則必須減低 T 型管對病人的影響，因此，有關 T 型管居家照顧的衛教 指導是護理過程中重要的一環。
　　　　　The aim of this study was to determine the influence of T-tube placement upon the quality of life.A total of 54 patients who have undergone biliary surgery and equipped with T-tube in a medical center were enrolled into the study.These patients have been followed-up at regular period at office and were personally visited by the author at time of this writing.According to our result, the quality of life index in patients with t-tube placement was 17.89.The quality of life encompassed relationship of c}oseness(21.33) , family(21.23),health(17.05),psychosocial factor(16.87),and environment (16.41)in the order of decreasing score.The quality of life index was not affected by age, sex, education level, religion, marriage status,occupation,psychosocial support, ability of selfcare, care,neither by number of admissions and duration of hospitalization.Of note,the quality of life index was inversely related to the change of life style affected by the presence of T-tube (r=0.5453, p<0.05), which could explain 29%of total variance of the life of quality.As a result,the more alterness of the life style was associated with T-tube placement,the less score of the quality of life index was attained. Therefore, a well nursing care of the patients with T-tube duribng hospitalization, to teach them how to overcome the inconvenience of daily life inherently associated with Ttube, is the only way to improve the quality of life in such patients.