目的：本研究旨在探討肺結核病人之生活品質及人口學特性之相關性。方法：採橫斷式研究法，針對中台灣某醫學中心以立意取樣63位接受結核病治療之病人，採結構式問卷訪談收集資料，運用台灣簡明版世界衛生組織生活品質問卷(WHOOQOL-BREF)為測量生活品質之量表。資料經譯碼建檔後，以SPSS 14.0/PC套裝軟體進行統計分析。結果顯示：(1)肺結核治療期間，在生活品質四範疇得分中，以生理範疇得分最高13.27±2.28分，其次分別為心理範疇12.84±2.29分及環境範疇12.95±1.93分，而社會範疇得分最低12.37±2.49分；(2)在綜合性自我評估滿意度的六項中，以對環境的滿意程度得分最高73.65±14.27分，對自己身體健康的滿意程度得分最低62.97±16.10分；(3)影響肺結核病人整體生活品質的因素，有年齡、經濟來源、職業、家庭月收入及合併其他慢性病，且達統計上顯著差異(p<0.05)；(4)影響肺結核病人綜合性自我評估滿意度的因素有年齡、經濟來源及職業，且達統計上顯著差異(p<0.05)。結論：建議以病人易懂的語言製作肺結核病標準衛教指導流程與圖案之光碟，作為衛生教育指導輔助教材，以提供醫護人員指導之用；未來肺結核病人管理應落實電腦化，以提供完整照護計畫，且針對年齡較高、無配偶、無子女及經濟來源較差者加強照護，以提升病人之照護及生活品質。
Purpose: to investigate the quality of life of patients with tuberculosis and its related factors. Methods: A structured questionnaire was administered to sixty-three patient being treated for tuberculosis at our hospital. Patients were selected by intentional sampling. WHOOQOL-BREF Taiwan Version was used to measure quality of life. Coded data were analyzed using SPSS Version 14.0. Results: (1) During the treatment period of tuberculosis, the four categories of quality of life were evaluated. The highest scores were found in the physiological subscale (13.27±2.28), followed by the mental, environmental and social subscales (12.84±2.29, 12.95±1.93, and 12.37±2.49. respectively). (2) In the holistic self-assessment of sense of satisfaction, patient reported environmental satisfaction to be the highest (73.65±14.27) and satisfaction with owns state of health to be the lowest (62.97±16.10). (3) The factors influencing life quality of tuberculosis included age, financial source, occupation as well as having other chronic diseases (P<0.05). (4) The factors influencing holistic selfassessment of satisfaction included age, financial source as well as occupation (P<0.05). Conclusion: We suggest creating educational materials such as CD-ROMs or illustrations simple enough that patients can easily understand. Management of tuberculosis should be computerized to provide thorough care. Care should be strengthened for patients who are elderly, single, with no offspring, or with poor economic resources. This would promote patient care and quality of life.
