| Summary: | 碩士 === 中山醫學大學 === 護理研究所 === 96 === The purpose of this study is to investigate the factors affecting hope level in hepatocellular carcinoma patients, and the relationship between hope, disease appraisal and social support. The subjects were selected based on the judgment from gastroenterology & hepatobiliary wards of a teaching hospital in central Taiwan. The qualified patients should be aware of having and diagnosed as hepatocellular carcinoma, older than 18 years of age, clear consciousness, speaking Mandarin and Taiwanese, without psychological disorder. Cross-sectional study design is used to analyze Herth Hope Index (HHI: Herth, 1992). We use Symptom Distress Scale-Chinese Modified Form (SDS-CMF: Li, 1998), Cognitive Appraisal of Health Scale (CAHS: Kessler, 1998), and Personal Resource Questionnaire (PRQ85 Part I: Weiss, 1974) to obtain CVI value: HHI .08, SDS-CMF .28, CAHS .78, PRQ 85 Part I .83; Cronbach`s α: HHI .91, SDS-CMF .89, CAHS .70, and PRQ 85 Part I .86 of 80 patients based on one to one interview.
The average score of patient''s hope is 23.21, characterized as medium hope. Demographic factors include gender and religion. Hepatocellular carcinoma patients, females and with religion, have higher hope. The disease appraisal is based on ''challenge''. There are significant difference among the disease appraisal, cancer symptom distress and cancer stage. However, no significant difference is found between the disease appraisal and hope level. The satisfaction at social support does no associate with hope level but has a positive relation to age, decreased duration of disease and years of education. Social network is correlated to high hope level, years of education, cancer symptom distress, and younger age.
According to the factors affecting hope level in hepatocelluar carcinoma patients, the stuff can realize the difference between individuals and offer specific nursing care to improve the patient''s hope sense.
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