本研究目的在探討肝硬化病人的社會支持系統，因應行為及其憂鬱與焦慮反應之 相關性影響。 研究樣本係以中部某教學醫院肝膽門診科求診病人為對象共收集了 106 位肝 硬化患者，以結構式問卷方式分別以訪視，個人病歷來收集資料，其問卷內容包括個人基本 資料，求醫行為，社會支持量表，知覺生活壓力量表，憂鬱╱焦慮症狀量表及其因應方式量 表。事前經過專家效度及信度之測試，再進行個案之訪視工作。 研究結果顯示：肝硬化患者年齡是以 45 至 60 歲年齡層最多佔 41.5 ％，男性佔 73.6 ％ ，且 88.7 ％患者為已婚，按社經地位程度以較低者 56.6 ％，較高者只佔 2.8 ％。 患者 之支持來源及強度，均以配偶最多，其次為子女及醫護人員，而滿意程度亦有相同趨勢，前 兩者以經濟支援及居家照顧為主，後者則以心理支持較多。在影響肝硬化患者之知覺壓力程 度，以多變項迴歸分析中以憂鬱焦慮、因應方式及社經地位有統計上意義，而影響患者憂鬱 焦慮症狀則以個人知覺壓力、性別及因應方式。顯示著個人知覺壓力越大者，其憂鬱焦慮症 狀亦越嚴重，而因應方式較佳者，其憂鬱焦慮症狀則越輕。因此建議對肝硬化患者除給予適 當醫療照顧外，亦應增強對此病之因應行為，醫療人員也應給予適當心理支持及良好醫療照 顧，定能逐漸改善病情。

　　　　　The main objective of this study is to investigate the support systems, depression, anxiety and their coping behaviors for cirrhosis patients. 106 patients enrolled from a clinical division of hepatology are interviewed by using a structural questionnaire through a reliability and validity test in pre-test steps. The result indicates that the age distribution of cirrhosis patients mostly concentrated on aged 45 to 60. 88.7% of the cirrhosis patients are married and the percentage of the male patients is 73.6%. Owing to the financial resoure of these patients is from governmental insurance, the loading of medical cost is tolerate to ask for western medicine as their treatment method. The sources and strength of social support are attributed to their spouse and then next to their children and medical personels, and the degree of satisfaction also has the same trend. Most of the economic support and home care are provided by their relatives. The medical staffs focus to consult with the mental and emotional supports. Using the multivariate analysis, the affecting variables of perceived stress level among cirrhosis patients contain depression/anxiety, coping ways and their social support, meanwhile, the explanatory variables of depression/anxiety level include the perceived stress, sex, and coping ways. The poorer the coping way is happened, the more the perceived stress and the strength of depression/anxiety is dominant. The study suggests that the medical care and coping behaviors for cirrhosis patients should be provided from medical personals as well as their relatives for decreasing their complication in the future.