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題名：膀胱過動症患者之生活品質影響與因應行為探討
書刊名：長庚護理
作者：盧阿理／黃賢祥／胡瑞桃
作者(外文)：Lu, A-li／Huang, Hsien-hsiang／Hu, Shui-tao
出版日期：2011
卷期：22:1=73
頁次：頁1-14
主題關鍵詞：膀胱過動症；因應行為；生活品質；Overactive bladder；Coping behavior；Quality of life
原始連結：連回原系統網址new window
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  • 共同引用共同引用:6
  • 點閱點閱:38
本研究探討膀胱過動症患者之生活品質影響與因應行為。於2006年2月1日至2007年2月30日以立意取樣，收集某教學醫院泌尿外科及婦產科門診膀胱過動症患者為對象，進行問卷調查共計74位有效樣本。研究工具包含患者基本屬性、婦女尿失禁生活品質影響量表與應力性尿失禁因應行為量表。結果顯示：(1)生活品質影響程度介於「很少影響」至「有時影響」之間，其中以自覺健康狀況平均2.89分影響最大。因應行為平均得分1.94分，問題取向(平均1.99分)高於情緒取向(平均1.86分)。(2)平均生活品質影響與其因應行為呈顯著正相關(p< .05)，患者生活品質影響越大時，採取因應行為頻率越高。生活品質影響所涵蓋之自覺健康狀況、情緒、睡眠、角色、體能活動、社交及人際關係影響等七個層面均與因應行為量表之問題取向呈顯著正相關 (r= .39~ .68, p< .01)，生活品質之情緒影響、角色影響及人際關係與因應行為量表之情緒取向呈顯著正相關(r= .24~ .35, p< .05~ .01)。(3)頻尿、尿失禁及夜尿嚴重度各與平均總生活品質影響有顯著差異(t=-2.08~-2.57, F=6.02, p< .05)；年齡、尿急及夜尿嚴重度與因應行為有顯著差異(F=4.71~8.70, p< .05)，>50歲以上的總因應行為比其他年齡積極因應，其中以問題取向因應頻率高於情緒取向；尿急嚴重度重度及夜尿嚴重度3次(含)以上者，其應用因應行比其他嚴重程度來得積極。為本研究結果，能作為日後醫謢人員照護膀胱過動症患者的參考，以協助提升其生活品質及因應，促進身心健康。
The purpose of the study was to examine the quality of life and coping behavior of overactive bladder patients from Urology and Gynecology outpatient departments in a teaching hospital. Subjects were collected with purposive sampling from February 1, 2006 to February 30, 2007. The study consisted of 74 subjects. Instruments of the study included patients’ demographic data, urinary incontinence quality of life questionnaire, and stress incontinence coping behavior questionnaire. The results revealed that: 1) the influence of the quality of life ranged between “little impact” to “sometimes impact”. Among them, perceived health status was the greatest impact on average 2.89 points. Average score of coping behavior was 1.94 and the problem-oriented behavior (average 1.99 points) was higher than the emotion-oriented behavior (average 1.86 points). 2) Quality of life and coping behavior were positively associated (p< .05). Additionally, the emotion, role and interpersonal influences of life quality with emotion-oriented of coping behavior were positively correlated (r = .24~. 35, p< .05~ .01). 3) Severity of urinary frequency, urinary incontinence, and nocturnal were associated with quality of life (t =-2.08~-2.57, F=6.02, p< .05). Age, urgency, and the nocturnal severity were associated with coping behavior (F=4.71~8.70, p< .05). Patients over 50 years of age had higher total coping behaviors and problem-oriented coping behaviors were more often than emotional-oriented. Severe urgency and three (inclusive) or more times of nocturnal severity affected coping behaviors more aggressive than other level severity level. The results can be a reference for staff caring overactive bladder patients and help patients to improve their quality of life and promote their physical and mental health.
期刊論文
1.胡月娟(19920700)。罹患慢性病對病人的衝擊及其相關因素之探討。公共衛生，19(2)，207-223。  延伸查詢new window
2.鄭幸宜、戴玉慈、郭壽雄、姚開屏(20001200)。成人氣喘患者的壓力、因應策略與生活品質之關係。護理研究，8(6)，599-613。new window  延伸查詢new window
3.黃鈺雯、余宏政、賴明坤、陳擇銘、謝豐舟、黃秀梨(19970900)。應力性尿失禁婦女的心理社會衝擊與因應策略之探討。慈濟醫學，9(3)，207-217。  延伸查詢new window
4.胡月娟(1994)。慢性病衝擊量表信度、效度的初步探討。亞洲護理學雜誌，1(1)，51-55。  延伸查詢new window
5.陳鳳櫻、戴玉慈、黃穗芬(20070600)。夜尿婦女生活品質、因應行為及其相關因素。實證護理，3(2)，99-106。new window  延伸查詢new window
6.林淑燕、簡淑真、陳淑月(20030600)。應力性尿失禁及其對婦女心理社會層面之影響。中臺學報. 醫護卷，14，81-93。  延伸查詢new window
7.黃如鶴、林淑媛、葉淑惠、王起杰(20071200)。膀胱訓練對改善尿失禁婦女漏尿次數、症狀困擾及生活衝擊之成效。實證護理，3(4)，289-299。new window  延伸查詢new window
8.顏兆熊(20061000)。膀胱過動症。臺灣醫界，49(10)，25-29。  延伸查詢new window
學位論文
1.江碧玉(2002)。婦女尿失禁生活品質之探討(碩士論文)。中山醫學大學。  延伸查詢new window
圖書
1.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
其他
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2.Abrams, P., Kelleher, C. J., Kerr, L. A., & Rogers, R. G.,(2000)。Overactive bladder significantly affects quality of life.。  new window
3.Abrams, M. D., Kelleher, C. J., Lindsey, A., & Rebecca, G.,(2000)。Overactive bladder significantly affects quality of life.。  new window
4.Cardozo, L., Coyne, K. S., & Versi, E.(2004)。Validation of the urgency perception scale.。  new window
5.Chang, S. J., Tai, H. L., Chen, G., D.(2006)。Effects of a pelvic floor muscle training program for women with urinary incontinence.。  new window
6.Chen, G. D., Lin, T. L., Hu, S. W., Chen, Y. C.., & Lin, L. Y.(2003)。Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women.。  new window
7.Coulter, A(1993)。Measuring quality of life。  new window
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9.Downe-Wamboldt, B.(1991)。Coping and life satisfaction in elderly women with osteoarthritis.。  new window
10.Ferrari, C. E., & Power, M. J.(1985)。Quality pf life index: Development and psychometric properties.。  new window
11.Grimby, A., Milsom, I., Molander, U., Wiklund, I., & Ekelund, R.(1993)。The influence of urinary incontinence on the quality of life of elderly women.。  new window
12.Grady, K. L., Jalowice, A., White, W. C., Pifarre, R., Kirklin, J. K., Bougre, R. C., et al.(1995)。Predictor of quality of life in patients with advanced heart failure awaiting transplantation.。  new window
13.Homma, Y., Yamaguchi, O., Hayashi, K., & Neurogenic Bladder Society Committee.(2005)。An epidemiological survey of overactive bladder symptoms in Japan.。  new window
14.Komaroff, A. L., Fagioli, L. R., & Doolittleth, T. H.(1996)。Heal status in patients with chronic fatigues syndrome and in general population and disease comparison groups.。  new window
15.Kinchen, K. S., Burgio, K., Diokno, A. C., Fultz, N. H., Bump, R., & Obenchain, R.(2003)。Factors associated with women’s decisions to seek treatment for urinary incontinence.。  new window
16.Kim, Y. H., Seo, J. T., & Yoon, H.(2005)。The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women.。  new window
17.Lok, P.(1996)。Stress, coping mechanisms and quality of life among dialysis patient in Australia.。  new window
18.Milson, I., Abrams, P., Cardozo, L., Roberts, R. G.., Thuroff , J., & Wein, A. J.(2001)。How widespread are the symptoms of an overactive bladder and how are they managed?。  new window
19.Moorthy, P., Lapitan, M. C., Quek, P. L., & Lim, P. H.(2004)。Prevalence of overactive bladder in Asian men: An epidemiological survey.。  new window
20.Mitteness, L. S.(1987)。The management of urinary incontinence by community-dwelling elderly.。  new window
21.Payne, C. K.(2000)。Behavioral therapy for overactive bladder.。  new window
22.Skoner, M. M., & Haylor, M. J.(1993)。Managing incontinence: Women’s normalizing strategies.。  new window
23.Stewart, W., Herzog, R., & Wein, A. L.(2001)。On behalf of the NOBLE program research team: Prevalence and impact of overactive bladder in the US: Results from the NOBLE program.。  new window
24.Yu, H. J., Wong, W. Y., Chen, J., & Chie, W. C.(2003)。Quality of life impact and treatment seeking of Chinese women with urinary incontinence.。  new window
 
 
 
 
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