出院後永久性結腸造口患者之壓力

Stress of Outpatients with Permanent Colostomy

曾惠珍(Hui-Chen Tseng) ； 王秀紅(Hsiu-Hung Wang) ； 金繼春(Chi-Chun Chin) ； 陳麗糸(Lih-Mih Chen) ； 簡淑媛(Shu-Yuan Jian)

《護理研究》 8卷6期 (2000/12) Pp. 685-695

https://doi.org/10.7081/NR.200012.0685

摘要

本研究之主要目的在於探討永久性結腸造口患者出院後面臨的壓力源及其産生的壓力程度。研究樣本之來源採立意取樣法，資料的收集是以「結腸造口患者壓力量表」於南部二所醫學中心之大腸直腸外科門診或患者家中進行問卷訪談，共訪談了65位罹患結直腸癌且已接受永久性結腸造口手術之出院患者。結果發現患者之壓力源可歸納爲四在因素，分別是「來自身體狀況改變引發的壓力源」、「來自家庭成員互動改變引發的壓力源」、「來自自我概念改變引發的壓力源」與「來自造口照顧引發的壓力源」。患者感受到較大壓力程度之前五項壓力源是「有解尿方面的問題」、「因體力變差、容易疲倦」、「因爲造口，無法自由的出門旅遊」、「害怕疾病再度發作」與「失眠」。研究結果不但可協助護理人員瞭解患者在出院後所面臨之壓力源，同時可提供符合患者需要的諮詢，以及提供協助患者日常生活之適應。

關鍵字

結腸造口 ； 壓力 ； 壓力源

並列摘要

The main purpose of this study was to explore the stressors and stress levels of outpatients with permanent colostomy. The subjects were selected from two medical centers in southern Taiwan. The Stress of Colostomy Patients Scale was used to measure the subjects’stressors. All data were collected by interview and questionnaire either at the colorectal outpatient department or the home of colostomy patients. Sixty-five subjects with colostomy participated in this study. Findings indicated that the stressors could be categorized into four factors, including stressors from change in physical status, stressors from change in interaction with family members, stressors from change in self-concept and stressors from the care of colostomy. The problems of urination, being tired easily owing to physical decline, not being able to travel freely because of the colostomy, worring about recuffence and suffering from insomnia were the first five stressors for colostomy patients. The results of this study not only can help nurses understand the stressors of colostomy patients who have been discharged from the hospital, but also can provide appropriate consultation in assisting patients adjustment for their daily living.

並列關鍵字

colostomy ； stress ； stressor

參考文獻

Black, P. K.(1998).Update-colostomy.Professional Nurse.13(12),851-857.

Coe, M.,Kluka, S.(1988).Concerns of clients and spouses regarding ostomy surgery for cancer.Journal of Enterostomal Therapy.15(6),232-239.

Cohen, A.(1991).Body image in the person with a stoma.Journal of Enterostomal Therapy.18(2),68-71.

Deeny, P.,McCrea, H.(1991).Stoma care: The patients perspective.Journal of Advanced Nursing.16(1),39-46.

Frigella, A.,Ottander, M.,Stenbeck, H.,Pahlman, L.(1990).Quality of life of patients treated with abdominoperineal resection or anterior resection for rectal carcinoma.(Annales Chirurgiae ET Gynaecologiae).