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台北市老年病患的住院壓力感受之調查研究

Elderly Patients' Perception of Stresses Associated with Hospitalization in Taipei City

摘要


本研究目的乃調查臺北地區三所醫學中心的老年住院病患,冀求明瞭其主要的壓力感受及其相關因素。本研究採問卷訪談法,以老人住院壓力量表為研究工具,向研究者親自訪談,共收取91位老年病患。所得資料使用SPSS/PC(上標 +)與SAS等統計套裝軟體進行平約值、t檢定、變異數分析、積差相關等統計方法進行分析,其研究結果如下: 1.老年病患的整體住院壓力平約值是0.57(最高3分,最低0分),其中以疾病及治療措施的壓力類別最大,平均值為1.07,而醫院環境的壓力類別最小,平均值為0.21。 2.老年病患的前十項住院壓力大部份是屬於疾病和治療措施,以及缺乏資訊等二大類別的壓力。 3.性別、教育程度、婚姻狀況、自費與否、科別、疾病嚴重度,是住院壓力的影響因素。 本研完結果可提供醫護人員瞭解老年住院病患的感受及其前後順序,並作為擬定醫療照顧計劃的參考。

關鍵字

老年病患 住院壓力 感受

並列摘要


The purpose of this study was to investigate perceptions of hospital stress and their related factors on the elderly in three hospitals in the Taipei area using an Elderly Hospital Stress Scale. Interviews were used to collect data from 91 elderly patients. The results are as follows: 1. The mean of the Elderly Hospital Stress Scale was 0.57 (on a scale from 0 to 3); and among them, the stress items for disease and therapy were the highest with a mean of 1.07; while the stress item for ”hospital environment” was the lowest with a mean of 0.21. 2. The ten most stressful items associated with for the hospitalized elderly were related to their illness, therapy and to a lack of information. 3. Gender, education, marital status, health insurance status, ward, and severity of the illness were factors which influenced hospitalized stress. The results of this study show that the perceived stress of elderly patients in-patients and their priorities. It could provide doctors and nurses insight into how the elderly perceive stress and how better care can be provided to reduce this stress.

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