開腹手術病患手術前焦慮情形及其相關因素之探討

An Exploration of the Anxiety Status and Related Factor for the Patients before Receiving Laparotomy

林麗滿(L. M. Lin) ； 林佑樺(Y. H. Lin) ； 黃珊(S. Hwang)

《長庚護理》 9卷1期 (1998/03) Pp. 42-52

摘要

本研究目的在探討開腹手術病患手術前焦慮情形及其影響因素。自民國85年5月1日至民國85年7月1日以修定之焦慮反應量表及研究者自行設計之問卷調查南部某醫學中心預行開腹手術病患。以立意取樣方式，所發出之問卷量、回收量及有效問卷皆爲60份。所得資料以SPSS/PC進行資料分折。結果發現：在病人面對開腹手術前一夜，所呈現的焦慮反應依序爲：感到害怕，覺得緊張易受刺激，及內心不安無法靜下來，而焦慮程度介於「沒有感覺」沒「有時會有感覺」之間，在病人所擔心之事項中以手術是否成功爲大多歡，當病人面對開腹手術時，所擔心之程度介於「有些擔心」沒「有些不擔心」之間。在開腹手術前對宗教儀式之採用情形，大多數的病人採用至廟裡拜拜來減輕其焦慮。此外，開腹手術病患焦慮反應情形與其婚姻狀況、性別及是否曾住過院的不同而有顯著差異，且與面對手術所擔心之程度、宗教烯式採用情形及住院次數呈正相關，但與年齡呈負相關。此研究結果可提供臨床護理人員執行手術前護理時之參考。

關鍵字

開腹手術 ； 焦慮 ； 宗教儀式

並列摘要

The purposes of this survey were to investigate the anxiety status of the patients before receiving laparotomy and to identify its influencing factors. A modified anxiety scale and a questionnaire were used for data collection from May. 1,1996 to Jul.l,1996. A total of 60 patients for laparotomy were included in this study.
The major findings of this study are as follows: the emotional changes of the patients who were receive laparotomy before the night were: fear, nervousness and irritability. Significant differences were found among marital status, sex, previous experience of hospitalization and the status of pre-operative patients. Religious ceremony and the frequency of hospitalization were participant's major concern and were positively correlated to there anxiety status, but negatively correlated to age.
The results of this study have provided an important information for pre-operative nursing care in anxiety reduction, as well as directions for futher studies.

並列關鍵字

laparotomy ； anxiety ； religious ceremony