探討慢性阻塞性肺疾病住院患者之憂鬱狀況與日常生活功能的相關性

Correlation of Depression and Functional Capacity in Hospitalized Patients with Chronic Obstructive Pulmonary Disease

邱怡玟(Yi-Wen Chiu) ； 蔡素華(Shu-Hua Tsai) ； 李選(Hsuan Lee)

《護理研究》 7卷2期 (1999/04) Pp. 145-156

https://doi.org/10.7081/NR.199904.0145

摘要

改善肺病患者之日常生活功能是現今胸腔科醫療的主要目標。本研究目的旨在探討慢性阻塞性肺病患者憂鬱及日常生活功能之概況，進而瞭解其二者之間的相關性，以提供醫護人員參考，規則身心曾面之醫護措施。本研究采立意取樣方式，以北部某醫學中心胸腔科住院病患120人為對象，進行調查性、描述性的研究。研究工具乃參照文獻采自擬的憂鬱量表及Wearver和Narsavage (1989)所發展的日常生活功能量表，研究結果發現：研究對象平均年齡為66.4歲，65.8%的個案有憂鬱情形，且患者愈憂鬱其日常生活功能障礙度愈高，二者具有強相關性。從本研究結果可知，日常生活功能並非只受疾病病理及生理變化的影響，也受心理因素影響，臨床上，上述患者之治療或複健，若能考慮其心理狀況、日常生活功能等善及彼此關係，有助於提供更佳照護予慢性肺疾病患者，使其日常生活功能之障礙度達最低程度。

關鍵字

憂鬱 ； 日常生活功能 ； 慢性阻塞性肺疾病

並列摘要

The purpose of this study was to investigate the relationship between depression and functional capacity in 120 patients with chronic obstructive pulmonary disease (COPD). The researcher interviewed COPD patients in Chang Gung Hospital in Taipei City. Purposive sampling data was collected through face to face interviews using a self-developed instrument. The findings showed that the mean age of the patients was 66.4; 65.8% of the patients had significant depression. There was significant correlation between depression and pulmonary functional status. The more depressed patients were, the worse their functional capacity. The results of this study provide a picture of functional capacity and depression of COPD patients. We recommend that health care providers use available measuring tools in clinical practice to assess depression and functional capacity of patients with chronic obstructive pulmonary disease.

並列關鍵字

Depression ； functional capacity ； chronic obstructive pulmonary disease (COPD)