膀胱過動症患者之生活品質影響與因應行爲探討

A Study of Life Quality and Coping Behavior of Overactive Bladder Patients

盧阿理(A-Li Lu) ； 黃賢祥(Hsien-Hsiang Huang) ； 胡瑞桃(Shui-Tao Hu)

《長庚護理》 22卷1期 (2011/03) Pp. 1-14

https://doi.org/10.6386/CGN.201103_22(1).0001

摘要

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.

關鍵字

膀胱過動症 ； 因應行爲 ； 生活品質

並列摘要

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.

並列關鍵字

overactive bladder ； coping behavior ； quality of life