尿失禁婦女疾病認知與因應行為之相關性研究

A Correlational Study of Illness Perception and Coping Behaviors in Women with Urinary Incontinence

陳鳳櫻(Fong-Ying Chen) ； 戴玉慈(Yu-Tzu Dai) ； 謝玉賀(Yu-Ho Hsieh)

《實證護理》 4卷1期 (2008/03) Pp. 12-20

https://doi.org/10.6225/JEBN.4.1.12

摘要

本研究係一描述性及相關性研究，主要目的是瞭解尿失禁婦女之疾病認知、因應行為及其相關性。以中部某社區尿失禁婦女為研究對象，經方便取樣，以自填結構型問卷進行資料收集，共取得190份有效問卷。結果發現：(1)尿失禁婦女「同意」尿失禁是生病現象、是個人和治療可以控制的、是可以理解的以及是慢性的；「不同意」尿失禁會有嚴重的後果影響、會造成情緒認知困擾、是反覆性的。(2)因應行為中，以「避免引起漏尿的動作」、「出門在外，先找洗手間或選靠近它的位置」以及「常去解尿」為「有效」的前三項。(3)經多變量邏輯式迴歸分析發現，影響「骨盆底肌肉運動行為」的重要因素是可理解性認知和原因認知；「求醫行為」的重要影響因素有確認疾病認知、個人可控性認知、可理解性認知以及病程認知。本研究結果有助於瞭解尿失禁婦女的整體疾病認知、因應行為以及兩者的關係，作為醫療專業人員提供醫療照護之參考。

關鍵字

尿失禁 ； 婦女 ； 疾病認知 ； 因應行為

並列摘要

The main purpose of this study was to explore the relationship between illness perception and coping behaviors in women with urinary incontinence. One hundred and ninety community-dwelling women with urinary incontinence were recruited by convenience sampling. A structured questionnaire was used to collect data from subjects via self-administration. Results of this study showed that: (1) Women agree that urinary incontinence is an illness, controllable, coherent and permanent, but do not agree that urinary incontinence has serious consequences and emotional impacts. (2) 'Avoiding activity which induced urinary incontinence', 'locating or staying near a bathroom when out', and, 'voiding more frequently', were the most effective coping behaviors. (3) Multivariate logistic regression analysis indicated that the main factors affecting pelvic muscle exercise behavior were intelligible and their causes were recognizable; the main factors affecting treatment seeking behavior were confirmation of a recognized disease, recognized personal controllability, recognized intelligibility and a recognized course of disease. The results of this study may help medical personnel understand the illness perception and coping behaviors of women with urinary incontinence. The results may also serve as a reference for providing better care of women with urinary incontinence.

並列關鍵字

urinary incontinence ； women ； illness perception ； coping behaviors