尿路結石病人情緒困擾之初探

A Pilot Study of Emotional Distress in Patients with Urolithiasis

余美嬅(Mei-Hua Yu) ； 江家貞(Jia-Zhen Jiang) ； 謝伶瑜(Ling-Yu Hsieh)

《嘉基護理》 11卷1期 (2011/06) Pp. 1-8

https://doi.org/10.29936/DMFCCHJN.201106.0001

摘要

本研究探討尿路結石患者之情緒困擾及影響因素。研究設計採描述相關性研究設計。以方便取樣選取89位南部某區域醫院泌尿科尿路結石患者。研究工具包括基本屬性問卷、貝氏焦慮量表及貝氏憂鬱量表。所收集資料除描述性統計外，推論性統計採t檢定、單因子變異數分析及皮爾森積差相關分析。研究結果顯示超過兩成尿路結石患者有輕度焦慮情形，中度及嚴重焦慮者各佔13.5%；而憂鬱雖不如焦慮頻繁發生，但亦有兩成病患已有輕度憂鬱，中度憂鬱者佔9%，而重度憂鬱者佔2.2%。職業狀態為影響焦慮與憂鬱之重要因素。本研究結果提醒臨床醫護人員應積極評估尿路結石患者心理層面的困擾與感受，進而依需求提供心理支持與護理措施。

關鍵字

尿路結石 ； 情緒困擾 ； 焦慮 ； 憂鬱

並列摘要

The purpose of this study was to explore the factors of emotional distress in patients with urolithiasis. This was a descriptive-correlation research that used convenience sampling to collecte data from 89 urolithiasis patients of a regional hospital in middle south Taiwan. Research instruments included the Demographic Questionnaire, Beck Anxiety Scale and Beck Depression Scale. Statistics including independent t test, one-way ANOVA and Pearson correlation. Finding showed about 49% of urolithiasis patients had anxiety symptoms, among 20% patients with mild anxiety and 13.5% patients’ symptoms of moderate and severe anxiety, respectively. Although symptoms of depression were less occurred than anxiety, it still among 19.1% patients showed mild depression, 9% moderate and 2.2% severe symptoms of depression. The most important factor associated with anxiety and depression is occupational status. Results of this study remind health care provider should care about more psychology dimension of urolithiasis' clients, it should also provide necessary psychological support and caring interventions.

並列關鍵字

urolithiasis ； emotional distress ； anxiety ； depression