間質性膀胱炎病人臨床症狀、膀胱功能狀況與主觀感受之關係

Relationships among Clinical Symptoms, Bladder Condition, and Subjective Perceptions in Patients with Interstitial Cystitis/Painful Bladder Syndrome

李佩蓉(Pei-Rong Lee) ； 葉惠玲(Hui-Ling Yeh) ； 郭漢崇(Hann-Chorng Kuo) ； 李茹萍(Ru-Ping Lee) ； 彭台珠(Tai-Chu Peng) ； 怡懋．蘇米(Yi-Maun Subeq)

《護理雜誌》 59卷1期 (2012/02) Pp. 51-60

https://doi.org/10.6224/JN.59.1.50

摘要

Background: Interstitial cystitis (IC) is a silent challenge for patients. Various symptoms related to IC are causes of physical disability and mental distress.Purpose: This study investigated the relationships between clinical symptoms, bladder condition and patient perceptions.Methods: This study enrolled 107 patients diagnosed with interstitial cystitis at a medical center in eastern Taiwan and employed a cross-sectional design. Patient medical charts were reviewed. Structural questionnaires were used to collect data.Results: Participants with a high symptom problem index had poor bladder compliance, severe glomerulation and high visual analog scale (VAS) scores. There was a positive correlation between Hunner's ulcer and a high VAS score. Patients with severe lower urinary symptoms, low competency and severe glomerulation earned significantly higher patient perception of bladder condition scores.Conclusions/Implications for Practice: This study found significant correlations between clinical symptoms, bladder condition and patient perceptions. This study may help enhance nursing staff knowledge of IC clinical symptoms so that they may provide appropriate interventions and education to improve patient self-care abilities and life quality.

關鍵字

間質性膀胱炎 ； 臨床症狀 ； 膀胱狀況 ； 主觀感受

並列摘要

Background: Interstitial cystitis (IC) is a silent challenge for patients. Various symptoms related to IC are causes of physical disability and mental distress.Purpose: This study investigated the relationships between clinical symptoms, bladder condition and patient perceptions.Methods: This study enrolled 107 patients diagnosed with interstitial cystitis at a medical center in eastern Taiwan and employed a cross-sectional design. Patient medical charts were reviewed. Structural questionnaires were used to collect data.Results: Participants with a high symptom problem index had poor bladder compliance, severe glomerulation and high visual analog scale (VAS) scores. There was a positive correlation between Hunner's ulcer and a high VAS score. Patients with severe lower urinary symptoms, low competency and severe glomerulation earned significantly higher patient perception of bladder condition scores.Conclusions/Implications for Practice: This study found significant correlations between clinical symptoms, bladder condition and patient perceptions. This study may help enhance nursing staff knowledge of IC clinical symptoms so that they may provide appropriate interventions and education to improve patient self-care abilities and life quality.

並列關鍵字

interstitial cystitis ； bladder condition ； clinical symptoms ； patient perception