膀胱過動症患者對膀胱狀況之感受與症狀困擾相關性探討-以問題取向因應行為和情緒反應為中介變項之比較

趙惠如

doi:10.6342/NTU202001914

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膀胱過動症患者對膀胱狀況之感受與症狀困擾相關性探討-以問題取向因應行為和情緒反應為中介變項之比較

Exploration of Relationship between Patient Perception of Bladder Condition and Symptom Bother in Patients with Overactive Bladder: A Comparison of Problem-Focused Coping and Emotional Reaction as the Mediator

趙惠如 , Masters　　Advisor：孫秀卿　　

繁體中文 DOI： 10.6342/NTU202001914

膀胱過動症；症狀困擾；問題取向因應行為；情緒反應；中介變項； overactive bladder ； symptom bother ； problem-focused coping ； emotional reaction ； mediator

Abstract │ Reference (125)

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Overactive bladder (OAB) is diagnosed by self-reported symptoms rather than objective measurement; therefore, it is important to evaluate subjective reporting symptom distress from the patients. The perception of symptoms will affect the emotional response and coping behaviors and further influence the level of symptom bother and decrease quality of life. Based on literature review, there are many factors causing symptom bother in patients with overactive bladder. However, the role of emotional reactions and problem-focused coping between patient perception of bladder condition and symptom bother in overactive bladder patients has not been confirmed. The purpose of this study was to identify the mediating role of problem-focused coping and emotional reaction between perception of bladder condition and symptom bother among patients with overactive bladder. A cross-sectional study design was conducted to recruit the overactive bladder patients from one medical hospital outpatient clinics in Taipei from July in 2019 to April in 2020. Eligible participants were those are 20 years old or older with overactive bladder. A set of structured questionnaires were used to collect data including the basic information, the disease status, the Overactive Bladder Symptom Score (OABSS), Patient Perception of Bladder Condition (PPBC) and the Overactive Bladder Questionnaire (OAB-q). The data were analyzed by descriptive statistics and inferential statistics including t-test and Pearson’s correlation analysis. Besides, multiple hierarchical regression analysis was used to analyze if the problem-focused coping and emotional reaction as the mediator. A total of 86 OAB patients were recruited in this study. The results of this study showed that approximately one of two patients with overactive bladder having some minor problems caused by their bladder condition. The greatest symptom bother was urinary frequency. The important predictors affecting the symptom bother of patients with overactive bladder were emotional reaction and severity of overactive bladder. The most common problem-focused coping was that “caused patient to locate the closest restroom as soon as they arrive at a place they have never been.” The top one of emotional reaction was caused patient distress. Problem-focused coping was a partial mediator in the relationship between patient perception of bladder condition and symptom bother. Emotional reaction full mediated in the relation between patient perception of bladder condition and symptom bother. The result indicates that emotional reaction play a more important mediating role compared to the role of problem–focused coping. However, the emotional care has been ignored in clinical care due to the care goal for the OAB patients generally to controlling symptom. Therefore, it is recommended that medical workers need to observe and evaluate patient’s emotional reactions and provide psychological care as early as possible to reduce symptom bother and improve the quality of life of patients with overactive bladder.

Reference ( 125 ) 〈TOP〉

王雅芬、陳筱瑀(2009)・膀胱過動症婦女的生活經驗・護理暨健康照護研究，5(4)
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黃惠玲、林秋菊(2015)・運用疾病詮釋模式於一位末期腎病變患者之照護經驗・臺灣腎臟護理學會雜誌，14(2)，38-46。
盧阿理、黃賢祥、胡瑞桃(2011)・膀胱過動症患者之生活品質影響與因應行為探討・長庚護理，22(1)，1-14。

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