迴腸新膀胱重建術後病患生活品質及其相關因素之探討

An Exploration into the Quality of Life and Factors Related Thereto in Ileal Neobladder Recipients

郭素絨(Su-Jung Kuo) ； 林佑樺(Yu-Hua Lin)

《實證護理》 1卷3期 (2005/09) Pp. 210-217

https://doi.org/10.6225/JEBN.1.3.210

摘要

本橫斷式研究目的在探討接受迴腸新膀胱重建病患之生活品質及相關因素。針對台灣南部某醫學中心內50位意識清楚且願意接受訪談之迴腸膀胱重建病患，自2004年3月至2004年7月以「生活品質」、「症狀經驗」及人口學特質等問卷收集資料。研究結果發現：病患整體生活品質之重要程度層面的平均得分爲5.32(SD=0.31)，在滿意程度層面的平均得分爲4.99(SD=0.44)。以迴歸分析發現，僅一個因素「工作狀況」可解釋病患生活品質重要程度總變異量之15.5%；有三個因素可解釋病患生活品質滿意程度總變異量之37.2%，分別爲症狀經驗解釋量爲21.1%；尿失禁解釋量爲9.4%及婚姻解釋量爲6.7%。根據研究結果，期望能做臨床護理之參考，期能提升病患術後之生活品質。

關鍵字

迴腸新膀胱 ； 生活品質 ； 症狀經驗 ； 尿失禁

並列摘要

The purpose of this cross-sectional study was to explore the quality of life, and factors related thereto, in ileal neobladder recipients. The 50 subjects of the study were adults of clear consciousness, who had received ileal neobladders, and voluntarily agreed to be interviewed by telephone. Data were collected between March 2004 and July 2004. Three instruments were used in the study: the Taiwanese Quality of Life Questionnaire, symptom experience scale, and personal features questionnaire. The results indicated that the mean score in relation to the dimension of ”importance of” quality of life was 5.32 (SD=0.31), and the mean score in relation to the dimension of ”satisfaction with” quality of life was 4.99 (SD=0.44). Applying stepwise regression, only one factor, work status, explained 15.5% of the variance in importance, and three factors explained 37.2% of the variance in satisfaction. The three factors were symptom experience, incontinence, and marital status, which explained 21.1%, 9.4%, and 6.7%, respectively. We hope that the results of this study may be of use to clinical nurses in helping them to improve the quality of life of ileal neobladder recipients.

並列關鍵字

ileal neobladder ； quality of life ； symptom experience ； incontinence