膀胱過動症患者之生活品質影響與因應行為探討

A Study of Life Quality and Coping Behavior of Overactive Bladder Patients

本研究探討膀胱過動症患者之生活品質影響與因應行為。於2006年2月1日至2007年2月30日以立意取樣，收集某教學醫院泌尿外科及婦產科門診膀胱過動症患者為對象，進行問卷調查共計74位有效樣本。研究工具包含患者基本屬性、婦女尿失禁生活品質影響量表與應力性尿失禁因應行為量表。結果顯示：(1)生活品質影響程度介於「很少影響」至「有時影響」之間，其中以自覺健康狀況平均2.89分影響最大。因應行為平均得分1.94分，問題取向（平均1.99分）高於情緒取向（平均1.86分）。(2)平均生活品質影響與其因應行為呈顯著正相關(p < .05)，患者生活品質影響越大時，採取因應行為頻率越高。生活品質影響所涵蓋之自覺健康狀況、情緒、睡眠、角色、體能活動、社交及人際關係影響等七個層面均與因應行為量表之問題取向呈顯著正相關(r= .39～ .68, p < .01)，生活品質之情緒影響、角色影響及人際關係與因應行為量表之情緒取向呈顯著正相關(r= .24～ .35, p < .05～ .01)。(3)頻尿、尿失禁及夜尿嚴重度各與平均總生活品質影響有顯著差異(t= -2.08～ -2.57, F= 6.02, p < .05)；年齡、尿急及夜尿嚴重度與因應行為有顯著差異(F= 4.71～ 8.70, p < .05)，>50歲以上的總因應行為比其他年齡積極因應，其中以問題取向因應頻率高於情緒取向；尿急嚴重度重度及夜尿嚴重度3次（含）以上者，其應用因應行比其他嚴重程度來得積極。為本研究結果，能作為日後醫謢人員照護膀胱過動症患者的參考，以協助提升其生活品質及因應，促進身心健康。

The purpose of the study was to examine the quality of life and coping behavior of overactive bladder patients from Urology and Gynecology outpatient departments in a teaching hospital. Subjects were collected with purposive sampling from February 1, 2006 to February 30, 2007. The study consisted of 74 subjects. Instruments of the study included patients’ demographic data, urinary incontinence quality of life questionnaire, and stress incontinence coping behavior questionnaire. The results revealed that: 1) the influence of the quality of life ranged between “little impact” to “sometimes impact”. Among them, perceived health status was the greatest impact on average 2.89 points. Average score of coping behavior was 1.94 and the problem-oriented behavior (average 1.99 points) was higher than the emotion-oriented behavior (average 1.86 points). 2) Quality of life and coping behavior were positively associated (p< .05). Additionally, the emotion, role and interpersonal influences of life quality with emotion-oriented of coping behavior were positively correlated (r= .24~. 35, p< .05~ .01). 3) Severity of urinary frequency, urinary incontinence, and nocturnal were associated with quality of life (t= -2.08~-2.57, F= 6.02, p< .05). Age, urgency, and the nocturnal severity were associated with coping behavior (F= 4.71~8.70, p< .05). Patients over 50 years of age had higher total coping behaviors and problem-oriented coping behaviors were more often than emotional-oriented. Severe urgency and three (inclusive) or more times of nocturnal severity affected coping behaviors more aggressive than other level severity level. The results can be a reference for staff caring overactive bladder patients and help patients to improve their quality of life and promote their physical and mental health.