膀胱肿瘤患者心理痛苦状况及其相关因素  

Psychological distress status and related factors of patients with bladder tumor

作　　者：孙柳[1] 张爱英[2] 王洁静[3] 付凤齐[2] 王艳玲[1] 

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学附属友谊医院,北京100050 [3]北京医院,北京100730

出　　处：《现代临床护理》2015年第8期50-53,共4页Modern Clinical Nursing

基　　金：首都中医药及护理学研究专项课题;项目编号为14HL09

摘　　要：目的：了解膀胱肿瘤患者心理痛苦的状况及探讨其相关因素，为制订针对性的心理护理提供依据。方法采用自行设计的一般资料调查问卷和心理痛苦温度计量表对在北京市某三级甲等综合医院泌尿外科住院的128例膀胱肿瘤患者进行调查。结果本组患者心理痛苦得分为4．00（1．00～5．00）分，心理痛苦的检出率为55．47％（71／128）高于中国癌症患者常模心理痛苦筛查的检出率（U＝8．28，P＜0．05）。心理痛苦相关因子得分从高到低依次为情绪问题（1．63±0．67）分、实际问题（1．42±0．64）分、交往问题（1．29±0．65）分、身体问题（1．28±0．33）分和信仰问题（1．00±0．08）分。结论膀胱肿瘤患者心理痛苦发生率较高，影响心理痛苦相关因素主要为情绪问题、实际问题和交往问题。护理人员应尽早发现患者存在的心理痛苦并了解其发生的相关因素，及时给与相应的干预，从而改善患者心理痛苦程度。Objective To investigate the prevalence of psychological distress and analyze the relevant factors among patients with bladder tumor so as to provide evidence for future clinical practice. Methods Totally 128 patients were recruited from a urological surgery ward of a comprehensive hospital in Beijing in the study by using self-design questionnaire and the psychological distress thermometer （DT） recommended by the U.S. national comprehensive cancer network （NCCN）. The acquired data were analyzed by SPSS17.0. Results The average score of the patients was 4.00（1.0～5.00）. The identification rate of psychological stress was 55.47%（ 71/128 ） , higher than the Chinese normal （ U = 8 . 28 , P 〈 0 . 05 ） . The relevant factors of psychological stress based on the rank from high to low scores included emotion problems （ 1 . 63 ± 0 . 67 ） , practical problems （ 1 . 42 ± 0 . 64 ） , communication problems （1.29 ± 0.65）, physical problems （1.28 ± 0.33） and religion problems （1.00 ± 0.08）. Conclusions The prevalence of psychological distress is higher among patients with bladder tumor and the influence factors mainly include emotional problems , practical problems and communication problems. Nurses should pay attention to the psychological distress of patients with bladder tumors and develop targeted interventions so as to relieve their distress.

关 键 词：膀胱肿瘤 心理痛苦温度计量表 护理 

分 类 号：R473.73[医药卫生—护理学]