CAJ | 학술논문

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。
목적：료해방광종류환자심리통고적상황급탐토기상관인소，위제정침대성적심리호리제공의거。방법채용자행설계적일반자료조사문권화심리통고온도계량표대재북경시모삼급갑등종합의원비뇨외과주원적128례방광종류환자진행조사。결과본조환자심리통고득분위4．00（1．00～5．00）분，심리통고적검출솔위55．47％（71／128）고우중국암증환자상모심리통고사사적검출솔（U＝8．28，P＜0．05）。심리통고상관인자득분종고도저의차위정서문제（1．63±0．67）분、실제문제（1．42±0．64）분、교왕문제（1．29±0．65）분、신체문제（1．28±0．33）분화신앙문제（1．00±0．08）분。결론방광종류환자심리통고발생솔교고，영향심리통고상관인소주요위정서문제、실제문제화교왕문제。호리인원응진조발현환자존재적심리통고병료해기발생적상관인소，급시급여상응적간예，종이개선환자심리통고정도。
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(1.00~5.00). 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.