頁籤選單縮合
題 名 | 老年病患之早期住院壓力: 自覺與護士他覺感受之比較=A Comparative Study on Perceived Stresses of Elderly Patients and Their Nurses during Early Hospitalization |
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作 者 | 郭素娥; 馬鳳歧; | 書刊名 | 成功大學學報 |
卷 期 | 33(科技.醫學篇) 民87.11 |
頁 次 | 頁61-73 |
分類號 | 419.76 |
關鍵詞 | 老年病患; 護理人員; 早期住院壓力; |
語 文 | 中文(Chinese) |
中文摘要 | 對許多人而言,住院是種混合壓力和挫折的時刻,而且又得離開熟悉的事物和所 愛的人,會令人感到孤單和受傷,對老年人而言,更容易造成嚴重的傷害。因此, 本研究目的在調查照顧該老年病患的護士他覺的住院壓力,和老年病患自覺的住 院壓力做一比較,希望瞭解其差異及原因,以便改進並提高護理品質,使護理專 業更上層樓。本研究採問卷調查法,立意取樣;由研究者親自訪談,共收取91位 老年病患及67位護理人員;經統計分析後發現:(1)老年病患自覺前三項住院壓 力是疾病或藥物引起的身體不舒服、藥物無法減輕不舒服;不知道自己得了嚴重 的疾病和不知道病情或往後的發展則並列第三大壓力,而護士認為老年病患約三 大壓力為不知道病情或往後的發展、不知道自己得了嚴重的疾病、不知道治療或 檢查的理由、過程和結果。(2)護士感受的老年住院壓力均顯著大於老年病患自 覺的住院壓力。其預測變項包括是否癌症、住院次數、護士照顧天數。可以解釋 總變異量為16﹪;(3)外科護士和外科老年病患在整體、家人親友互動、疾病和 治療措施及缺乏資訊等壓力上呈顯著正相關,內科護士和內科老年病患的住院壓 力感受均無相關。本研究結果可做為日後研究者及護理人員護理病患的參考。 |
英文摘要 | This study was designed to compare nurses' and patients' perceptions of stress on hospitalization events. The sample consisted of 91 elderly patients and 67 registered nurse's in medical units and surgical units. All of the patients and the nurses complete a Likert-type questionnaire which was designed to measure the concepts of stress. Data were statistically analyzed by means of descriptive and analytical methods, including paired t-test, Pearson correlation, and multiple regression. First, the results found the elderly patients felt stressed about the discomfort caused by disease or medication, the pain which couldn't be relived by medication, and the seriousness and prognosis of illness. However, the nurses thought the elderly patients felt stressed about the prognosis of their illness, not knowing about the seriousness of the illness and not knowing about the treatment and its consequence. Second, concerning the patients' hospitalization, the nurses felt more stressed than the elderly patients. According to the stepwise multiple regression analysis, three variables (the possibility of getting cancer, frequency of hospitalization, and days of caring of nurses.) were the optimal predictors of discrepancy between nurses and patients for total variances of 16% . Third, there was a positive correlation between the elderly patients and the nurses in the surgical units concerning the stress associated with family interaction, the treatment, and the lack of information. There was no correlation between the elderly patients and the nurses in the medical units regarding these factors. Implications for nursing practice and research were addressed. |
本系統中英文摘要資訊取自各篇刊載內容。