尿路結石患者罹病相關因素探討
尿路結石患者罹病相關因素探討
藍毓莉1 陳建智2 林麗娟3
1 慈濟技術學院醫務管理系助理教授
2 慈濟大學醫學科學研究所博士生
3 行政院衛生署花蓮醫院護理部主任
摘要
目的：本研究主要探討尿路結石患者之疾病認知、飲食習慣及罹病情形之相關性。
方法：採立意取樣方式，以曾經於花蓮某區域級醫院之泌尿科門診接受『體外震波碎石治療術』之尿路結石患者為研究對象，以電話訪談方式進行結構式問卷資料收集。結果：共計電話訪談468 人，有效樣本數為423 人，問卷回收率為90.4%。研究對象平均罹患尿路結石次數為2.5 次；研究對象的罹病情形在性別、年齡、教育程度、職業別、家族史、對結石成份認知、採行預防措施、飲用水源等變項達統計上顯著差異；年齡、身體質量指數值、飲水量、對肉類的喜好程度及對油炸類的食用頻率與罹病情形呈統計上顯著相關。
結論：本研究結果可提供醫療單位針對相關疾病衛生教育宣導及追蹤管理之重要參考，亦可有效預防結石發生及降低尿路結石患者之復發率。
關鍵字：尿路結石、體外震波碎石術、疾病認知、飲食習慣
The Related Factors of Morbidity in patients with
urolithiasis
Yu-Li Lan1 Chien-Chih Chen2 Li-Chuan Lin3
1 Assistant Professor, Department of Health Administration, Tzu Chi College of Technology
2 PhD Student, Institute of Medical Sciences, Tzu Chi University
3 Director of Nursing Department, Department of Nursing, Hualien General
Hospital ,Department of Health, Executive Yuan, R.O.C.
Abstract
Objective: The present study aims to explore the relationship among patient’s perception of urolithiasis, dietary habits, and the incidence of urolithiasis.
Methods: The study employs the purposeful sampling from those urolithiasis patients who are admitted and received the Extracorporeal Shock Wave Lithotripsy in one Hualian regional hospital. The identified patients are followed up with the structured telephone interview to collect data.
Results: 423 out of 468 valid telephone interview questionnaires are completed. The overall telephone interview completion rate is 90.4%. The average time of the incidence of urolithiasis is 2.5. The study finds that there are statistical significances between the variables of gender, age, education, occupation, family history and the variables of the perception of urolithiasis, preventive intervention and fluid intake habits. In addition, age, body mass index
(BMI), water consumption, preferences and frequency of meat intake and deep-fried food shows statistical significant related to the incidence of urolithiasis.
Conclusion: The findings of this study suggest the importance of preventive intervention education and the patient follow-up management in relation to the decrease the incidence and recurrent rate of urolithiasis after the treatment.
Keywords：urolithiasis, extracorporeal shock wave lithotripsy, disease awareness, diet habit
