某醫學中心住院病人第六生命徵象現況、變化與健康問題之探討

林麗英; 黃雅惠; 洪正隆; 陳雅玫; 郭靜如; 顧艷秋

doi:10.6224/JN.000024

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P55 - 65

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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某医学中心住院病人第六生命徵象现况、变化与健康问题之探讨

The Status, Change and Health Issues of Inpatients' Sixth Vital Sign in a Medical Center

林丽英(Li-Ying Lin) ；黄雅惠(Ya-Hui Huang) ；洪正隆(Chung-Lung Hung) ；陈雅玫(Ya-Mei Chen) ；郭静如(Ching-Ju Kuo) ；顾艳秋(Yan-Chiou Ku)

护理杂志； 64 卷 2 期 (2017 / 04 / 01) ， P55 - 65

繁体中文 DOI： 10.6224/JN.000024

第六生命徵象；情绪困扰；住院病人； the sixth vital sign ； emotional distress ； hospitalized patients

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摘要 │ 参考文献 (35) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

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Background: Hospitalized patients generally have elevated levels of emotional distress. Gaining a better understanding of the problem of emotional distress among hospitalized patients is conducive to providing appropriate emotional care and promoting their recovery. Purpose: To analyze the scores for the “sixth vital sign” (i.e., emotional distress), diversification, and the healthrelated problems of hospitalized patients at a medical center in Taiwan. The results may offer an important reference for providing effective emotional care to hospitalized patients. Methods: A retrospective descriptive research design was used. Data were collected from all of the 27,885 inpatients that were registered at the target hospital in 2013. Further, a total of 245,814 attendance records were assessed to extract the data that were relevant to emotional distress. Results: The findings revealed that 58.3% of hospitalized patients had earned a sixth vital sign score ≥ 1 and that 0.8% of these patients had earned a score ≥ 4. On the whole, the sixth vital sign scores of hospitalized patients were found to decrease progressively with the number of hospitalization days except for hematology and oncology, neurosurgery, and plastic surgery patients. The highest emotional distress scores were found among family medicine, dermatology, and plastic surgery patients. Moreover, emotional distress scores were significantly higher in patients who had health problems that involved pain, anxiety, or sleep disorder. Conclusions / Implications for Practice: The present study suggests that improving the emotional care of hematology, oncology, neurosurgery, family medicine, dermatology, and plastic surgery patients and of patients with health problems involving pain, anxiety, or sleep disorder may significantly improve the quality of inpatient holistic healthcare. Only 0.8% of the subjects in the present study had an emotional distress score ≥ 4, which is significantly lower than the level reported in other similar studies. Our findings suggest that related education and training for nursing staffs may improve their assessment and care practices in caring for patients with emotional distress. Furthermore, using more appropriate words, methods, and environments to evaluate the emotional distress of patients holds the potential to improve assessment and care for these patients.

参考文献 ( 35 ) 〈TOP〉

李佳伦、林淑媛、叶淑惠(2007)。结直肠癌病患手术前後疲惫及情绪困扰之相关性研究。医护科技学刊，9(3)，200-209。
连结：
National Comprehensive Cancer Network. (2016). About the NCCN clinical practice guidelines in oncology (NCCN Guidelines®). Retrieved from https://www.nccn.org/professionals/default.aspx
Baglioni, C,Battagliese, G,Feige, B,Spiegelhalder, K.,Nissen, C,Voderholzer, U,Riemann, D.(2011).Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies.Journal of Affective Disorders,135(1-3),10-19.
Bultz, B. D.,Carlson, L. E.(2005).Emotional distress: The sixth vital sign in cancer care.Journal of Clinical Oncology,23(26),6440-6441.
Bultz, B. D.,Groff, S. L.(2009).Screening for distress, the 6th vital sign in oncology: From theory to practice.Oncology Exchange,8(1),1-8.

被引用文献 ( 1 ) 〈TOP〉

锺文珍(Wen-Jean Chung);张捷芸(Jie-Yun Jang);邹荣慧(Rung-Huei Tzou);陈孟君(Meng-Chun Chen)(2024)。癌症病人於门诊化疗时之情绪困扰的改善专案。高雄护理杂志。41(2)。23-33。

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