永久性肠造口患者智谋现状及影响因素分析

doi:10.16460/j.issn1008-9969.2022.14.012

摘要/Abstract

摘要： 目的了解永久性肠造口患者智谋现状及影响因素,为提高永久性肠造口患者智谋水平提供理论依据。方法采取便利抽样,使用一般资料调査表、智谋量表（Resourcefulness Scale,RS）、社会影响量表（Social Impact Scale,SIS）,对2020年1月—2021年3月就诊于福建省某三级甲等肿瘤专科医院的260例永久性肠造口患者进行问卷调査。结果永久性肠造口患者智谋总分为（77.02±14.27）分,其中个人智谋得分为（46.41±9.04）分,社会智谋得分为（30.61±5.79）分。多元线性回归分析结果显示,年龄、文化程度、是否参加过造口组织、有无造口并发症、社会排斥和社会隔离是永久性肠造口患者智谋水平的主要影响因素（P<0.05）,共解释永久性肠造口患者智谋变异的75.7%。结论永久性肠造口患者智谋处于中等水平,医护人员需加强永久性肠造口患者智谋的提升,尤其是高龄、低学历、未参加过造口组织、有造口并发症的患者;社会影响对永久性肠造口患者智谋有负向影响,尤其是存在社会排斥和社会隔离的患者,以进一步提升其智谋水平,降低患者病耻感水平。

关键词: 永久性肠造口, 智谋, 病耻感, 影响因素

Abstract: Objective To understand the current status and influencing factors of resourcefulness in patients with permanent enterostomy, and to provide theoretical basis for improving resourcefulness in patients with permanent enterostomy. Methods Convenience sampling was used to select 260 patients with permanent colostomy treated in a tertiary grade A tumor hospital in Fujian Province from January 2020 to March 2021, and they were surveyed by using general information questionnaire, Resourcefulness Scale (RS) and Social Impact Scale （SIS）. Results The total score of resourcefulness of patients with permanent colostomy was 77.02±14.27; and the score of personal resourcefulness and social resourcefulness 46.41±9.04 and 30.61±5.79, respectively; multiple linear regression analysis showed that age, education background, participating in stoma organization or not, with stoma complications or not, social exclusion and social isolation were the main factors affecting resourcefulness of patients with permanent enterostomies (P<0.05), which explained 75.7% of the total variation. Conclusion The resourcefulness of patients with permanent enterostomy is at a medium level and more measures should be taken to enhance the resourcefulness of patients, especially older patients, those less educated, those without participation in stoma organization and with stoma complications. Stigma has a negative impact on the resourcefulness of patients with permanent enterostomy, particularly those with social exclusion and social isolation. Targeted measures should be taken to reduce the stigma of patients, so as to further enhance their resourcefulness and improve their quality of life.

Key words: permanent intestinal stoma, resourcefulness, stigma, influencing factor

中图分类号:

R473.6

张云飞, 骆惠玉, 朱虹玉, 黎茂璐, 徐珍华, 柯熹. 永久性肠造口患者智谋现状及影响因素分析[J]. 护理学报, 2022, 29(14): 12-17.

ZHANG Yun-fei, LUO Hui-yu, ZHU Hong-yu, LI Mao-lu, XU Zhen-hua, KE Xi. Current Status and Influencing Factors of Resourcefulness in Patients with Permanent Enterostomy[J]. Journal of Nursing, 2022, 29(14): 12-17.

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