以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (14): 12-17.doi: 10.16460/j.issn1008-9969.2022.14.012

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Current Status and Influencing Factors of Resourcefulness in Patients with Permanent Enterostomy

ZHANG Yun-fei1, LUO Hui-yu2a, ZHU Hong-yu3, LI Mao-lu1, XU Zhen-hua1, KE Xi2b   

  1. 1. School of Nursing, Fujian Medical University, Fuzhou 350108, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Abdominal Oncology, Fujian Medical University Cancer Hospital, Fujian Cancer Hospital, Fuzhou 350000, China;
    3. Fujian Bioengineering Vocational and Technical College, Fuzhou 350007, China
  • Received:2022-03-08 Online:2022-07-25 Published:2022-08-02

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

CLC Number: 

  • R473.6
[1] Bray F, Ferlay J,Soerjomataram I,et al.Global Cancer Statistics 2018:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J].CA Cancer J Clin,2018,68(6):394-424.DOI:10.3322/caac.21492.
[2] 王锡山. 中美结直肠癌流行病学特征对比及防控策略分析[J].中华结直肠疾病电子杂志,2019, 8(1):1-5.DOI:10.3877/cma.j.issn.2095-3224.2019.01.001.
[3] 宋琴芬,尹光啸,刘春娥,等.直肠癌永久性造口患者体力活动现状及影响因素研究[J].护理学杂志,2021,36(1):14-18.DOI:10.3870/j.issn.1001-4152.2021.01.014.
[4] 郭淑丽,郭爱敏,徐园.永久性肠造口患者生活质量现状研究[J].护理管理杂志,2016,16(6):403-405.
[5] 康莉,郝楠.直肠癌永久性结肠造口病人病耻感及影响因素的调查[J].护理研究,2017,31(28):3527-3530.DOI:10.3969/j.issn.1009-6493.2017.28.012.
[6] Bekhet AK, Zauszniewski JA.Theoretical Substruction Illustrated by the Theory of Learned Resourcefulness[J]. Res Theory Nurs Pract,2008,22(3):205-214.
[7] 盛洁,王美青,邓慧.慢性心力衰竭患者智谋水平及影响因素分析[J].中华现代护理杂志,2019,25(7):857-860.DOI:10.3760/cma.j.issn.1674-2907.2019.07.014.
[8] 弓巧巧,吴红霞,裴嘉宇.COPD病人智谋水平现状及影响因素[J].护理研究,2020,34(19):3513-3517.DOI:10.12102/j.issn.1009-6493.2020.19.031.
[9] Hawke LD, Parikh SV, Michalak E E.Stigma and Bipolar Disorder:A Review of the Literature[J].J Affect Disord,2013,150(2):181-191.DOI:10.1016/j.jad.2013.05.030.
[10] 原静民,郑美春,卜秀青,等.永久性肠造口患者病耻感现状及其影响因素研究[J].中华护理杂志,2016,51(12):1422-1427.DOI:10.3761/j.issn.0254-1769.2016.12.003.
[11] 黄丽芳,蒋睿,汪点,等.鼻咽癌放疗患者智谋水平及影响因素分析[J].护理学杂志,2017,32(2):27-30.DOI:10.3870/j.issn.1001-4152.2017.02.027.
[12] 吴美华,刘雅清,柯熹,等.乳腺癌病人智谋状况及相关因素分析[J].护理研究, 2015(28):3530-3533.DOI:10.3969/j.issn.1009-6493.2015.28.024.
[13] 何平平,梁雅琴,邹洁琼,等.某市社区冠心病患者智谋水平现状及影响因素分析[J].中华现代护理杂志,2018,24(21):2537-2540.DOI:10.3760/cma.j.issn.1674-2907.2018.21.013.
[14] 汤彩霞,邹巧云,伍媚春,等.维持性血液透析患者智谋水平及影响因素分析[J].中西医结合护理(中英文),2018,4(12):96-99.DOI:10.11997/nitcwm.201812025.
[15] 盛洁,王美青,邓慧.慢性心力衰竭患者智谋水平及影响因素分析[J].中华现代护理杂志,2019,25(7):857-860.DOI:10.3760/cma.j.issn.1674-2907.2019.07.014.
[16] 和晓凤,高玲玲,卜秀青,等.孕妇习得性智谋及其影响因素的研究[J].中国实用护理杂志,2014,30(11):65-67.DOI:10.3760/cma.j.issn.1672-7088.2014.11.022.
[17] 曾桂华,何晓华,柯熹,等.中青年癌痛患者智谋现状及影响因素分析[J].天津护理,2020,28(4):395-398.DOI:10.3969/j.issn.1006-9143.2020.04.005.
[18] 柯熹,曾桂华,何晓华,等.老年癌痛患者智谋及疲劳状况分析[J].解放军护理杂志,2018,35(20):1-6.DOI:10.3969/j.issn.1008-9993.2018.20.001.
[19] 陈娟,曹秉蓉,高庆,等.三级甲等医院护理人员智谋现状及潜在类别分析[J].护理学杂志,2020,35(11):49-53.DOI:10.3870/j.issn.1001-4152.2020.11.049.
[20] Zauszniewski JA, Lai CY, Tithiphontumrong S.Development and Testing of the Resourcefulness Scale for Older Adults[J].J Nurs Meas,2006,14(1):57-68.DOI:10.1891/jnum.14.1.57.
[21] 柯熹,吴美华,刘雅清,等.中文版智谋量表信效度分析[J].中华现代护理杂志,2015,21(15):1737-1740.DOI:10.3760/cma.j.issn.1674-2907.2015.15.001.
[22] Fife BL, Wright ER.The Dimensionality of Stigma:A Comparison of Its Impact on the Self of Persons with HIV/AIDS and Cancer[J].J Health Soc Behav,2000,41(1):50-67.
[23] 康莉,郝楠.直肠癌永久性结肠造口病人病耻感及影响因素的调查[J].护理研究,2017,31(28):3527-3530.DOI:10.3969/j.issn.1009-6493.2017.28.012.
[24] Dressaire D,Stone CB,Nielson KA,et al.Alexithymia Impairs the Cognitive Control of Negative Material while Facilitating the Recall of Neutral Material in both Younger and older Adults[J]. Cogn Emot,2015,29(3):442-459.DOI:10.1080/02699931.2014.919898.
[25] 林琼,赖雯娟,林御贤,等.直肠癌永久性造口患者的病耻感与适应水平、生活质量的相关性[J].护理管理杂志,2017,17(10):727-729.DOI:10.3969/j.issn.1671-315X.2017.10.015.
[26] Yang FY, Lai CY, Yen CF,et al.The Depressive Symptoms,Resourcefulness, and Self-harm Behaviors of Adolescents[J].J J Nurs Res, 2016,25(1):41.DOI:10.1097/jnr.0000000000000127.
[27] 杨秀秀,付菊芳,李秦,等.结肠造口病人并发症危险因素及知识需求的研究[J].护理研究,2012,26(15):1364-1366.DOI:10.3969/j.issn.1009-6493.2012.015.009.
[28] 叶子文,甄莉,朱木兰,等.220例预防性肠造口患者病耻感现状及影响因素分析[J].护理学报, 2019,26(3):40-45.DOI:10.16460/j.issn1008-9969.2019.03.040.
[29] 倪菀景,高俊平,王静,等.叙事护理干预对腹壁造口病人病耻感及造口适应水平的影响[J]. 护理研究, 2021,35(8):1398-1402.DOI:10.12102/j.issn.1009-6493.2021.08.014.
[30] 郭成香,袁龙,邱英,等.薰衣草精油在结直肠癌永久性造口患者家庭护理中的应用[J].护理学报,2020,27(7):73-76.DOI:10.16460/j.issn1008-9969.2020.07.073.
[31] 赵迪,潘杰,赵梦璐,等.社区老年人社会隔离对生活质量的影响路径分析[J].解放军护理杂志,2021,38(1):1-4.DOI:10.3969/j.issn.1008-9993.2021.01.001.
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