直肠癌永久性肠造口患者伤残接受度与应对方式及社会支持的相关性分析  

Correlations among disability acceptance, coping style and social support in rectal cancer patients with permanent enterostomy

作　　者：赫丽杰[1] 王海宽[1] 胡月飞[2] 单静[3] 夏添[4] 丁洪波[1] 董艳红[5] He Lijie;Wang Haikuan;Hu Yuefei;Shan Jing;Xia Tian;Ding Hongbo;Dong Yanhong(The First Department of General Surgery,Heilongjiang Provincial Hospital,Harbin 150036,China;Department of Infection Management,Heilongjiang Provincial Hospital,Harbin 150036,China;Operating Room,Heilongjiang Provincial Hospital,Harbin 150036,China;Gastroenterology Department,Heilongjiang Provincial Hospital,Harbin 150036,China;Department of Medical Records,Heilongjiang Provincial Hospital,Harbin 150036,China)

机构地区：[1]黑龙江省医院普外一科,哈尔滨150036 [2]黑龙江省医院感染管理科,哈尔滨150036 [3]黑龙江省医院手术室,哈尔滨150036 [4]黑龙江省医院消化病院,哈尔滨150036 [5]黑龙江省医院病案统计科,哈尔滨150036

出　　处：《中华现代护理杂志》2018年第34期4156-4159,共4页Chinese Journal of Modern Nursing

基　　金：黑龙江省卫生计生委科研课题(2016-538).

摘　　要：目的了解直肠癌永久性肠造口患者伤残接受度、应对方式及社会支持的现状,并分析三者之间的相关性。方法采用便利抽样法,2017年3—12月选择黑龙江省医院110例直肠癌永久性肠造口患者为研究对象。采用伤残接受度量表(ADS)、简易应对方式问卷(SCSQ)、社会支持评定量表(SSRS)对其进行调查。结果本研究共发放问卷110份,回收有效问卷101份。直肠癌永久性肠造口患者ADS总分(79.55±7.42)分,SCSQ中积极应对(1.69±0.37)分、消极应对(1.74±0.24)分,SSRS总分(41.35±10.24)分。患者ADS总分与积极应对呈正相关(P<0.05)、与消极应对呈负相关(P<0.05),与SSRS总分呈正相关(P<0.05)。结论直肠癌永久性肠造口患者的伤残接受度仍然有待提升,医护人员应根据已有的社会支持系统,采取针对性的干预措施,以帮助患者采取积极应对方式,提高其伤残接受度。Objective To understand the situation of disability acceptance, coping style and social support in rectal cancer patients with permanent enterostomy and to explore the correlations among them. Methods From March 2017 to December 2017, we selected 110 rectal cancer patients with permanent enterostomy in Heilongjiang Provincial Hospital as subjects by convenience sampling. All of the patients were investigated with the Acceptance of Disability Scale (ADS) , Simplified Coping Style Questionnaire (SCSQ) , Social Support Rating Scale (SSRS) . Results A total of 110 questionnaires were sent out and 101 valid questionnaires were collected. The total score of ADS, the scores of positive coping and negative coping of SCSQ as well as the total score of SSRS, were (79.55±7.42) , (1.69±0.37) , (1.74±0.24) and (41.35±10.24) respectively among rectal cancer patients with permanent enterostomy. The total score of ADS was positively correlated with the positive coping (P<0.05) , was negatively correlated with the negative coping (P<0.05) , and it also had a positive correlation with the total score of SSRS (P<0.05) . Conclusions The disability acceptance of rectal cancer patients with permanent enterostomy needs to be improved. Health care providers should take targeted intervention based on social support system so as to help patients take positive coping style to improve their disability acceptance.

关 键 词：直肠肿瘤 肠造口术 社会支持 伤残接受度 应对方式 

分 类 号：R735.37[医药卫生—肿瘤]