直肠癌永久性结肠造口术后患者自我护理能力及影响因素  

Self-care agency and influencing factors of patients with rectal cancer after permanent colostomy

作　　者：李静[1] 李莹[2] 冯勇[1] 

机构地区：[1]中国医科大学附属盛京医院结直肠肿瘤肛门病外科,辽宁沈阳110004 [2]中国医科大学附属盛京医院胃肠营养外科皮肤病房,辽宁沈阳110004

出　　处：《中国医药导报》2015年第10期156-158,共3页China Medical Herald

基　　金：辽宁省科学技术计划项目(编号2011225019)

摘　　要：目的探讨影响直肠癌永久性结肠造口术后患者早期自我护理能力的相关因素。方法选择结肠造口患者58例为研究对象,采用自我护理能力实施量表、健康行为量表、社会支持量表进行调查,对影响因素进行统计学分析。结果自我护理能力总分为(110.4±18.3)分。多因素分析结果显示,文化程度、健康行为、性别是影响总分的因素;文化程度、性别是影响自我概念的因素;健康行为、并发症是影响自我看护责任感的因素;健康行为和文化程度是影响自我护理知识和自我护理技能的影响因素(P<0.01或P<0.05)。结论直肠癌结肠造口术患者自我护理能力大多为中等水平,影响患者自我护理能力的因素主要有性别、文化程度、并发症、健康行为等。Objective To discuss the correlative factors of affecting early self-care agency in patients with rectal cancer after permanent colostomy.Methods 58 patients underwent colostomy were selected as the research objects,the self nursing ability and implementation scale,health behavior scale and social support rating scale were used to investigate,the influencing factors were analyzed.Results The total scores of self nursing ability were（110.4±18.3） points.Multivariate analysis showed,culture degree,health behavior and sex were the influencing factors of the total scores;cultural degree and sex were the influencing factors of self concept;the health behavior and complications were the influencing factors of responsibility of self care;health behavior and culture degree were the influence factors of self care knowledge and self care skills（P〈0.01 or P〈0.05）.Conclusion The self-care agency of most of patients with rectal cancer after permanent colostomy is in the medium range,and the main influencing factors of self-care agency are sex,culture degree,complications and health behavior.

关 键 词：直肠癌 结肠造口术 自我护理能力 

分 类 号：R735.3[医药卫生—肿瘤]