肠造口患者病耻感与生活质量的相关性  

Relationship between stigma and quality of life in patients with colostomy

作　　者：徐芳芳[1] 于卫华 王胜琴 

机构地区：[1]安徽医科大学,合肥230041 [2]安徽医科大学第三附属医院,合肥230041

出　　处：《中国心理卫生杂志》2016年第2期97-101,共5页Chinese Mental Health Journal

摘　　要：目的:探讨直肠癌永久性肠造口患者的病耻感水平及其与生活质量的相关性。方法:选取中部地区某省6家三级甲等医院永久性肠造口患者148人(男99人,女49人,年龄22~88岁),采用一般资料调查表、社会影响量表(SIS)和造口患者生活质量量表(Stoma-QOL)分别调查其一般情况、病耻感水平和生活质量水平。结果:患者的SIS得分为(60.3±10.3)分,Stoma-QOL得分为(53.4±16.1)分。SIS总分及各维度得分与Stoma-QOL总分均呈负相关性(r=-0.38^-0.58,均P<0.01)。回归分析结果显示,最终性别、居住状态、经济歧视、内在羞耻感与生活质量负相关联(β=-0.21^-0.45)。结论:本研究显示,直肠癌永久性肠造口患者的病耻感水平与生活质量密切相关,肠造口患者的病耻感问题应引起临床医护人员的重视。Objective： To investigate the correlation between stigma and quality of life in patients with colostomy. Methods： Totally 148 patients from six grade 3 hospitals of midland with permanent colostomy were recrui- ted. They were investigated with general information questionnaire, Social Impact Scale（SIS） and Stoma Quality of Life Scale（Stoma-QOL）. Results： The average SIS score of patients was （60. 3 ± 10. 3）. The average stoma-QOL total score was （53.4 ±16. 1）. The SIS total scores and factor scores were negatively correlated with the stoma- QOL total scores （r = -0. 38 -0. 58, Ps 〈 0. 01）. The multiple regression analysis revealed that sex, dwelling state, financial discrimination, internal shame had negative association with stoma-QOL negatively （β = - 0. 21 - -0.45）. Conclusion： The results indicate that the stigma in patients with colostomy is closely related to quality of life. It suggests that more attention should be paid to patients stigma.

关 键 词：肠造口术 病耻感 生活质量 

分 类 号：R657.1[医药卫生—外科学] R395.2[医药卫生—临床医学]