社会关系质量对永久性膀胱造瘘患者社交回避及苦恼的影响  

Effects of social relational quality on social avoidance and distress in patients with permanent cystostomy

作　　者：张海微[1] 刘思衡[1] 戴慧芳[2] 钱黄静[1] 

机构地区：[1]温州医科大学附属第一医院泌尿外科,325000 [2]温州医科大学附属第二医院泌尿外科,325000

出　　处：《中华现代护理杂志》2016年第12期1670-1675,共6页Chinese Journal of Modern Nursing

基　　金：温州市科学计划项目（Y20140127）

摘　　要：目的：了解永久性膀胱造瘘患者社会关系质量和社交回避及苦恼现状，探讨社会关系质量对其社交回避及苦恼的影响。方法采用社会关系质量量表和社交回避及苦恼量表对203例永久性膀胱造瘘患者进行问卷调查，比较不同临床特征患者社交回避及苦恼评分的差异，采用分层回归法探讨社会关系质量对社交回避及苦恼的影响。结果永久性膀胱造瘘患者社会关系质量总分为（44．18±6．60）分，社交回避及苦恼总分为（15．38±6．32）分。不同性别、年龄、婚姻状况、职业、置管时间和原发病的永久性膀胱造瘘患者的社交回避及苦恼评分比较，差异有统计学意义（ P＜0．05）；分层回归分析显示，性别、职业、置管时间、原发病、家庭亲密度、家庭承担、朋友关系均为永久性膀胱造瘘患者社交回避及苦恼的影响因素（P＜0．05）。结论永久性膀胱造瘘患者社会关系质量均处于较低水平，社交回避及苦恼处于较高水平，社会关系质量为其社交回避及苦恼的影响因素，可从社会关系质量入手来改善其社交回避及苦恼。Objective To investigate the social relational quality and social avoidance and distress in patients with permanent Cystostomy , and explore the effects of social relational quality on social avoidance and distress.Methods A total of 203 patients with permanent cystostomy were surveyed using the social relational quality scale and the social avoidance and distress scale .The scores of social avoidance and distress were compared among patients with different clinical characteristics , and the hierarchical regression analysis was applied for exploring the effects of social relational quality on social avoidance , distress.Results The total scores of social relational quality and social avoidance and distress in patients with permanent cystostomy were （44.18 ±6.60） and （15.38 ±6.32） respectively.Patients in different genders, ages, marital statuses, occupations, catheterization times and primary diseases had significantly different scores of social avoidance and distress （ P〈0.05）.The hierarchical regression analysis showed that gender , occupation, time of catheterization, primary disease, family cohesion, family commitment and friendship were independent factors in predicting the social avoidance and distress of patients with permanent cystostomy （ P〈0.05 ） .Conclusions The social relational quality of patients with permanent cystostomy is at low level , while the social avoidance and distress is at relatively high level .The social relational quality determines the social avoidance and distress of patients with permanent cystostomy , so improving the social relational quality is promising to avoid the social avoidance and distress of patients with permanent cystostomy .

关 键 词：泌尿外科 永久性膀胱造瘘 社会关系质量 社交回避及苦恼 

分 类 号：R473.6[医药卫生—护理学]