永久性肠造口患者病耻感现状及其影响因素研究  

The current status and influencing factors of stigma among permanent stoma patients

作　　者：原静民 郑美春[2] 卜秀青[3] 张俊娥[3] 

机构地区：[1]长江大学医学院护理系,湖北省荆州市434023 [2]中山大学附属肿瘤医院结直肠科 [3]中山大学护理学院

出　　处：《中华护理杂志》2016年第12期1422-1427,共6页Chinese Journal of Nursing

基　　金：国家社会科学基金(16BSH053)

摘　　要：目的调查永久性肠造口患者病耻感现状并分析其影响因素。方法采用一般资料调查问卷、社会影响量表、应对自我效能量表和状态自尊量表,对131例永久性肠造口患者进行调查。结果永久性肠造口患者病耻感得分为(69.95±12.90)分,处于中等水平。44.3%的患者病耻感为高水平。多重线性回归分析结果显示,应对自我效能、配偶接受造口程度、患者自觉身体形象改变程度、是否参加过造口人活动、年龄等因素为病耻感的影响因素,可共同解释病耻感72.1%的变异。结论永久性肠造口患者病耻感水平较高,护理人员应提高患者应对自我效能的水平,教育患者及其家属接受患者造口和身体形象的改变,定期开展并鼓励患者积极参加造口联谊会,并特别关注青壮年造口患者。Objective To describe the level and influence factors of stigma in patients with permanent stoma. Methods Totally 131 permanent stoma patients were invited to complete self-designed demographic questionnaire, Social Impact Scale,Coping Self Efficacy Scale and State Self-esteem Scale. Results All permanent stoma patients got an average score（69.95±12.90）on Social Impact Scale,which was at moderate level,with 44.3% of the patients at high level. The influencing factors of stigma of permanent stoma patients included coping self-efficacy,the acceptance with stoma among spouses or other family members,body image,the experience of activities with other stoma patients and age of stoma patients,which could explain 72.1% of the variance. Conclusion The level of stigma in permanent stoma patient is slightly high. Improving patients＇ coping self-efficacy,encouraging family members to accept patients＇ stoma and changes in body image,encouraging patients to participate in colostomy sodality can be used for nurses to relieve the stigma of permanent stoma patients. Besides,young adult patients should be paid more attention.

关 键 词：肠造口术 病耻感 影响因素分析 

分 类 号：R473.6[医药卫生—护理学]