永久性结肠造口患者生活质量与自我护理能力及病耻感关系模型的研究  

Relationship between Stigma, Self-care Ability and Quality of Life of Patients with Permanent Colostomy

作　　者：杜晓霞[1] 曲晓菊[1] 朱琳[1] 李艳艳[1] 陈忆[1] 兰元丹 

机构地区：[1]哈尔滨医科大学附属第二医院普通外科三病房,黑龙江哈尔滨150086

出　　处：《护理学报》2016年第23期40-43,共4页Journal of Nursing（China）

摘　　要：目的探寻永久性结肠造口患者生活质量、自我护理能力与病耻感的关系。方法采用一般情况调查表、社会影响量表、自我护理能力测定量表及造口患者生活质量问卷,对哈尔滨市4所三级甲等医院的232例永久性结肠造口患者进行调查,并采用结构方程模型软件进行分析。结果本组永久性结肠造口患者生活质量、病耻感及自我护理能力总分分别为(177.56±16.53)分、(60.84±10.26)分及(95.89±20.14)分;病耻感总分对自我护理能力总分具有直接(负向)效应(β=-0.21,P<0.05),对生活质量总分具有直接(负向)效应(β=-0.28,P<0.05);自我护理能力总分对生活质量总分具有直接(正向)效应(β=0.57,P<0.05);病耻感可以通过自我护理能力间接影响生活质量。结论医护人员应采取心理疏导、知识宣教等措施降低永久性结肠造口患者的病耻感,提高患者的自我护理能力,从而提高其生活质量。Objective To explore the relationship of quality of life with stigma and self-care ability of patients with permanent colostomy. Methods The general questionnaire, Social Impact Scale and City of Hope-Quality of life-Ostomy Questionnaire were used to investigate 232 patients with permanent colostomy from 4 third-level first-class hospitals in Harbin. Results The total score of quality of life, stigma and self-care ability of patients were 177.56 ±16.53, 60.84±10.26 and 95.89±20.14 respectively. Stigma can negatively affect patients＇ self-care ability（β=-0.21,P〈0.05）, and their quality of life directly（β=-0.28,P〈0.05）. Self-care ability can positively affect patients＇ quality of life directly（β=0.57,P〈0.05） but stigma can indirectly affect patients ＇ quality of life through their self-care ability. Conclusion Effective measures including psychological counseling and health education should be taken by medical staff to reduce stigma of patients with permanent colostomy and improve their self-care ability so as to improve their quality of life.

关 键 词：永久性结肠造口 生活质量 病耻感 自我护理能力 

分 类 号：R473.6[医药卫生—护理学]