永久性结肠造口患者社交状况及其影响因素分析  

The status and influencing factors of social avoidance and distress among permanent colostomy patients

作　　者：王艳[1] 王淑云[2] 杨富国[1] 鞠陶然 刘绍[1] 朱亚南[1] 王斌[1] 

机构地区：[1]青岛大学护理学院,山东省266021 [2]青岛大学附属医院崂山院区普外科

出　　处：《中国护理管理》2017年第10期1427-1431,共5页Chinese Nursing Management

基　　金：国家自然科学基金资助面上项目(81373001)

摘　　要：目的 :分析永久性结肠造口患者社交状况及其影响因素。方法 :采用一般资料调查表、社交回避及苦恼量表、社会影响量表、自我隐瞒量表和罗森伯格自尊量表对228例永久性结肠造口患者进行调查。结果 :永久性结肠造口患者社交回避及苦恼总分为(13.32±3.27)分;性别、职业、造口术后时间、病耻感、自尊和自我隐瞒是永久性结肠造口患者社交回避及苦恼的影响因素,共同解释总变异的60.4%。结论 :永久性结肠造口患者社交回避和苦恼问题较严重,并受多种因素的影响。医务人员应重视保护患者的自尊,降低病耻感和自我隐瞒,改善患者社交状况。Objective： To analyze the status and influencing factors of social avoidance and distress among permanent colostomy patients. Methods： A total of 228 permanent colostomy patients were invited to complete a general information questionnaire, the Social Avoidance and Distress Scale （SADS）, Social Impact Scale （SIS）, Self-Concealment Scale （SCS） and Self-Esteem Scale （SES）. Results： The SADS scores were 13.32±3.27. The results of multiple regression analysis indicated that age, occupation, postoperative time, stigma self-concealment and self-esteem were predictors of social avoidance and distress, which explained 60.4% of the variance. Conclusion： The level of social avoidance and distress in permanent colostomy patients was slightly high, and was affected by several factors. Health care professionals should strengthen patients’ self-esteem, decrease their stigma and self-concealment, in order to improve their social activities.

关 键 词：社交回避及苦恼 病耻感 自我隐瞒 自尊 

分 类 号：R47[医药卫生—护理学]