永久性结肠造口患者造口相关压力状况及其影响因素分析  

The pressure and it's related factors in patients with permanent colostomy

作　　者：夏婷婷[1] 王淑云[2] 杨富国[1] 马蕙 尹春岚 王广宁 范海霞 李瑶瑶 XIA Tingting;WANG Shuyun;YANG Fuguo;MA Hui;YIN Chunlan;WANG Guangning;FAN Haixia;LI Yaoyao(School of Nursing,Qingdao University,Shandong,266021,China)

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》2018年第11期1480-1484,共5页Chinese Nursing Management

基　　金：国家自然科学基金资助面上项目(81373001);山东省研究生教育优质课程立项[鲁学位(2017)1号]

摘　　要：目的 :分析永久性结肠造口患者造口相关压力状况及其影响因素。方法 :采用一般资料调查表、结肠造口压力量表、歧视知觉量表、心理韧性量表、社会关系质量量表对251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压力总分为(69.22±10.82)分;造口术后时间、既往病史、家庭人均月收入、歧视知觉、心理韧性、社会关系质量是永久性结肠造口患者造口相关压力的影响因素,共解释总变异的52.0%。结论 :永久性结肠造口患者造口相关压力较严重,且受多种因素的影响。医务人员应该从个人、家庭、社会出发,采取针对性干预措施,减轻患者造口相关压力。Objective： To analyze the stoma related pressure and related factors in patients with permanent colostomy. Methods： A total of 251 permanent colostomy patients were invited to complete a general information questionnaire, the Stoma Pressure Scale, Social Impart Scale, the Conner-Davidson Resilience Scale and the Social Relationship Quality Scale. Results： The total score of colostomy pressure was 69.22±10.82; the multiple regression analysis indicated that postoperative time, previous medical history, per capita monthly income, discrimination perception, resilience and social relationship were predictors for the pressure of permanent colostomy patients ,which explained 52.0% of the variation. Conclusion： The pressure of permanent colostomy patients is serious and it is affected by several factors. The intervention should be taken according to relevant factors of individual, family and social to reduce the pressure of patients.

关 键 词：永久性结肠造口 造口相关压力 歧视知觉 心理韧性 社会关系质量 影响因素 

分 类 号：R47[医药卫生—护理学]