自我肯定理论对膀胱造口患者病耻感的影响  

Effects of self-assertiveness theory on stigma in bladder stoma patients

作　　者：杨丽珠[1] Yang Lizhu(Department of Urology Surgery,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院泌尿外科,北京100034

出　　处：《中华现代护理杂志》2019年第34期4500-4504,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨自我肯定理论对膀胱造口患者病耻感的干预效果。方法选取2018年1—7月在北京大学第一医院泌尿外科造口门诊就诊的84例膀胱造口患者,采用随机数字表法将患者分为试验组和对照组,各42例。试验组在常规护理的基础上进行自我肯定训练,对照组进行造口患者常规健康教育指导,干预前后使用社会影响量表评价两组患者病耻感。结果试验组干预后的病耻感总得分为(60.25±7.57)分,低于对照组的(66.93±4.35)分,差异有统计学意义(P<0.05)。除经济无保障维度外,试验组干预后的病耻感其他维度得分均低于对照组,差异有统计学意义(P<0.05)。结论自我肯定训练能降低膀胱造口患者病耻感水平,提高患者回归社会的自信心。Objective To explore the effects of self-assertiveness theory on stigma in bladder stoma patients.Methods From January 2018 to July 2018,we selected 84 bladder stoma patients in Stoma Outpatient of Urology Surgery at Peking University First Hospital.Patients were divided into experimental group and control group with the random number table,42 cases in each group.On the basis of routine nursing,experimental group carried out self-assertiveness training.Control group implemented health education for stoma patients.The intervention effects on stigma between two groups were evaluated with the Social Impact Scale(SIS)before and after intervention.Results After intervention,the total score of stigma of experimental group was(60.25±7.57)lower than that(66.93±4.35)of control group with a statistical difference(P<0.05).The dimension scores of stigma of experimental group after intervention were lower than those of control group with statistical differences(P<0.05)besides the dimension of economic insecurity.Conclusions Self-assertiveness training can lower the stigma of bladder stoma patients and increase their confidence in returning to society.

关 键 词：膀胱造口 病耻感 自我肯定 健康教育 

分 类 号：R47[医药卫生—护理学]