消化系统肿瘤患者术后病耻感现状及影响因素研究  

A study on the status and influencing factors of stigma for digestive system tumor patients after operation

作　　者：符敏[1,2] 胡少华[3] 王维利[4] 栾贝贝[5] 王婷[1,2] FU Min;HU Shaohua;WANG Weili;LUAN Beibei;WANG Ting(Department of General Surgery,the First Affiliated Hospital of Anhui Medical University,Anhui Province,Hefei 230022,China;Department of Gastrointestinal Surgery,the First Affiliated Hospital of Anhui Medical University,Anhui Province,Hefei 230022,China;Deparment of Nursing,the First Affiliated Hospital of Anhui Medical University,Anhui Province,Hefei 230022,China;College of Nursing,Anhui Medical University,Anhui Province,Hefei 230022,China;Department of Pediatrics,the First Affiliated Hospital of Anhui Medical University,Anhui Province,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院普外科,安徽合肥230022 [2]安徽医科大学第一附属医院胃肠外科,安徽合肥230022 [3]安徽医科大学第一附属医院护理部,安徽合肥230022 [4]安徽医科大学护理学院,安徽合肥230022 [5]安徽医科大学第一附属医院儿科,安徽合肥230022

出　　处：《中国医药导报》2020年第10期98-101,共4页China Medical Herald

基　　金：安徽省科技厅科技攻关项目(1804h08020275)。

摘　　要：目的了解消化系统肿瘤患者病耻感现状及影响因素。方法采用便利抽样法,选取2017年7月~2018年12月就诊于安徽省某三甲医院普外科胃肠病区的消化系统肿瘤患者300例。使用一般资料问卷、社会影响量表、领悟社会支持量表患者调查患者一般资料、病耻感、社会支持状况,并分析病耻感与社会支持和一般资料的关系。结果调查有效问卷294份,有效回收率为98%。294例患者的病耻感总分为(59.50±9.85)分,处于中等水平。不同性别、居住地、文化程度、宗教信仰、婚姻状况,近1个月是否与子女住在一起的患者病耻感得分比较,差异有统计学意义(P <0.05)。领悟社会支持与病耻感得分呈负相关(P <0.01)。性别、婚姻状况、宗教信仰、领悟社会支持水平是消化系统肿瘤患者病耻感得分的影响因素(P <0.01)。结论消化系统肿瘤患者病耻感得分较高,需要医护人员加强对该人群社会支持水平,以降低其病耻感水平。Objective To understand the current status and influencing factors of stigma in patients with digestive system tumors. Methods A total of 300 patients with digestive system tumors who were diagnosed in the gastrointestinal ward area of general surgery in a top three hospital in Anhui Province from July 2017 to December 2018 were selected by the convenience sampling method. The general information questionnaire, social impact scale, and social support scale were used to investigate patients′ general information, stigma, and social support status, while the relationship between stigma and social support and general information were analyzed. Results There were 294 valid questionnaires,and the effective recovery rate was 98%. The total score of 294 patients were(59.50 ±9.85) points, which was at a medium level. There were statistically significant differences in the scores of stigma among patients of different genders,places of residence, education, religion, marital status, and whether living with their children in the past month(P <0.05). There was a negative correlation between social support and stigma scores(P < 0.01). Gender, marital status, religious beliefs, and awareness of social support levels were the influencing factors of the stigma score of patients with digestive system tumors(P < 0.01). Conclusion Patients with gastrointestinal cancer have a high score of stigma. Medical staff need to strengthen their social support level to reduce the level of stigma.

关 键 词：消化系统肿瘤 病耻感 社会支持 影响因素 

分 类 号：R473.73[医药卫生—护理学]