永久性膀胱造瘘患者残障接受度现状及其影响因素研究  

Study on the status of disability acceptance and its influencing factors in patients with permanent bladder fistula

作　　者：王嫱 朱晗 刘虹泽[1] Wang Qiang;Zhu Han;Liu Hongze(Eighth Inpatient Department of Urology 3th Ward,Second Affiliated Hospital of Harbin Medical University,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第二医院第八住院部泌尿外科三病房,150000

出　　处：《中国实用护理杂志》2020年第14期1068-1072,共5页Chinese Journal of Practical Nursing

摘　　要：目的调查永久性膀胱造瘘患者残障接受度现状并分析其影响因素。方法采用便利抽样法,选取2018年1月至2019年6月在泌尿外科住院的218例患者作为研究对象。采用一般资料调查问卷、残障接受度量表(修订版)、社会影响量表和状态自尊量表,对218例永久性膀胱造瘘患者进行调查。结果永久性膀胱造瘘患者残障接受度得分为(82.6±6.9)分,处于中等水平,残障接受度中度水平的患者有49.5%(108/218)。多元线性回归分析显示,社会影响总分、状态自尊总分、年龄、家庭平均月收入、造瘘术后时间与残障接受度有关系,为重要影响因素(t值为-8.726~5.786,P<0.01或0.05)。结论永久性膀胱造瘘患者残障接受度处于中等水平,建议相关护理人员应鼓励患者接受造瘘带给身体形象的影响,给予患者及家庭支持,从而帮助患者勇敢面对社会大环境。Objective To investigate the status of disability acceptance in patients with permanent bladder fistula and analyze the influencing factors.Methods Using the convenience sampling method,218 patients who were hospitalized in urology from January 2018 to June 2019 were selected as the research subjects.A general data questionnaire,a disability acceptance scale(revised edition),a social impact scale,and a state self-esteem scale were used to investigate 218 patients with permanent cystostomy.Results The score of disability acceptance in patients with permanent bladder fistula was(82.6±6.9)points,which was moderate,and 49.5%(108/218)of patients with moderate level of disability acceptance.Multiple linear regression analysis showed that the total score of social impact,total score of state self-esteem,age,average monthly household income,postoperative time of ostomy and disability acceptance were important factors(t values were-8.726-5.786,P<0.05 or 0.01).Conclusion The degree of disability acceptance in patients with permanent bladder fistula is at a moderate level.It is recommended that relevant nursing staff should encourage patients to receive the effects of ostomy on the body image,and provide support to patients and families to help patients cope with the social environment.

关 键 词：膀胱造瘘 残障接受度 影响因素 

分 类 号：R473[医药卫生—护理学]