永久性结肠造口患者病耻感调查及积极心理干预效果研究  

Investigation of Stigma in Patients with Permanent Colostomy and the Effect of Positive Psychological Intervention

作　　者：伍园园 李丹[1] 马梦玲 龚妮[1] WU Yuan-yuan;LI Dan;MA Meng-ling;GONG Ni(Department of Nursing,Third Xiangya Hospital,Central South University,Changsha,Hunan Province,410000 China)

机构地区：[1]中南大学湘雅三医院护理部,湖南长沙410000

出　　处：《中外医疗》2020年第15期169-171,共3页China & Foreign Medical Treatment

基　　金：长沙市科技局计划(长财教指[2019]84号)(kq1901132)。

摘　　要：目的探究永久性结肠造口患者病耻感调查及积极心理干预效果研究。方法方便选取2018年1月—2019年12月中南大学湘雅三医院胃肠外科收治的169例永久性结肠造口患者进行病耻感调查,将其中40例处于中重度病耻感水平的结肠造口患者分为干预组(积极心理干预)和对照组(常规护理)各20例,分组方法为随机数字表法,探讨积极心理干预方法干预效果。结果研究对象在总有效率上进行对比,干预组(95.00%)显著比对照组(70.00%)高(χ^2=4.329,P<0.05),干预组干预2周、4周后的修正版社会影响量表评分均显著比对照组低(t=4.100、5.364,P<0.05),而在OAI-20上,干预组干预2周、4周后显著比对照组高(t=6.290、4.012,P<0.05)。结论将积极心理干预应用于存在病耻感的永久性结肠造口患者后,可显著改善患者心理状态,帮助患者构建正确的身心健康模式。Objective To investigate the stigma of patients with permanent colostomy and the effect of positive psychological intervention.Methods Convenient select from January 2018 to December 2019,169 patients with permanent colostomy who were treated in the Department of Gastrointestinal Surgery of the Third Xiangya Hospital of Central South University were investigated for stigma.Forty patients with moderate or severe colostomy were divided into interventions.There were 20 cases in each group(positive psychological intervention)and the control group(routine nursing).The grouping method was random number table method,and the effect of positive psychological intervention methods was discussed.Results The study subjects were compared in the total effective rate.The intervention group(95.00%)was significantly higher than the control group(70.00%)(χ^2=4.329,P<0.05).The intervention group's revised social impact scale scores were significantly lower than those in the control group after 2 and 4 weeks of intervention(t=4.100,5.364,P<0.05),but on OAI-20,the intervention group was significantly higher than the control group after 2 and 4 weeks of intervention(t=6.290,4.012,P<0.05).Conclusion The application of positive psychological intervention to patients with permanent colostomy who have a sense of stigma can significantly improve the patient's psychological state and help patients build the correct physical and mental health model.

关 键 词：病耻感 永久性结肠造口 心理干预 效果 

分 类 号：R574[医药卫生—消化系统]