肠造口患者反刍性沉思现状及其影响因素的研究  

Rumination status and its influencing factors among enterostomy patients

作　　者：陈健敏[1] 刘玉霞[1] 赖金满 张悦茹[1] 罗雯馨 管晓芳 周松 谢敏仪[1] Chen Jianmin;Liu Yuxia;Lai Jinman;Zhang Yueru;Luo Wenxin;Guan Xiaofang;Zhou Song;Xie Minyi(Department of Gastrointestinal Surgery,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China;Department of Intensive Care,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院胃肠外科,珠海519000 [2]中山大学附属第五医院重症医学科,珠海519000

出　　处：《中华现代护理杂志》2021年第10期1318-1324,共7页Chinese Journal of Modern Nursing

基　　金：2017年度中山大学附属第五医院护理科研基金;珠海市科技计划医疗卫生项目(20191210E030076)。

摘　　要：目的探讨肠造口患者反刍性沉思水平及其影响因素,为制定针对性干预措施提供参考。方法采用便利抽样法,选取2019年7—12月于中山大学附属第五医院就诊及随访的120例肠造口患者为研究对象。采用一般资料调查表、事件相关性反刍性沉思问卷量表、心理弹性简化量表和领悟社会支持量表进行调查。结果肠造口患者侵入性反刍性沉思得分为(13.64±4.88)分,目的性反刍性沉思得分为(14.90±3.72)分。多重线性回归分析显示,年龄、造口自理程度、心理弹性、领悟社会支持共解释侵入性反刍性沉思38.1%的变异(P<0.01);受教育程度、职业状况、心理弹性、领悟社会支持共解释目的性反刍性沉思41.9%的变异(P<0.01)。结论肠造口患者反刍性沉思整体处于中等偏下水平,医护人员需多关注年龄低、造口自理程度差、受教育程度低及非在职状态的肠造口患者,同时注重提升患者心理弹性水平,完善其社会支持系统,促使患者产生积极性的心理调适。Objective To explore rumination status and its influencing factors among enterostomy patients,so as to provide references for the formulation of interventions.Methods Using convenience sampling method,120 patients with enterostomy who were treated and followed up in the Fifth Affiliated Hospital of Sun Yat-Sen University from July to December 2019 were selected as the research subjects.General information questionnaire,Event Related Rumination Inventory Scale,Simplified Scale of Resilience and Perceived Social Support Scale were applied in the investigation.Results The invasive rumination score of enterostomy patients was(13.64±4.88)and the purposive rumination score was(14.90±3.72).Multiple linear regression analysis showed that age,self-care degree of stoma,resilience and perceived social support explained 38.1%of the variance of invasive rumination(P<0.01).Education,occupation,resilience and perceived social support explained 41.9%of the variation of invasive rumination(P<0.01).Conclusions The rumination of enterostomy patients was in the lower middle level.It is suggested that clinical staff pay more attention to the patients with low age,poor self-care ability of colostomy,low education level and unemployed state.At the same time,measures should be taken to improve the level of patients'resilience and improve their social support system,so as to promote the patients'positive psychological adjustment.

关 键 词：肠造口术 心理弹性 肠造口 反刍性沉思 领悟社会支持 影响因素 

分 类 号：R473[医药卫生—护理学]