永久性肠造口术后患者残障接受度与造口自护能力及应对方式的相关性  

Correlation between Disability Acceptance, Self-Care Ability Of Stoma andCoping Style of Patients after Permanent Enterostomy

作　　者：柴学红[1] CHAI Xuehong(Department of Nursing,Shangqiu First People’s Hospital,Shangqiu 476100,China)

机构地区：[1]商丘市第一人民医院护理部,河南商丘476100

出　　处：《河南医学研究》2021年第18期3440-3443,共4页Henan Medical Research

摘　　要：目的观察永久性肠造口术后患者残障接受度、造口自护能力及应对方式情况,分析永久性肠造口术残障接受度与患者自护能力及应对方式的相关性。方法选取2018年7月至2019年10月于商丘市第一人民医院接受永久性肠造口术患者93例为研究对象,采用残障接受度量表(ADS)、自我效能量表、简易应对方式问卷(SCSQ)分别于患者术前、术后3 d、术后1个月、术后3个月及6个月评价患者残障接受度、自护能力及应对方式情况。采用双变量Pearson直线相关检验ADS、自我效能量表及SCSQ之间的相关性。结果术前ADS、自我效能量表、SCSQ评分均高于术后3 d,差异有统计学意义(P<0.05);术后1个月、3个月、6个月ADS、自我效能量表、SCSQ评分均高于术后3 d,差异有统计学意义(P<0.05);永久性肠造口术患者ADS评分与自我效能量表评分、SCSQ评分呈正相关(r>0,P<0.001),自护能力评分与SCSQ评分呈正相关(r>0,P<0.001)。结论永久性肠造口术后患者残障接受度与造口自护能力及应对方式密切相关。Objective To observe the disability acceptance,self-care ability of stoma and coping style of patients after permanent enterostomy,and analyze the correlation between the disability acceptance of permanent enterostomy and the self-care ability and coping style of patients.Methods Ninety-three patients who received permanent enterostomy in Shangqiu First People’s Hospital from July 2018 to October 2019 were selected as the research subjects.The acceptance of disability scale(ADS),self-efficacy scale and simple coping style questionnaire(SCSQ)were used to evaluate the disability acceptance,self-care ability and coping style of patients before operation,the third day after operation,the first month after operation,the third month and the sixth month after operation.Bivariate Pearson linear correlation was used to test the correlation among ADS,self-efficacy scale and SCSQ.Results The scores of ADS,self-efficacy scale and SCSQ before operation were higher than those the third day after operation,with a statistical significant difference(P<0.05).The scores of ADS,self-efficacy scale and SCSQ the first month,the third month and the sixth month after operation were higher than those the third day after operation,with a statistical significant difference(P<0.05).ADS score was positively correlated with self-efficacy scale and SCSQ score in patients with permanent enterostomy(r>0,P<0.001),and the score of self-efficacy scale score was positively correlated with SCSQ score(r>0,P<0.001).Conclusion The disability acceptance of patients after permanent colostomy is closely related to self-care ability of stoma and coping style.

关 键 词：永久性肠造口术 残障接受度 造口自护能力 应对方式 

分 类 号：R473.6[医药卫生—护理学]