肠造口患者益处发现水平及其影响因素研究  

Benefit finding and its influencing factors among enterostomy patients

作　　者：刘玉霞[1] 陈健敏[1] 赖金满 张悦茹[1] 罗雯馨 管晓芳 周松 谢敏仪[1] Liu Yuxia;Chen Jianmin;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;Intensive Care Unit,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：《中国实用护理杂志》2021年第23期1785-1791,共7页Chinese Journal of Practical Nursing

摘　　要：目的调查肠造口患者益处发现水平,并探究其影响因素,为制订针对性干预措施提供参考。方法2019年7—12月,采用一般资料调查表、益处发现量表、心理弹性简化量表和领悟社会支持量表对中山大学附属第五医院就诊的120例肠造口患者进行调查。结果肠造口患者的益处发现得分为(49.44±5.86)分。多元线性回归分析显示,受教育程度、造口自理情况、造口并发症、心理弹性和领悟社会支持进入回归方程,共解释了肠造口患者益处发现51.1%的变异量。结论肠造口患者益处发现状况不容乐观,医护人员需多关注受教育程度低、造口自理程度差、伴有造口并发症的患者,同时,多角度挖掘肠造口患者的正向积极心理,充分调动其社会支持系统,引导患者关注疾病的积极意义,以促进益处发现水平的提高。Objective To explore benefit finding and its influencing factors among enterostomy patients.Methods A total of 120 enterostomy patients were investigated with general information questionnaire,Benefit Finding Scale,Simplified Scale of Resilience and Perceived Social Support Scale.Results The score of benefit finding among enterostomy patients was 49.44±5.86.Multiple regression analysis showed that education level,self-care,complications,resilience,perceived social support were influencing factors of benefit finding,and explained 51.1%of the variance.Conclusions The benefit finding among enterostomy patients was grim.It is suggested that clinical staff pay more attention to the patients with low education,poor self-care and complications of stoma,and also pay more attention to the positive psychology and the social support system of patients,guide patients to pay attention to the positive significance of the disease,so as to improve the level of benefit finding.

关 键 词：肠造口 益处发现 心理弹性 领悟社会支持 

分 类 号：R473.73[医药卫生—护理学]