胃肠道肿瘤术后患者照顾者赋权能力现状及影响因素的调查研究  

Investigation on the status and influencing factors of caregivers′empowerment after gastrointestinal tumor surgery

作　　者：李晶 刘化侠 袁迎迎 邢秀红[1] 李梅[4] 王琳琳[5] 崔健丽 Li Jing;Liu Huaxia;Yuan Yingying;Xing Xiuhong;Li Mei;Wang Linlin;Cui Jianli(Department of General Surgery,Tai′an City Central Hospital,Tai′an 271000,China;School of Nursing,Shandong First Medical University(Shandong Academy of Medical Sciences),Ji′nan 250021,China;Department of Neurology,affiliated Provincial of Shandong First Medical Hospital(Shandong Provincial Hospital),Ji′nan 250021,China;Anorectal Surgery Department,Tai′an Central Hospital,Tai′an 271000,China;Chemotherapy Department,Tai′an Central Hospital,Tai′an 271000,China)

机构地区：[1]泰安市中心医院普外科,泰安271000 [2]山东第一医科大学(山东省医学科学院)护理学院,济南250021 [3]山东第一医科大学附属省立医院(山东省立医院)神经内科,济南250021 [4]泰安市中心医院肛肠外科,泰安271000 [5]泰安市中心医院化疗科,泰安271000

出　　处：《中国实用护理杂志》2022年第9期687-694,共8页Chinese Journal of Practical Nursing

摘　　要：目的描述胃肠道肿瘤术后患者照顾者的赋权能力现状和影响因素。方法2019年3—10月,采用便利抽样法,选取泰安市中心医院和山东第一医科大学第二附属医院普外科和肛肠外科住院的124对胃肠道肿瘤术后患者及照顾者为调查对象。采用一般资料调查表、主要照顾者赋权能力量表为研究工具,调查胃肠道肿瘤术后患者照顾者赋权能力。结果照顾者的赋权能力总分为(168.81±19.49)分,各维度均分由高到低排序:与需要照顾者的关系(3.83±0.43)分、对照顾结果的期待(3.80±0.43)分、对照顾作用的认识(3.70±0.51)分、照顾者的主体性(3.37±0.60)分、照顾的信念(3.34±0.67)分、照顾的知识和技能(3.27±0.73)分、个人资源(2.94±0.65)分、善意照顾(2.85±0.65)分、对周围的顾忌(2.75±0.88)分。多元线性回归显示,患者性别、疾病是否首发、患者对疾病是否知情、照顾者婚姻、照顾者工作状态为胃肠道肿瘤术后患者照顾者赋权能力的影响因素(t值为-8.15~8.72,R^(2)=0.62,均P<0.05)。结论胃肠道肿瘤术后患者照顾者赋权能力有进一步提升的空间,且在个人资源、善意照顾和对周围顾忌方面尤为明显。医护人员应有针对性地引导照顾者解放思想、提升赋权力度广度,促进患者实现自我照顾、达到快速康复。Objective To describe the status and influencing factors of the empowerment of caregivers after gastrointestinal tumor.Methods From March 2019 to October 2019,using convenience sampling method,124 pairs of gastrointestinal tumor patients and caregivers who were hospitalized in the general surgery and anorectal surgery of the department of Shandong Tai′an City Central Hospital and the Second Affiliated Hospital of Shandong First Medical University were selected as the subjects.A general information questionnaire,Main Caregivers′Empowerment Measurement were used as research tools.To investigate the empowerment ability of caregivers of patients with gastrointestinal tumors after operation.Results The total caregiver′s empowerment score was 168.81±19.49.The scores of each dimension ranged from high to low:relationship with caregivers(3.83±0.43),expectation of care outcomes(3.80±0.43),awareness of caregiving roles(3.70±0.51),caregivers′subjectivity(3.37±0.60),caregiving beliefs(3.34±0.67),caregiving knowledge and skills(3.27±0.73),personal resources(2.94±0.65),goodwill caregiving(2.85±0.65),the scruples around(2.75±0.88).Multiple linear regression results showed that,patient gender,whether the disease is first attack,whether the patient is aware of the disease,the caregiver marriage,and the caregiver working status were the influencing factors of the caregiver′s empowerment ability after gastrointestinal tumor operation(t values were-8.15-8.72,R^(2)=0.62,all P<0.05).Conclusions There is room for further improvement in the empowerment of caregivers after gastrointestinal tumor surgery,especially in personal resources,goodwill care and scruples around.The results suggest that medical staff should guide caregivers to emancipate their minds,enhance the breadth of empowerment,and promote self care and fast rehabilitation of patients.

关 键 词：胃肠道肿瘤 手术 照顾者 赋权能力 现状 影响因素 

分 类 号：R473.73[医药卫生—护理学]