肠造口患者照顾者积极感受现状及影响因素分析  

Status and influencing factors of positive feelings among caregivers of patients with enterostomy

作　　者：汪静容 温绣蔺[2] 代雯晴 刘璇璇 罗利群 肖倩 樊慧[4] 金鲜珍[4] Wang Jingrong;Wen Xiulin;Dai Wenqing;Liu Xuanxuan;Luo Liqun;Xiao Qian;Fan Hui;Jin Xianzhen(School of Nursing,Shaanxi University of Chinese Medicine,Xianyang 712046,China;Nursing Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China 1;Medical School,Yan'an University,Yan'an 716000,China;General Surgery Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]陕西中医药大学护理学院,咸阳712046 [2]西安交通大学第一附属医院护理部,西安710061 [3]延安大学医学院,延安716000 [4]西安交通大学第一附属医院普通外科,西安710061

出　　处：《中华现代护理杂志》2022年第16期2162-2167,共6页Chinese Journal of Modern Nursing

基　　金：陕西省科技攻关项目(2020SF-224);中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRG2021021)。

摘　　要：目的探讨肠造口患者照顾者积极感受现状及其影响因素,旨在为临床制订针对性的干预措施提供参考。方法采用便利抽样法,选取2021年5—10月在西安交通大学第一附属医院造口门诊复诊的130名肠造口患者照顾者为研究对象。采用一般资料调查表、积极感受量表、照顾者准备度量表进行调查。本研究共发放问卷130份,回收有效问卷127份,有效回收率为97.69%。结果127名肠造口患者照顾者的积极感受量表总分为(32.69±4.99)分,自我肯定维度得分为(18.39±2.84)分,生活展望维度得分为(14.36±2.53)分,照顾者准备度量表总分为(17.76±4.36)分。多重线性回归分析结果显示,照顾者性别、文化程度、工作状况、准备度是肠造口患者照顾者积极感受的影响因素(P<0.05),共解释肠造口患者照顾者积极感受总变异的43.7%。结论肠造口患者照顾者积极感受处于中等偏上水平,护理人员可根据其影响因素制订针对性的人文关怀策略,提高照顾者的积极感受,帮助患者尽早适应造口,进而提高患者的生活质量。Objective To explore the status and influencing factors of positive feelings of caregivers of patients with enterostomy,so as to provide a reference for targeted interventions.Methods From May to October 2021,convenience sampling was used to select 130 caregivers of patients with enterostomy who received follow-up visits in the Stoma Clinic of the First Affiliated Hospital of Xi'an Jiaotong University as the research subject.The survey was carried out using the General Information Questionnaire,the Positive Aspects of Caregiving(PAC),and the Care Preparedness Scale(CPS).A total of 130 questionnaires were distributed,and 127 valid questionnaires were recovered,with a valid recovery rate of 97.69%.Results Among 127 caregivers of patients with enterostomy,the total score of PAC was(32.69±4.99),and the self-affirmation dimension score was(18.39±2.84),and the life outlook dimension score was(14.36±2.53),and the total score of CPS was(17.76±4.36).Multiple linear regression analysis showed that caregiver gender,education level,work status,and readiness were the influencing factors of positive feelings of caregivers of patients with enterostomy(P<0.05),which explained 43.7%of the total variance.Conclusions The positive perception of caregivers of patients with enterostomy is at an upper-middle level.Nurses should formulate targeted humanistic care strategies according to the influencing factors,increase the positive feelings of caregivers,help patients adapt to the stoma as soon as possible,and then improve the quality of life of patients.

关 键 词：肠造口术 照顾者 积极感受 准备度 人文关怀 

分 类 号：R473.6[医药卫生—护理学]