结直肠癌术后肠造口病人病耻感影响因素分析  

Analysis of the influencing factors of stigma in colorectal cancer patients after enterostomy

作　　者：丁媛媛 王银娥[2] 周丙梅[2] 霍蕊[3] 孙则红[4] 汪凤兰 DING Yuan-yuan;WANG Yin-e;ZHOU Bing-mei;HUO Rui;SUN Ze-hong;WANG Feng-lan(College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan Hebei 063009;Department of Emergency Surgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004;Department of Gastrointestinal Surgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004;Department of Ophthalmology,Cangzhou Central Hospital,Cangzhou Hebei 061000,China)

机构地区：[1]华北理工大学护理与康复学院,河北唐山063009 [2]蚌埠医学院第一附属医院急诊外科,安徽蚌埠233004 [3]蚌埠医学院第一附属医院胃肠外科,安徽蚌埠233004 [4]河北省沧州市中心医院眼科,061000

出　　处：《蚌埠医学院学报》2022年第6期828-834,共7页Journal of Bengbu Medical College

基　　金：安徽省高校人文社会科学研究项目(SK2020A0365)。

摘　　要：目的:调查结直肠癌肠造口病人病耻感的现状,分析其主要影响因素。方法:采用便利抽样的方法,选取2020年10月至2021年3月蚌埠医学院第一附属医院造口门诊及胃肠外科结直肠癌肠造口病人290例。对研究对象采取问卷调查法,收集基线资料,主要包括:一般人口学资料、焦虑抑郁量表、社会影响量表和领悟社会支持量表。根据各个量表的得分情况,评估病人的病耻感水平并分析主要影响因素。结果:结直肠癌肠造口病人病耻感总分(68.16±13.51)分,位于中度水平,43.1%的病人病耻感处于重度区间。经多元线性回归分析表明,自理程度、造口接受程度、是否有造口并发症、焦虑抑郁、社会支持是影响病耻感的因素(P<0.05~P<0.01)。肠造口病人社会支持与病耻感呈负相关,而焦虑抑郁水平与病耻感呈正相关(P<0.01)。结论:影响结直肠癌肠造口病人病耻感的主要因素有造口自理程度、接受度、是否有并发症,以及社会支持和焦虑抑郁水平。Objective:To investigate the status of stigma in colorectal cancer patients treated with enterostomy,and analyze its main influencing factors.Methods:A total of 290 patients with colorectal cancer enterostomy from the outpatient department of stomostomy and gastrointestinal surgery department of The First Affiliated Hospital of Bengbu Medical College from October 2020 to March 2021 were selected by convenience sampling method.The baseline data(including the general demographic data,anxiety anddepression scale,social impact scale and perceived social support scale)were collected using the questionnaires.According to the score of each scale,the level of patients′stigma was evaluated,and the main influencing factors were analyzed.Results:The total score of stigma in colorectal cancer patients with enterostomy was(68.16±13.51)points,which was at a moderate level,and 43.1%patients had severe stigma.The results of multiple linear regression analysis showed that the degree of self-care,stoma acceptance,presence of stoma complications,depression and anxiety,and social support were the factors of influencing the sense of stigma(P<0.05 to P<0.01).The social support was negatively correlated with the sense of stigma,while the level of anxiety and depression was positively correlated with the sense of stigma(P<0.01).Conclusions:The main factors influencing the sense of stigma in colorectal cancer enterostomy patients include the degree of stoma self-care,acceptance,presence of complications,levels of social support,and anxiety and depression.

关 键 词：肠造口护理 病耻感 结直肠肿瘤 影响因素 

分 类 号：R473.6[医药卫生—护理学]