克罗恩病患者病耻感现状及其影响因素  

Current status and influencing factors of stigma in patients with Crohn’s disease

作　　者：张爱玲 陈艳[2] 孔方 王文慧 丁成亮 鲁桂兰 ZHANG Ailing;CHEN Yan;KONG Fang;WANG Wenhui;DING Chengliang;LU Guilan(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023;Department of Nursing,Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine(Nanjing Second Hospital),Nanjing 210003;Digestive Disease Treatment Center,Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine(Nanjing Second Hospital),Nanjing 210003,China)

机构地区：[1]南京中医药大学护理学院,南京210023 [2]南京中医药大学附属南京医院(南京市第二医院)护理部,南京210003 [3]南京中医药大学附属南京医院(南京市第二医院)消化病治疗中心,南京210003

出　　处：《临床与病理杂志》2022年第6期1383-1390,共8页Journal of Clinical and Pathological Research

基　　金：江苏省研究生科研与实践创新计划项目(SJCX22_0810);十三五南京市卫生青年人才培养工程(QRX17155)。

摘　　要：目的:分析克罗恩病患者病耻感现状及影响因素。方法:采用一般资料调查问卷、社会影响量表和自尊量表对151例克罗恩病患者进行调查。结果:克罗恩病患者病耻感总分为61.68±13.59,条目分为2.57±0.57。多重逐步回归分析显示克罗恩病患者自尊水平、家庭收入、年龄、职业和是否带造口是影响其病耻感的重要因素,可解释总体变异的32.4%。结论:克罗恩病患者病耻感处于中等水平,临床护理中应关注患者的自尊、家庭收入、年龄、职业和是否造口,以减轻克罗恩病患者的病耻感程度。Objective:To explore the status and influencing factors of stigma in patients with Crohn’s disease.Methods:A total of 151 Crohn’s disease patients were investigated with the general information questionnaire,Social Impact Scale and the Self-Esteem Scale.Results:The total score on stigma in patients with Crohn’s disease was 61.68±13.59,and the score of items was 2.57±0.57.The multivariate regression analysis results showed that selfesteem level,family income,age,occupation and whether or not to have a stoma were the influencing factors of stigma of Crohn’s disease,which could explain 32.4%of the total variation.Conclusion:The stigma of patients with Crohn’s disease is at a moderate level,and clinical care should pay attention to the patient’s self-esteem,family income,age,occupation,and whether or not to have a stoma to reduce the degree of stigma in patients with Crohn’s disease.

关 键 词：克罗恩病 病耻感 自尊 影响因素 

分 类 号：R473.5[医药卫生—护理学]