术后早期肠造口患者个人掌控感现状及影响因素分析  

Current situation and influencing factors of personal mastery in patients with early postoperative enterostomy

作　　者：高俊茹[1] 韩雪娜 刘芳[1] 张洪微[1] 宋晓琳 李振鲁 Gao Junru;Han Xuena;Liu Fang;Zhang Hongwei;Song Xiaolin;Li Zhenlu(Department of Emergency Surgery,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Gastrointestinal Surgery,Binzhou People's Hospital,Binzhou 256600,China)

机构地区：[1]青岛大学附属医院急诊外科,青岛266000 [2]滨州市人民医院胃肠外科,滨州256600

出　　处：《中华现代护理杂志》2023年第13期1768-1772,共5页Chinese Journal of Modern Nursing

基　　金：山东省自然科学基金青年项目(ZR2020QH165)。

摘　　要：目的探讨术后早期肠造口患者个人掌控感的现状及其影响因素。方法采取便利抽样法,选取2020年10月—2021年4月在青岛大学附属医院行肠造口术的186例肠造口患者为研究对象,采用一般资料调查问卷、领悟社会支持量表、自尊量表、个人掌控感量表对其进行调查。结果186例术后早期肠造口患者个人掌控感得分为(22.33±2.64)分,社会支持得分为(73.28±4.74)分,自尊得分为(23.56±2.95)分。多重线性回归分析结果显示,年龄、文化程度、社会支持、自尊是术后早期肠造口患者个人掌控感的主要影响因素(P<0.05)。结论术后早期肠造口患者个人掌控感水平有待提高,医护人员应多关注年龄较大、文化程度较低、社会支持较薄弱、自尊水平较低的患者,护理人员可通过加强健康宣教等措施,提高患者的个人掌控感水平。Objective To explore the current situation and influencing factors of personal mastery in patients with early postoperative enterostomy.Methods From October 2020 to April 2021,convenience sampling was used to select 186 patients who underwent enterostomy at the Affiliated Hospital of Qingdao University as the study subjects.The survey was conducted using the General Information Questionnaire,the Perceived Social Support Scale,the Self-Esteem Scale,and the Personal Mastery Scale.Results Among 186 patients with early postoperative enterostomy,the scores of personal mastery,social support,and self-esteem were(22.33±2.64),(73.28±4.74)and(23.56±2.95),respectively.The results of multiple linear regression analysis showed that age,education level,social support,and self-esteem were the main influencing factors for personal mastery in patients with early postoperative enterostomy(P<0.05).Conclusions The level of personal mastery in patients with early postoperative enterostomy needs to be improved.Medical and nursing staff should pay attention to patients who are old,have low levels of education,have weak social support and have low levels of self-esteem.Nursing staff can enhance patients'personal mastery by strengthening health education and other measures.

关 键 词：肠造口术 患者 个人掌控感 社会支持 自尊 

分 类 号：R473.6[医药卫生—护理学]