造口患者自我报告信息支持现状及影响因素分析  

Current Status and Factors Influencing PROMIS Informational Support among Ostomy Patients

作　　者：肖曼玉 杨明莹[1] 陶继华 夏斯亚 孟庭瑞 江帆 余力锐[3] XIAO Manyu;YANG Mingying;TAO Jihua;XIA Siya;MENG Tingrui;JIANG Fan;YU Lirui(Dept.of Nursing,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China;Dept.of Gastroenterology 1st Ward,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China;Dept.of Urology 4th Ward,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院护理部,云南昆明650101 [2]昆明医科大学第二附属医院胃肠外科一病区,云南昆明650101 [3]昆明医科大学第二附属医院泌尿外科四病区,云南昆明650101

出　　处：《昆明医科大学学报》2023年第9期176-182,共7页Journal of Kunming Medical University

基　　金：云南省卫生和计划生育委员会医学领军人才培养计划基金资助项目(L-2019008)。

摘　　要：目的调查造口患者自我报告信息支持现状,并分析其影响因素。方法采用中文版患者自我报告信息支持量表对云南省某三甲医院159例造口患者进行调查。结果造口患者自我报告信息支持总分为(28.00±7.92)分;单因素分析显示造口更换方式、造口手术住院期主要照顾者数量、健康信息支持途径数量,对造口患者自我报告信息支持总分有影响,差异有统计学意义(P<0.05);Pearson相关分析结果表明日常健康信息素养总分、社会支持总分、健康信息意识、健康信息应用能力、主观社会支持、社会支持利用度与信息支持存在相关性,差异具有统计学意义(P<0.05);多元回归研究模型结果显示影响造口患者自我报告信息支持的主要因素包括:年龄、就诊交通方式、造口更换方式、手术住院期主要照顾者数量、健康信息支持途径数量、健康信息应用能力、对社会支持的利用度,可解释患者自我报告信息支持35.5%的变异量(P<0.05)。结论造口患者自我报告信息支持处于低水平,医务人员应进一步提供多样化健康信息支持途径,提高患者健康信息应用能力,加强多元化信息支持,以提升造口患者自我报告信息支持水平。Objective To investigate the current status of PROMIS informational support among ostomy patients and analyze the factors influencing it.Methods A total of 159 ostomy patients from a tertiary hospital in Yunnan Province,China,were surveyed using the Chinese version of the PROMIS Informational Support Scale.Results The total score for self-reported information support among ostomy patients was(28.00±7.92).The univariate analysis was showed that ostomy systerm changing,the major caregiver number of ostomy surgery,the number of health information support had a statistical significance(P<0.05).Pearson correlation analysis results showed that the total scores of everyday health information literacy and social support scores,the dimension of health information consciousness,application ablity,and objective social support,the usage of it,had a difference in ostomy patients(P<0.05).The results of a multiple regression analysis indicated that the main factors affecting self-reported information support for ostomy patients included age,the way to the hospital,ostomy systerm changing,the major caregiver number of ostomy surgery,the number of health information support channels,health information application ability,and utilization of social support.It could expain 35.5%variance of the total scores for ostomy patients’self reported information support.Conclusion Self-reported information support among ostomy patients is found to be at a moderately low level.Healthcare professionals should diversify health information support channels,enhance patients'health information application ability,and strengthen the diversified information support so as to improve the self-reported information support among ostomy patients.

关 键 词：造口 信息支持 影响因素 患者报告结局 横断面调查 

分 类 号：R473.6[医药卫生—护理学] R471[医药卫生—临床医学]