老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素  

Influencing factors of stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy

作　　者：高新颖 李娜娜 吴远宏 GAO Xinying;LI Nana;WU Yuanhong(Department of Gastrointestinal Hepatobiliary Surgery of Shangqiu First People’s Hospital,Shangqiu 476000 Henan,China)

机构地区：[1]商丘市第一人民医院胃肠肝胆外科,河南商丘476000

出　　处：《中国民康医学》2024年第3期12-14,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:分析老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素。方法:回顾性分析2021年7月至2023年1月该院收治的136例行回肠袢式造口术的老年梗阻性肠癌患者的临床资料,统计老年梗阻性肠癌患者行回肠袢式造口术后病耻感发生情况,采用Logistic回归分析老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素。结果:136例老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感101例,占74.26%,设为发生组,未发生病耻感35例,占25.74%,设为未发生组;发生组现居住地在农村、有造口并发症、医疗支付自费占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,现居住地在农村、有造口并发症、医疗支付自费均为影响老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的危险因素(OR>1,P<0.05)。结论:现居住地在农村、有造口并发症、医疗支付自费均为影响老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的危险因素。Objective:To analyze influencing factors of stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy.Methods:The clinical data of 136 elderly patients with obstructive intestinal cancer who underwent ileal loop ileostomy in this hospital from July 2021 to January 2023 were retrospectively analyzed.The incidence of stigma in these elderly patients was statistically analyzed.Logistic regression was used to analyze the influencing factors of stigma in the elderly patients with obstructive intestinal cancer after ideal loop ileostomy.Results:There were 101 patients with stigma after ideal loop ileostomy in the 136 elderly patients with obstructive intestinal cancer,accounting for 74.26%,and they were set as the occurrence group.There were 35 patients without stigma,accounting for 25.74%,and they were set as the nonoccurrence group.The proportions of the patients living in rural areas,with ostomy complications,and medical payment at their own expense in the occurrence group were higher than these in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that living in rural areas,having stoma complications,and medical payment at their own expense were all risk factors for stigma in the elderly patients with obstructive intestinal cancer after ileal loop ileostomy(OR>1,P<0.05).Conclusions:Current residence in rural areas,having stoma complications,and medical payment at their own expense are the risk factors for stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy.

关 键 词：老年 梗阻性肠癌 回肠袢式造口 病耻感 影响因素 

分 类 号：R735.3[医药卫生—肿瘤]