临时造口患者造口接受度现状及其与自我管理行为的关系研究  

Status quo of stoma acceptance in patients with temporary stoma and its relationship with self-management behavior

作　　者：王汐嬅 绳宇[2] 李敏[1] 程悦 郭淑丽[1] 肖毅[1] 侯文红[1] 张冠南[1] 牛备战[1] WANG Xihua;SHENG Yu;LI Min;CHENG Yue;GUO Shuli;XIAO Yi;HOU Wenhong;ZHANG Guannan;NIU Beizhan(Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医院,北京100730 [2]中国医学科学院北京协和医学院,北京100144

出　　处：《护士进修杂志》2024年第8期785-789,794,共6页Journal of Nurses Training

基　　金：中央高水平医院临床科研专项(编号:2022-PUMCH-C-027)。

摘　　要：目的了解临时造口患者的造口接受度现状,分析其影响因素及其与自我管理行为的关系。方法采用便利抽样法,选取2022年3-11月在北京协和医院普外科行临时造口患者126例,采用一般资料调查表、造口自我管理行为问卷、中文版造口接受度问卷进行问卷调查。结果临时造口患者中文版造口接受度问卷总分为(33.52±2.92)分,条目均分为(2.79±0.73)分,处于中等水平。单因素分析结果显示:不同年龄、文化程度、保留造口时间、主要照顾者及有无合并症对患者造口接受度有影响(P<0.05);Pearson相关性分析结果显示:造口接受度总分与自我管理行为总分及其5个维度均呈正相关(r=0.589、0.617、0.178、0.235、0.416、0.306,P<0.05);多元线性回归分析显示:文化程度、有无合并症及自我管理行为中造口护理维度是造口接受度的影响因素(P<0.01)。结论临时造口患者回归社会后的心理状态是医护人员亟待关注的问题,其造口接受度处于中等水平,可根据影响因素构建有效干预措施提高患者造口接受度,促进自我管理行为,帮助其顺利适应造口生活。Objective To understand the status quo of stoma acceptance in patients with temporary stoma and analyze its influencing factors and its relationship with self-management behavior.Methods A total of 126 patients with temporary stomy in the general Surgery department of Peking Union Medical College Hospital from March to November 2022 were investigated by convenience sampling method.General data questionnaire,stomy Self-Management Behavior Questionnaire and Chinese version of stomy Acceptance Questionnaire were used for questionnaire investigation.Results The total score of the Chinese version of the ostomy acceptance questionnaire for temporary stomy patients was(33.52±2.92)point,the score of the articles was(2.79±0.73)point,which was in the medium level.The results of univariate analysis showed that different age,education level,retention time of stoma,main caregivers and the presence or absence of complications had influence on the stoma acceptance of patients(P<0.05).Pearson correlation analysis showed that the total score of stoma acceptance was positively correlated with the total score of self-management behavior and its five dimensions(r=0.589,0.617,0.178,0.235,0.416,0.306;P<0.05).The results of multiple regression analysis showed that education level,comorbidities,and the dimension of self-management behavior were the factors influencing the acceptance of stoma(P<0.01).Conclusion The psychological state of temporary ostomy patients after their return to society is an urgent issue for medical staff to pay attention to.Its stoma acceptance is at a moderate level.Effective intervention measures can be constructed according to the influencing factors to improve patients'stoma acceptance,promote self-management behavior,and help them adapt to the life of ostomy smoothly.

关 键 词：临时造口 接受度 自我管理行为 影响因素 相关性检验 护理 

分 类 号：R473.73[医药卫生—护理学] R735.3[医药卫生—临床医学]