中晚期低位直肠癌造口患者自我厌恶现状及影响因素分析  

Level and factors associated with self-disgust in clinical stageⅡorⅢlow-rectal cancer patients with a stoma

作　　者：杨洁 黄定凤[1] 冯丽娟[2] 唐斟 张小月 张博雅 Yang Jie;Huang Dingfeng;Feng Lijuan;Tang Zhen;Zhang Xiaoyue;Zhang Boya(Department of Abdominal Radiotherapy,Hubei Cancer Hospital,Wuhan 430079,China)

机构地区：[1]湖北省肿瘤医院腹部放疗一病区,湖北武汉430079 [2]华中科技大学同济医学院附属同济医院肿瘤科

出　　处：《护理学杂志》2024年第17期40-44,共5页Journal of Nursing Science

基　　金：湖北省卫生健康委2023-2024年度科研项目(WJ2023F027);湖北省肿瘤医院2024年度护理科研项目(2024-HLY9-9)。

摘　　要：目的了解中晚期低位直肠癌造口患者自我厌恶现状及影响因素,为制订针对性干预提供参考。方法采用一般资料调查表、自我厌恶量表、灵性量表、造口护理自我效能量表和领悟社会支持量表对221例中晚期低位直肠癌造口患者进行调查。结果中晚期低位直肠癌造口患者自我厌恶得分(33.52±8.40)分。多元线性回归分析显示,造口并发症、灵性健康、造口护理自我效能和领悟社会支持水平是中晚期低位直肠癌造口患者自我厌恶的影响因素(均P<0.05),可以解释83.6%的变异量。结论中晚期低位直肠癌造口患者自我厌恶处于中等偏上水平,护理人员应制订针对性的造口护理方案以减少造口并发症,提高患者造口护理自我效能、灵性健康水平和社会支持,以降低患者的自我厌恶水平。Objective To determine the level and factors associated with self-disgust in clinical stageⅡorⅢlow-rectal cancer patients with a stoma,and to provide reference for targeted intervention.Methods A total of 221 patients were invited to complete a battery of questionnaires,including a demographic questionnaire,the Questionnaire for the Assessment of Self-Disgust,the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being,the subscale of the Stoma Self-efficacy Scale(Stoma Care SE),and the Perceived Social Support Scale.Results The sample scored(33.52±8.40)for self-disgust.Multiple li-near regression analysis showed that stoma complications,spiritual health,stoma care self-efficacy and perceived social support were factors influencing self-disgust(all P<0.05),which could explain 83.6%of the total variance.Conclusion The self-disgust of low-rectal cancer patients with a stoma is at moderate to slightly high level.Nursing staff should provide targeted stoma care to prevent stoma complications,and improve patients′spiritual health,stoma care self-efficacy,and social support,in an effort to decrease their self-disgust.

关 键 词：直肠癌 造口 自我厌恶 灵性健康 造口护理自我效能 社会支持 造口并发症 

分 类 号：R473.73[医药卫生—护理学] R735.37[医药卫生—临床医学]