胆道疾病患者病耻感的影响因素分析  

Investigation of influencing factors of stigma in patients with biliary tract diseases

作　　者：丁卫萍 张蜀豫 谢峰 刘紫琳 吴苹苹 祝李娜 胡楚 Ding Weiping;Zhang Shuyu;Xie Feng;Liu Zilin;Wu Pingping;Zhu Lina;Hu Chu(Department of Biliary TractsⅢ,Third Affiliated Hospital of Naval Medical University,Shanghai 200438,China;Department of Hepatic SurgeryⅥ,Third Affiliated Hospital of Naval Medical University,Shanghai 201805,China)

机构地区：[1]海军军医大学第三附属医院胆道三科,上海200438 [2]海军军医大学第三附属医院肝外四科,上海201805

出　　处：《中华转移性肿瘤杂志》2024年第5期478-482,共5页Chinese Journal of Metastatic Cancer

基　　金：上海申康医院发展中心培养项目(SHDC2022CRD047,SHDC12017X14);教育部产学合作协同育人项目(230804810252616,230802368074710)。

摘　　要：目的调查胆道疾病患者病耻感水平并分析其影响因素,为临床工作人员实施针对性干预提供参考依据。方法采用一般资料调查表、慢性病病耻感量表、满意度问卷对海军军医大学第三附属医院胆道科127例胆道疾病患者进行调查,包括胆结石、胆囊炎等非恶性疾病和恶性疾病术后早期患者。Logistic回归分析病耻感的影响因素。结果127例胆道疾病患者的病耻感平均得分为(29.91±9.41)分,其中41.7%的患者病耻感量表得分24分。Logistic回归分析显示患者是否患癌、性别是内在病耻感的影响因素,而是否手术是影响外在病耻感的因素。结论医护人员应重点关注胆道恶性肿瘤群体的病耻感及其纵向变化情况,明确影响因素,予以恰当干预,提升其生活质量。Objective To investigate the level of stigma in patients with biliary tract diseases and analyze its influencing factors,in order to provide reference for clinical staff to carry out targeted interventions.Methods A survey was conducted on 127 patients with biliary tract diseases in the Biliary Department of Third Affiliated Hospital of Naval Medical University using a general information questionnaire,stigma scale for chronic illness,and satisfaction questionnaire including patients with non-malignant diseases such as gallstones,cholecystitis and malignant diseases.Logistic regression analysis was used to analyze the influencing factors of stigma.Results The average stigma score of 127 patients with biliary tract diseases was 29.91±9.41,and 41.7%of them had a stigma scale score of 24.Logistic regression analysis showed that suffering from cancer and gender were the influencing factors of internalized stigma.Surgery was a factor that affects externalized stigma.Conclusion Medical staff should pay attention to the stigma and its longitudinal changes in biliary malignancies,identify the influencing factors and provide appropriate intervention,in order to improve their quality of life.

关 键 词：胆道疾病 病耻感 影响因素 

分 类 号：R473.6[医药卫生—护理学]