结肠癌造瘘患者常见心理障碍及干预方法研究进展  

Research Progress on Common Psychological Disorders in Patients Undergoing Colostomy for Colon Cancer and Intervention Methods

作　　者：贺雅莉 杨培娟 HE Yali;YANG Peijuan(General Practice Medical Center,West China Hospital,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西医院全科(特需)病房,四川成都610041

出　　处：《中国社会医学杂志》2025年第1期75-78,共4页Chinese Journal of Social Medicine

基　　金：四川省卫生厅科技项目(17PJ180)。

摘　　要：结肠造瘘手术为当前结肠癌主要治疗手段之一,不仅可以减轻患者临床症状,同时还具有延长生存期,改善生命质量作用。然而结肠造瘘使得患者排便方式改变,容易对其生理及心理造成创伤,同时在认知缺乏、自我护理能力低下、担心造瘘袋脱落、外观变化等影响下,容易出现自卑、焦虑、抑郁等心理障碍,影响患者心理健康。如果不及时发现患者心理问题,并采取合理、有效的干预措施,心理障碍将进一步加重,对结肠癌造瘘术后康复产生不良影响。就结肠癌造瘘患者常见心理障碍、相关因素及干预方法的研究进展作一综述。Colostomy is one of the main treatment methods for colon cancer,which can not only reduce the patients'clinical symptoms but also prolong their survival time and improve the quality of life.However,colostomy changes the patient's way of defecation,which is easy to cause physiological and psychological trauma.Moreover,under the influence of cognitive deficiency,low self-care ability,concern about ostomy bag falling off and appearance changes,patients are prone to psychological disorders such as inferiority,anxiety and depression,affecting mental health.If the patients'psychological problems are not found in time or reasonable and effective intervention measures are not taken,psychological disorders will be aggravated,causing adverse effect on rehabilitation after colostomy for colon cancer.Herein,the research progress on common psychological disorders in patients undergoing colostomy for colon cancer,related factors and intervention methods was reviewed.

关 键 词：结肠癌 造瘘手术 心理障碍 干预 

分 类 号：R473.73[医药卫生—护理学]