结直肠癌肠造口患者经济毒性现状及影响因素研究  

Financial toxicity status and influencing factors of enterostomy patients with colorectal cancer

作　　者：马蕊 王俊霞[2] 张瑞星[1] 李佳奇 葛淑怡 邵李姣 吴田瑞 赵煜华 MA Rui;WANG Junxia;ZHANG Ruixing;LI Jiaqi;GE Shuyi;SHAO Lijiao;WU Tianrui;ZHAO Yuhua(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China;Outpatient Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Stomatology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学护理与健康学院,郑州市450001 [2]郑州大学第一附属医院门诊部,郑州市450052 [3]郑州大学第一附属医院肝胆胰外科,郑州市450052 [4]郑州大学第一附属医院口腔科,郑州市450052 [5]郑州大学第一附属医院结直肠肛门外科,郑州市450052

出　　处：《护理管理杂志》2025年第1期49-54,共6页Journal of Nursing Administration

摘　　要：目的探讨结直肠癌肠造口患者经济毒性现状,并分析造口自我效能和领悟社会支持对其经济毒性的影响。方法采用一般资料调查问卷、患者报告结局的经济毒性综合评分量表、造口自我效能量表、领悟社会支持量表对郑州市某三级甲等医院249例结直肠癌肠造口患者进行调查。结果结直肠癌肠造口患者经济毒性得分为20.00(18.00,23.00)分,经济毒性的发生率为86.75%。造口自我效能得分为(70.98±12.81)分,领悟社会支持得分为(61.44±7.19)分;经济毒性与造口自我效能、领悟社会支持均呈正相关(P<0.01);多元线性回归分析显示,年龄、工作状况、家庭人均月收入、造口类别、合并造口并发症、化学治疗、造口自我效能及领悟社会支持是结直肠癌肠造口患者经济毒性的影响因素(P<0.05)。结论结直肠癌肠造口患者经济毒性发生率较高,医护人员应采取针对性的干预策略,提高结直肠癌肠造口患者的自我效能及社会支持以降低结直肠癌肠造口患者经济毒性,促进其心理健康,改善疾病预后。Objective To investigate the current status of financial toxicity in colorectal cancer patients with colostomy and analyzing the impact of stoma self-efficacy and perceived social support on financial toxicity.Methods A survey of 249 colorectal cancer enterostomy patients in a tertiary-level hospital in Zhengzhou City using the general information questionnaire,Comprehensive Scores for Financial Toxicity Based on the-Patient-Reported Outcome Measures,Stoma Self-Efficacy Scale,and Perceived Social Support Scale.Results The score of financial toxicity was 20.00(18.00,23.00),of which the incidence was 86.75%.The score of stoma self-efficacy was(70.98±12.81)and the score of perceived social support was(61.44±7.19).Financial toxicity was positively associated with stoma self-efficacy(P<0.01)and perceived social support(P<0.01).Multiple linear regressi on analysis showed that age,work status,per capita monthly household income,type of stoma,comorbid stoma complications,chemotherapy,stoma self-efficacy,and perceived social support were the factors influencing perceived toxicity in colorectal cancer colostomy patients(P<0.05).Conclusion The incidence of financial toxicity in colorectal cancer enterostomy patients is high.Medical staff should develop personalized intervention measures to improve their self-efficacy and social support to reduce financial toxicity,promote mental health and improve disease prognosis.

关 键 词：结直肠癌 肠造口 患者 经济毒性 社会支持 自我效能 

分 类 号：R473.73[医药卫生—护理学]