膀胱癌输尿管皮肤造口患者习得性无助感与社会疏离的相关性分析  

Correlation between learned helplessness and social detachment in bladder cancer patients treated with ureterostomy

作　　者：宋慧敏 赵明明 SONG Hui-min;ZHAO Ming-ming

机构地区：[1]郑州大学第一附属医院肿瘤科,河南郑州450100

出　　处：《中国疗养医学》2025年第5期14-18,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨膀胱癌输尿管皮肤造口患者习得性无助感与社会疏离的相关性。方法本研究为横断面研究,采用便利抽样法,选取2023年3月至2024年2月郑州大学第一附属医院收治的192例膀胱癌输尿管造口患者为研究对象。采用一般资料调查表、疏离感量表、社会影响量表、社会支持评定量表、习得性无助量表对其进行调查。共发放问卷210份,问卷有效回收率为91.43%(192/210)。结果192例膀胱癌输尿管造口患者习得性无助感总分为(50.78±4.56)分,社会疏离感总分为(45.38±4.89)分,习得性无助感与社会疏离感呈正相关(r=0.685,P<0.001)。多元线性回归分析结果显示文化程度、年龄、社会支持、病耻感、习得性无助感是影响社会疏离感的主要因素(P<0.05)。在控制文化程度、年龄、社会支持、病耻感后,习得性无助感独立解释膀胱癌输尿管造口患者社会疏离感的变异值增加8.30%(P<0.001)。结论膀胱癌输尿管造口患者习得性无助感越高则社会疏离感越严重。护理人员应重视患者的习得性无助感,并通过科学的方法如增强患者的控制感,减轻其习得性无助感,降低其社会疏离感。Objective To explore the correlation between learned helplessness and social alienation in bladder cancer patients with ureterostomy.Methods This study was a cross-sectional study.A total of 192 patients with bladder cancer undergoing ureterostomy in the First Affiliated Hospital of Zhengzhou University from March 2023 to February 2024 were selected as the research objects by convenience sampling.The general situation questionnaire,generalized alienation scale(GAS),social impact scale,multidimensional scale of perceived social support(MSPSS)and learned helplessness scale(LHS)were used for surveys.A total of 210 questionnaires were distributed,and the effective recovery rate was 91.43%(192/210).Results A total of 192 bladder cancer patients treated with ureterostomy had a total score of(50.78±4.56)points for LHS and(45.38±4.89)points for GAS.There was a positive correlation between learned helplessness and social alienation(r=0.685,P<0.001).The results of multivariate linear regression analysis showed that educational level,age,social support,stigma and learned helplessness were the main factors affecting social alienation(P<0.05).After adjusting for education level,age,social support and stigma,learned helplessness independently explained the variance of social alienation in bladder cancer patients with ureterostomy increased by 8.30%(P<0.001).Conclusion The higher level of learned helplessness of bladder cancer patients with ureterostomy can predict the higher level of social alienation.Caregivers should pay attention to the learned helplessness and reduce it through scientific methods,such as enhancing the sense of control,so as to alleviate the social alienation.

关 键 词：膀胱癌 输尿管皮肤造口 社会疏离感 习得性无助感 

分 类 号：R473.73[医药卫生—护理学]