主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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肠造口患者术后自我感受负担水平调查及其影响因素分析

尤朝霞 安如林   

  1. 宁海县第一医院普外科,315600 浙江省宁波市
  • 出版日期:2017-11-25 发布日期:2017-11-25

The current status and influencing factors of self-perceived burden among postoperative stoma patients

  • Online:2017-11-25 Published:2017-11-25

摘要: 目的:调查肠造口患者术后自我感受负担情况,并分析其影响因素。方法:采用自行设计的一般资料调查问卷、自我感受负担量表、医学应对问卷、造口生活质量量表,对151例肠造口术后患者进行调查。结果:肠造口患者术后自我感受负担得分为(39.62±8.81)分,处于中等水平,50.3%的患者为高水平。多重线性回归分析结果显示,回避型应对、文化程度、粪便泄漏散发臭味频率、面对型应对方式为自我感受负担的影响因素。结论:肠造口患者术后自我感受负担较为严重,护理人员应鼓励患者积极地面对困难与挑战,主动学习造口护理技能,更多地与他人进行交流。同时,护理人员应更加关注文化程度较低的患者。

Abstract: Objective: To explore the current status and influencing factors of self-perceived burden among postoperative stoma patients. Methods: Totally 151 postoperative stoma patients were recruited to complete demographic questionnaire, Self-Perceived Burden Scale, Medical Coping Modes Questionnaire and Stoma-QOL scale. Results: The mean score of Self-Perceived Burden Scale was 39.62±8.81, which was in moderate level, with 50.3% patients in high level. The influencing factors of self-perceived burden of postoperative stoma patients include avoidance, educational level, stool leakage and stink rate and confrontation. Conclusion: Stoma patients has serious level of self-perceived burden. Nurses should encourage patients to face difficulties and challenges, learn stoma care skills, and communicate with others actively. Besides, stoma patients who has lower educational level should be paid more attention.