主管:国家卫生健康委员会
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结肠造口患者生活质量现状及影响因素研究

羡红涛 张宇 杨洋 郭京 王欣然   

  1. 首都医科大学宣武医院普外科,100053 北京市
  • 出版日期:2018-06-25 发布日期:2018-06-25
  • 基金资助:
    首都医科大学宣武医院护理专项课题;北京医学奖励基金会项目

Health-related quality of life of patients with colostomy and its influencing factors

  • Online:2018-06-25 Published:2018-06-25

摘要: 目的:调查结肠造口患者生活质量现状及其影响因素。方法:采用一般资料调查表、社会支持评定量表、造口患者生活质量量表,对647例结肠造口患者进行调查。结果:结肠造口患者生活质量得分为(57.07±16.03)分,多元线性回归结果显示,社会支持总分、造口自我护理能力、造口并发症、排便规律、近3个月是否发生过渗漏为造口患者生活质量的影响因素,可解释造口患者生活质量得分变异量的29.9%。结论:结肠造口患者生活质量水平有待进一步提高,在临床护理过程中,应鼓励患者积极面对造口,帮助患者及其家属接受造口和自身形象的改变,缩短适应过程,提高生活质量。

Abstract: Objective: To describe the current status and influencing factors of quality of life of patients with colostomy. Methods: A questionnaire, including demographic data and medical history, Social Support Revalued Scale (SSRS) and Stoma-Quality of life-Chinese (Stoma-QOL-C), was used to investigate 647 patients with colostomies. Results: The life quality of colostomy patients scored 57.07±16.03. The results of multiple linear regression analysis revealed that social support, stoma self-care ability, peristomial complication, irregular defecation, and leaking were its influencing factors, which could explain 29.9% of the variance of their quality of life. Conclusion: The life quality of colostomy patients remains to be further improved. We should encourage patients to deal with the stoma positively, help patients and their families to accept the stoma and the change of body image, in order to shorten their adaption process and improve their quality of life.