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
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (4): 541-547.doi: 10.3969/j.issn.1672-1756.2019.04.013

• 论 著 • 上一篇    下一篇

直肠癌造口患者排便功能训练依从性现状及影响因素研究

付洋洋 陈苏红 张建国 仲艳 张蓉笑 荣宁   

  1. 湖州市中心医院护理部,浙江省湖州市 313000(付洋洋,陈苏红,仲艳);湖州师范学院医学院(张建国,张蓉笑,荣宁)
  • 发布日期:2019-04-15
  • 通讯作者: 陈苏红,本科,主任护师,硕士生导师,E-mail:1160946310@qq.com
  • 作者简介:付洋洋,硕士,护师

Defecation function training compliance and the influencing factors of colorectal cancer patients after colostomy

FU Yangyang, CHEN Suhong, ZHANG Jianguo, ZHONG Yan, ZHANG Rongxiao, RONG Ning   

  1. Nursing Department, Huzhou Central Hospital, Huzhou, Zhejiang province, 313000, China
  • Published:2019-04-15
  • Contact: E-mail:1160946310@qq.com

摘要: 目的:调查直肠癌造口患者术后排便功能训练依从性现状,并分析其影响因素。方法:采用一般资料调查表、排便功能训练依从性问卷、修订版疾病认知调查问卷、社会支持评定量表、造口患者自我效能量表调查210例直肠癌结肠造口患者。结果:直肠癌造口患者排便功能训练依从性得分为(64.23±4.74)分,处于中低水平。多因素逐步回归分析显示,家庭月收入、造口类型、造口接受度、社会支持总分、自我照护效能、情绪陈述为患者排便功能训练依从性的影响因素。结论:直肠癌造口患者排便功能训练依从性水平有待提高,医护人员应关注患者出院后的排便训练情况,提高患者对疾病的认知及自我效能水平,帮助患者积极接受造口,从而提高患者排便训练依从性。

关键词: 直肠癌;结肠造口;排便训练;依从性;影响因素

Abstract: Objective: To investigate the defecation function training compliance of colorectal cancer patients after colostomy, and to explore its influencing factors. Methods: A convenience sample of 210 colorectal cancer patients after colostomy was recruited, and the basic information questionnaire, Defecation Function Training Compliance Scale for colorectal cancer patients after colostomy, Revised Illness Perception Questionnaire, Social Support Revalued Scale and Stoma Self-efficacy Scale were used to collected data. Results: The score of the compliance of defecation function training was at low and middle level (64.23±4.74). Multiple linear regression indicated that monthly family income, colostomy type, stoma self-acceptability, social supports, self-care efficacy and emotional state were the influencing factors. Conclusion: The level of defecation function training compliance of patients need to be further improved. Patient's defecation function training after discharge needs more attention. Further measures need to be taken to improve the cognition, self-efficacy and self-acceptability of colostomy of patients, and to improve their defecation funetion tranining compliance.

Key words: rectal cancer; colostomy; defecation function training; compliance; influencing factor

中图分类号: 

  • R47