永久性结肠造口患者社会心理适应能力的影响因素及护理对策
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摘要
目的探讨永久性结肠造口患者社会心理适应能力的影响因素,并针对影响因素提出护理对策。方法选取2016年2月至2017年2月于我院行永久性结肠造口的患者83例为研究对象,采用社会心理适应量表(OAI-23)评估患者的社会心理适应能力,将OAI-23评分<40分的患者归为社会心理适应能力差组,将OAI-23评分≥40分的患者归为社会心理适应能力较好组,收集两组患者的一般临床资料,采用单因素和多因素Logistic回归分析影响患者社会心理适应能力的危险因素,并提出针对性护理对策。结果单因素分析显示,两组患者的性别、年龄、自护能力和造口时间有统计学差异(P<0.05)。多因素分析显示,女性、低龄及自护能力差为影响永久性结肠造口患者社会心理适应能力的危险因素。结论女性、低龄及自护能力差为影响永久性结肠造口患者社会心理适应能力的危险因素,给予女性、低龄患者提高自护能力的护理干预,对提高其社会心理适应能力有重要意义。
Objective To explore the influencing factors of social-psychological adaptability of patients with permanent colostomy,and to carry out nursing strategies targeted at influencing factors. Methods 83 cases of patients with permanent colostomy from February2016 to February 2017 were selected as research objects. Ostomy Adjustment Inventory-23(OAI-23) was used to evaluate patients' social-psychological adaptability, and patients were divided into poor social-psychological adaptability group(OAI-23 <40) and good social-psychological adaptability group(OAI-23 ≥40). The clinical data of two groups were collected, and single-factor analysis and multiple-factor Logistic regression analysis were used to analyze the risk factors affecting patients' social-psychological adaptability.Targeted nursing strategies were carried out. Results Single-factor analysis showed statistical difference between two groups in gender, age,self-care ability and stoma time(P <0.05). Multiple-factor Logistic regression analysis showed that female, young age and poor self-nursing ability were the risk factors affecting the social-psychological adaptability of patients. Conclusions Female, young age and poor self-nursing ability are the risk factors affecting the social-psychological adaptability of patients with permanent colostomy. Nursing intervention for female, young patients to improve their self-nursing ability has important significance in improving social-psychological adaptability.
Objective To explore the influencing factors of social-psychological adaptability of patients with permanent colostomy,and to carry out nursing strategies targeted at influencing factors. Methods 83 cases of patients with permanent colostomy from February2016 to February 2017 were selected as research objects. Ostomy Adjustment Inventory-23(OAI-23) was used to evaluate patients' social-psychological adaptability, and patients were divided into poor social-psychological adaptability group(OAI-23 <40) and good social-psychological adaptability group(OAI-23 ≥40). The clinical data of two groups were collected, and single-factor analysis and multiple-factor Logistic regression analysis were used to analyze the risk factors affecting patients' social-psychological adaptability.Targeted nursing strategies were carried out. Results Single-factor analysis showed statistical difference between two groups in gender, age,self-care ability and stoma time(P <0.05). Multiple-factor Logistic regression analysis showed that female, young age and poor self-nursing ability were the risk factors affecting the social-psychological adaptability of patients. Conclusions Female, young age and poor self-nursing ability are the risk factors affecting the social-psychological adaptability of patients with permanent colostomy. Nursing intervention for female, young patients to improve their self-nursing ability has important significance in improving social-psychological adaptability.
引文
[1]罗宝嘉,覃惠英,郑美春.永久性结肠造口患者社会关系质量与希望水平的相关性研究[J].中华护理杂志,2014,49(2):138-142.
[2]胡玉静.延续性护理对永久性结肠造口患者自护能力及自我效能的影响[J].中国医药导报,2015,12(35):115-118.
[3]左红群,黄静芳,潘海辉.术后延伸护理对永久性结肠造口患者自我护理能力和生活质量的影响[J].齐鲁护理杂志,2016,22(20):1-3.
[4]杜晓霞,曲晓菊,朱琳,等.永久性结肠造口患者生活质量与自我护理能力及病耻感关系模型的研究[J].护理学报,2016,23(23):40-43.
[5]Tao H,Songwathana P,Isaramalai SA,et al.Taking good care of myself:A qualitative study on self-care behavior among Chinese persons with a permanent colostomy[J].Nurs Health Sci,2014,16(4):483-489.
[6]千艳红,李俊荣.集束化护理对直肠癌永久性结肠造口患者自我概念的影响[J].中华现代护理杂志,2015,21(8):935-937.
[7]Simmons KL.A view from here:psychosocial issues in colostomy care[J].J Wound Ostomy Continence Nurs,2014,41(1):55-59.
[8]王莲莲,张华,王子卫.系统化造口教育平台在提高永久性结肠造口患者自我护理能力中的应用[J].重庆医学,2016,45(27):3790-3792.
[9]卞龙艳,陈晓玲.激励式护理对直肠癌术后永久性结肠造口病人自我护理能力及生活质量的影响[J].护理研究,2017,31(1A):90-92.
[10]张双,张志茹,潘翠柳.ADOPT护理模式对结肠造口病人护理知识和适应水平的影响[J].护理研究,2016,30(9B):3244-3246.
[2]胡玉静.延续性护理对永久性结肠造口患者自护能力及自我效能的影响[J].中国医药导报,2015,12(35):115-118.
[3]左红群,黄静芳,潘海辉.术后延伸护理对永久性结肠造口患者自我护理能力和生活质量的影响[J].齐鲁护理杂志,2016,22(20):1-3.
[4]杜晓霞,曲晓菊,朱琳,等.永久性结肠造口患者生活质量与自我护理能力及病耻感关系模型的研究[J].护理学报,2016,23(23):40-43.
[5]Tao H,Songwathana P,Isaramalai SA,et al.Taking good care of myself:A qualitative study on self-care behavior among Chinese persons with a permanent colostomy[J].Nurs Health Sci,2014,16(4):483-489.
[6]千艳红,李俊荣.集束化护理对直肠癌永久性结肠造口患者自我概念的影响[J].中华现代护理杂志,2015,21(8):935-937.
[7]Simmons KL.A view from here:psychosocial issues in colostomy care[J].J Wound Ostomy Continence Nurs,2014,41(1):55-59.
[8]王莲莲,张华,王子卫.系统化造口教育平台在提高永久性结肠造口患者自我护理能力中的应用[J].重庆医学,2016,45(27):3790-3792.
[9]卞龙艳,陈晓玲.激励式护理对直肠癌术后永久性结肠造口病人自我护理能力及生活质量的影响[J].护理研究,2017,31(1A):90-92.
[10]张双,张志茹,潘翠柳.ADOPT护理模式对结肠造口病人护理知识和适应水平的影响[J].护理研究,2016,30(9B):3244-3246.