肠外瘘患者心理需求影响因素的调查研究
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摘要
目的探讨肠外瘘患者心理护理需求的影响因素。方法选取2015年3月至2018年3月的118例肠外瘘患者为研究对象,将其采用问卷进行心理护理需求程度的评估,比较不同性别、年龄段、文化程度、社会支持程度、希望水平、自我效能感、病灶部位及病灶数量者的需求程度,同时采用多因素logistic回归分析确定上述因素与肠外瘘患者心理护理需求的关系。结果 118例肠外瘘患者中不同病灶部位者的心理护理需求程度差异无统计学意义(P> 0. 05),不同性别、年龄段、文化程度、社会支持程度、希望水平、自我效能感及病灶数量者的心理护理需求程度比较,差异有统计学意义(P <0. 05),多因素logistic回归分析结果显示,性别、年龄段、文化程度、社会支持程度、希望水平、自我效能感及病灶数量是肠外瘘患者心理护理需求的影响因素。结论肠外瘘患者心理护理需求程度较高,且影响因素较多,应给予充分重视。
Objective To explore the influencing factors of psychological nursing needs of patients with enterocutaneous fistula. Methods To compare the needs of different genders,age groups,education levels,social support levels,hope levels,self-efficacy,lesion location,and number of lesions,and to identify the relationship between the above factors and psychological nursing needs of patients with enterocutaneous fistula by multivariate logistic regression analysis,118 cases of patients with enterocutaneous fistula from March 2015 to March 2018 were included,and were assessed on psychological nursing needs by questionnaire. Results Among those 118 cases of patients with enterocutaneous fistula,there was no statistical significance in the level of psychological care needs of patients with different lesions( P > 0. 05). The difference in the level of psychological care needs of different genders,age groups,education level,social support level,hope level,self-efficacy and number of lesions was statistically significant( P < 0. 05). Multivariate logistic regression analysis showed that gender,age groups,education level,social support level,hope level,self-efficacy and number of lesions were the influencing factors of psychological care needs of patients with enterocutaneous fistula. Conclusion The level of psychological nursing needs of patients with extraintestinal fistula was high,and there were many influencing factors,which should be given full attention.
Objective To explore the influencing factors of psychological nursing needs of patients with enterocutaneous fistula. Methods To compare the needs of different genders,age groups,education levels,social support levels,hope levels,self-efficacy,lesion location,and number of lesions,and to identify the relationship between the above factors and psychological nursing needs of patients with enterocutaneous fistula by multivariate logistic regression analysis,118 cases of patients with enterocutaneous fistula from March 2015 to March 2018 were included,and were assessed on psychological nursing needs by questionnaire. Results Among those 118 cases of patients with enterocutaneous fistula,there was no statistical significance in the level of psychological care needs of patients with different lesions( P > 0. 05). The difference in the level of psychological care needs of different genders,age groups,education level,social support level,hope level,self-efficacy and number of lesions was statistically significant( P < 0. 05). Multivariate logistic regression analysis showed that gender,age groups,education level,social support level,hope level,self-efficacy and number of lesions were the influencing factors of psychological care needs of patients with enterocutaneous fistula. Conclusion The level of psychological nursing needs of patients with extraintestinal fistula was high,and there were many influencing factors,which should be given full attention.
引文
[1]童艳菊.ICU患者家属的心理需求及护理方法探讨[J].基层医学论坛,2017,21(27):3710-3712.
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[4]Badrasawi M,Shahar S,Sagap I.Nutritional Management in Enterocutaneous Fistula.What is the evidence[J].Malays J Med Sci,2015,22(4):6-16.
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[6]丘婷燕,丘廷芳.全程健康教育模式在糖尿病患者护理管理中的作用[J].护理实践与研究,2016,13(12):23-25.
[7]肖美萍,陈学洪,黎衍香.营养支持结合功能锻炼治疗术后肠瘘的疗效观察与护理[J].当代医学,2017,23(36):4-6.
[8]Leroy A,Aza6s H,Giraudet G,et al.Quality of life and symptoms before and after surgical treatment of rectovaginal fistula[J].E Prog Urol,2017,27(4):229-237.
[9]刘月泉,邓作梅,吴莲香,等.双套管冲洗联合自体血纤维蛋白胶封堵管状肠外瘘的护理[J].基层医学论坛,2017,21(30):4126-4127.
[10]周运添.空肠造口肠内营养在十二指肠肠瘘的疗效分析[J].包头医学,2015,39(3):134-135.
[11]董红梅,丁路,程玉华,等.集束化护理干预对肠瘘患者肠内营养并发症预防的应用效果[J].世界最新医学信息文摘(电子版),2015,15(87):193,195.
[12]张文佳,梁宗桦.消化液回输治疗肠瘘的护理体会[J].新疆医学,2016,46(7):877-878.
[13]温芳芳,谢玉兰,叶林娇,等.应用VSD治疗肠外瘘切口裂开的护理体会[J].赣南医学院学报,2016,36(3):468-469.
[14]黎介寿.以临床营养支持为基础治疗胃肠外科危重患者的历程[J].中华重症医学电子杂志,2018,4(1):3-5.
[2]鲁海燕,滕清平,鲁小萌.内科急诊急救病人的心理护理[J].世界最新医学信息文摘(电子版),2017,17(42):240-241.
[3]张华丽,王媛,卢晓娥.ICU急诊患者对心理护理的需求分析及具体措施[J].国际护理学杂志,2015,34(10):1299-1302.
[4]Badrasawi M,Shahar S,Sagap I.Nutritional Management in Enterocutaneous Fistula.What is the evidence[J].Malays J Med Sci,2015,22(4):6-16.
[5]沈佳.对重症胰腺炎并发肠外瘘患者进行综合护理干预的效果研究[J].当代医药论丛,2015,13(4):72-73.
[6]丘婷燕,丘廷芳.全程健康教育模式在糖尿病患者护理管理中的作用[J].护理实践与研究,2016,13(12):23-25.
[7]肖美萍,陈学洪,黎衍香.营养支持结合功能锻炼治疗术后肠瘘的疗效观察与护理[J].当代医学,2017,23(36):4-6.
[8]Leroy A,Aza6s H,Giraudet G,et al.Quality of life and symptoms before and after surgical treatment of rectovaginal fistula[J].E Prog Urol,2017,27(4):229-237.
[9]刘月泉,邓作梅,吴莲香,等.双套管冲洗联合自体血纤维蛋白胶封堵管状肠外瘘的护理[J].基层医学论坛,2017,21(30):4126-4127.
[10]周运添.空肠造口肠内营养在十二指肠肠瘘的疗效分析[J].包头医学,2015,39(3):134-135.
[11]董红梅,丁路,程玉华,等.集束化护理干预对肠瘘患者肠内营养并发症预防的应用效果[J].世界最新医学信息文摘(电子版),2015,15(87):193,195.
[12]张文佳,梁宗桦.消化液回输治疗肠瘘的护理体会[J].新疆医学,2016,46(7):877-878.
[13]温芳芳,谢玉兰,叶林娇,等.应用VSD治疗肠外瘘切口裂开的护理体会[J].赣南医学院学报,2016,36(3):468-469.
[14]黎介寿.以临床营养支持为基础治疗胃肠外科危重患者的历程[J].中华重症医学电子杂志,2018,4(1):3-5.