肠造口患者术后自我感受负担及其影响因素调查分析
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摘要
目的调查分析肠造口患者术后自我感受负担及其影响因素。方法选取2016年6月至2017年9月我院普外科收治的78例肠造口术后患者作为研究对象,采用调查问卷表、自我感受负担量表(SPBS)对肠造口患者的情况进行调查,分析其自我感受负担的影响因素。结果本组患者SPBS总分(39. 58±8. 76)分,条目均分(3. 90±0. 48)分。年龄、家庭人均月收入、文化水平、粪便泄露散发臭味频率和是否参加肠造口知识讲座是影响肠造口患者SPBS得分的相关因素(P <0. 05)。多元回归分析显示,患者回避态度、文化水平较低及粪便泄露散发臭味频率高是肠造口患者SPBS得分较高的主要影响因素(P <0. 05)。结论肠造口患者术后自我感受负担很严重,其回避态度、文化水平及粪便泄漏散发臭味频率属于自我感受负担的主要影响因素,医务人员需重点关注文化水平较低的患者,给予相关的健康教育,同时,引导其主动学习造口护理技能,避免相关因素的影响。
Objective To investigation and analysis of postoperative self-perception burden and its influencing factors in patients with enterostomy.Methods To select 78 patients with postoperative enterostomy who were admitted to our hospital from June 2016 to September 2017 as the study subjects.We adopted the questionnaires and self-perceived burden scale( SPBS) to investigate the situation of patients with intestinal fistula and analyze the influencing factors of self-perceived burden among these patients. Results The total score of SPBS in this group was( 39. 58 ± 8. 76) points,and the scores of each item was( 3. 90 ± 0. 48) points. Age,family monthly income,cultural level,frequency of fecal leaks and odors,and whether or not to participate in the enterostomy knowledge lectures were related factors that affect the SPBS score of patients with enterostomy( P < 0. 05). Multiple regression analysis showed that the patient's avoidance attitude,low cultural level and high frequency of fecal leakage and odor were the main factors affecting the higher score of SPBS in patients with enterostomy( P < 0. 05). Conclusion The postoperative self-feeling burden of patients with enterostomy is great. The avoidance attitude,cultural level and the frequency of fecal leakage and odor are the main influencing factors of self-feeling burden. Therefore,the medical staff should focus on patients with lower cultural level and give relevant health education in time. Meanwhile,they need to guide these patients to learn ostomy nursing skills actively,thus avoiding the influence of related factors.
Objective To investigation and analysis of postoperative self-perception burden and its influencing factors in patients with enterostomy.Methods To select 78 patients with postoperative enterostomy who were admitted to our hospital from June 2016 to September 2017 as the study subjects.We adopted the questionnaires and self-perceived burden scale( SPBS) to investigate the situation of patients with intestinal fistula and analyze the influencing factors of self-perceived burden among these patients. Results The total score of SPBS in this group was( 39. 58 ± 8. 76) points,and the scores of each item was( 3. 90 ± 0. 48) points. Age,family monthly income,cultural level,frequency of fecal leaks and odors,and whether or not to participate in the enterostomy knowledge lectures were related factors that affect the SPBS score of patients with enterostomy( P < 0. 05). Multiple regression analysis showed that the patient's avoidance attitude,low cultural level and high frequency of fecal leakage and odor were the main factors affecting the higher score of SPBS in patients with enterostomy( P < 0. 05). Conclusion The postoperative self-feeling burden of patients with enterostomy is great. The avoidance attitude,cultural level and the frequency of fecal leakage and odor are the main influencing factors of self-feeling burden. Therefore,the medical staff should focus on patients with lower cultural level and give relevant health education in time. Meanwhile,they need to guide these patients to learn ostomy nursing skills actively,thus avoiding the influence of related factors.
引文
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[10]李杨,刘春娥,宋琴芬.肠造口患者压力知觉及影响因素的研究[J].护士进修杂志,2018,33(7):593-597.
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[2]安丹,王春菊.健康教育路径干预对肠造口术患者自我护理能力和健康行为的影响[J].华西医学,2015,30(4):736-739.
[3]姜傲,刘丽秀,李茁,等.大肠癌结肠造口患者术后不同时期生命质量的调查研究[J].中国地方病防治杂志,2017,32(4):420-421.
[4]黄玉兰,曾贞,韦珊.系统性护理对直肠癌Miles术后肠造口患者自我护理能力及生活质量的影响[J].中国医药导报,2017,14(4):162-165.
[5]原静民,郑美春,卜秀青,等.永久性肠造口患者病耻感现状及其影响因素研究[J].中华护理杂志,2016,51(12):1422-1427.
[6]王淑敏,刘卓,郭慧玲.新型护理模式对造口患者院外居家护理的研究现状[J].中国地方病防治杂志,2016,31(1):28-29.
[7]赵琼.知信行护理干预对宫腔黏连切除术后患者自我感受负担与负性情绪的影响[J].护理实践与研究,2018,15(8):86-88.
[8]柳益书,侯莉,张清,等.老年直肠癌患者肠造口术后并发症及其影响因素[J].中国老年学杂志,2017,37(12):2976-2977.
[9]刘青焱,徐林霞,石钰.Snyder希望理论模型在伤口造口管理中的应用[J].广东医学,2017,38(18):2886-2888.
[10]李杨,刘春娥,宋琴芬.肠造口患者压力知觉及影响因素的研究[J].护士进修杂志,2018,33(7):593-597.
[11]李雪,孙晓晶.维持性血液透析患者自我感受负担及相关因素[J].中国心理卫生杂志,2016,30(4):258-263.