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| 结直肠癌预防性造口患者自我厌恶现状及影响因素分析 |
| Analysis of the current situation and influencing factors of self-loathing in patients with colorectal cancer prophylactic stomaYue Gao1,Wenjun Wang2*,Jinfeng Li3,Kai Liu3 |
| 投稿时间：2025-01-10 修订日期：2025-03-20 |
| DOI： |
| 中文关键词: 结直肠癌;预防性造口;自我厌恶;造口接受度;造口护理自我效能;社会隔离 |
| 英文关键词: colorectal cancer; prophylactic stoma; self-loathing; stoma acceptance; ostomy care self-efficacy; Social isolation |
| 基金项目:北京爱谱癌症患者关爱基金会（No:600140011） |
| 作者 | 单位 | 邮编 | | 高悦 | 山东第一医科大学山东省医学科学院护理学院 | 261000 | | 王文军* | 潍坊护理职业学院 | 261000 | | 李金凤 | 济宁医学院附属医院胃肠外科结直肠病区/疝与腹壁外科
济宁医学院附属医院护理部 | | | 刘凯 | 济宁医学院附属医院胃肠外科结直肠病区/疝与腹壁外科
济宁医学院附属医院护理部 | |
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| 中文摘要: |
| 目的：了解结直肠癌造口患者自我厌恶现状及影响因素，为护理人员采取针对性心理护理方案提供依据。方法：采用一般资料调查表、自我厌恶量表、造口接受度量表、造口护理自我效能量表和社交网络LSNS-6量表对352例结直肠癌造口患者进行问卷调查。结果：结直肠癌预防性造口患者自我厌恶得分（34.06±4.65）分，高于量表总分中间值28分，条目均分为（2.43±0.33），高于条目得分的中间值2分。多元线性回归分析显示，性别、年龄、并存慢病数量、住院天数、住院次数、造口接受度、LSNS-6总分是结直肠癌预防性造口患者自我厌恶的影响因素(均P<0.05),可以解释90.4%的变异量。结论：结直肠癌造口患者自我厌恶处于中等偏高水平。护理人员应及时识别并评估，采取有效护理方案以降低患者自我厌恶水平，促进患者身心健康。 |
| 英文摘要: |
| Objective：To understand the current situation and influencing factors of self-loathing in colorectal cancer ostomy patients, so as to provide a basis for nursing staff to adopt targeted psychological care programs. Methods: A total of 352 colorectal cancer patients with stoma were surveyed using the General Information Questionnaire, Questionnaire for the Assessment of Self-Disgust, Acceptance of Illness Scale, Stoma Self-efficacy Scale and Lubben Social Network Scale6. Results: The self-loathing score of patients with preventive stoma for colorectal cancer is (34.06±4.65) points, which is higher than the median value of 28 points of the total scale score. The average score of each item is (2.43±0.33), which is higher than the median value of 2 points of the item score. Multiple linear regression analysis showed that gender, age, number of chronic diseases, number of days of hospitalization, number of hospitalizations, ostomy acceptance, and LSNS-6 total score were the influencing factors of self-loathing in patients with colorectal cancer prophylactic ostomy (all P<0.05), which could explain 90.4% of the variability.Conclusion: The self-loathing of patients with colorectal cancer prophylactic ostomy is at the upper middle level, and nursing staff should identify and evaluate it in a timely manner, and adopt effective nursing plans to reduce the level of self-loathing and promote the physical and mental health of patients. |
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