| 张梦娟,刘茹,徐姝娟,徐颖,韩莹莹.老年结直肠癌肠造口患者生活质量现状与家庭关怀度的相关性[J].济宁医学院学报,2025,48(3):208-212 |
| 老年结直肠癌肠造口患者生活质量现状与家庭关怀度的相关性 |
| Correlation analysis between quality of life and family care in elderly patients with colorectal cancer undergoing colostomy |
| 投稿时间：2024-06-19 |
| DOI：10.3969/j.issn.1000-9760.2025.03.004 |
| 中文关键词: 结直肠癌;老年肠造口;生活质量;影响因素;家庭关怀度 |
| 英文关键词: Colorectal cancer;Elderly colostomy;Quality of life;Influencing factors;Family care |
| 基金项目:安徽省教育厅自然科学研究项目(KJ2021A0859);安徽省高等学校校级质量工程项目(2022jyxm36) |
| 作者 | 单位 | E-mail | | 张梦娟 | 皖南医学院护理学院, 芜湖 241002 | | | 刘茹 | 皖南医学院护理学院, 芜湖 241002 | | | 徐姝娟 | 皖南医学院第一附属弋矶山医院门诊部, 芜湖 241001 | 258548291@qq.com | | 徐颖 | 皖南医学院护理学院, 芜湖 241002 | | | 韩莹莹 | 皖南医学院护理学院, 芜湖 241002 | |
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| 中文摘要: |
| 目的 调查老年结直肠癌术后肠造口患者生活质量现状并分析其影响因素。方法 采用便利抽样法,选取安徽省芜湖市某三甲医院2023年4月至2023年9月胃肠外科肠造口住院患者及伤口造口门诊就诊的老年肠造口患者173例为研究对象。采用一般资料调查表、造口患者生活质量量表(stoma quality of life scale,Stoma-QOL)、家庭关怀度指数问卷(family APGAR index,APGAR)对其进行横断面调查。结果 老年肠造口患者生活质量得分为(48.10±20.11)分,家庭关怀度指数问卷得分为2(1,9)分,Stoma-QOL得分与APGAR得分呈正相关(r=0.829,P＜0.01)。多因素logistic回归分析显示,造口术后时间、居家护理模式、平均每日外出次数、家庭人均收入是老年肠造口患者生活质量的影响因素(P＜0.05)。结论 老年肠造口患者总体生活质量处于较低水平,医务人员应当关注老年肠造口患者术后恢复情况以及身心状况,针对其影响因素制定针对性的干预措施,并根据老年肠造口患者情况开展个性化的居家延续护理措施,从而进一步提高其生活质量。 |
| 英文摘要: |
| Objective To investigate the current status of quality of life of elderly colorectal cancer patients with enterostomy after colorectal cancer surgery and to analyse their influencing factors.Methods Elderly patients who were inpatients with intestinal stoma in the gastrointestinal surgery department and those who attended the wound stoma clinic in a tertiary hospital in Wuhu city,Anhui province,from April 2023 to September 2023 were selected as the study subjects using the convenience sampling method.A general information questionnaire,stoma quality of life scale (Stoma-QOL),and family APGAR index (APGAR) were used to investigate them in a cross-sectional survey.Results The quality of life score of geriatric enterostomy patients was (48.10±20.11) and the score of APGAR was 2(1,9),Pearson correlation analysis showed that Stoma-QOL score was significantly positively correlated with APGAR score (r=0.829,P＜0.01).Mutti-logistic regression analysis showed that time since stoma surgery,home care mode,average frequency of going out per day,and per capita household income were influential factors in the quality of life of elderly patients with intestinal stoma (P＜0.05).Conclusion The overall quality of life of elderly patients with intestinal stoma is at a low level,medical personnel should pay attention to the postoperative recovery and physical and mental conditions of elderly patients with intestinal stoma,formulate targeted interventions based on the influencing factors,and carry out personalised home extended care measures according to the situation of elderly patients with intestinal stoma,so as to further improve their quality of life. |
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