| 高悦,王文军,李金凤,刘凯.结直肠癌预防性造口患者自我厌恶现状及其影响因素[J].济宁医学院学报,2025,48(4):325-330 |
| 结直肠癌预防性造口患者自我厌恶现状及其影响因素 |
| Analysis of the current situation and influencing factors of self-loathing in patients with colorectal cancer prophylactic stoma |
| 投稿时间：2025-01-10 |
| DOI：10.3969/j.issn.1000-9760.2025.04.008 |
| 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;Stoma care self-efficacy;Social isolation |
| 基金项目:北京爱谱癌症患者关爱基金会(600140011) |
| 作者 | 单位 | E-mail | | 高悦 | 山东第一医科大学(山东省医学科学院)护理学院, 济南 250000 | | | 王文军 | 潍坊护理职业学院, 潍坊 261000 | wwjun1973@163.com | | 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 272100
济宁医学院附属医院护理部, 济宁 272100 | | | 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 272100
济宁医学院附属医院护理部, 济宁 272100 | |
|
| 摘要点击次数: 38 |
| 全文下载次数: 39 |
| 中文摘要: |
| 目的 了解结直肠癌预防性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例结直肠癌预防性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)分,高于条目得分的中间值2分,表明患者自我厌恶处于中等偏高水平。多元线性回归分析显示,性别、年龄、合并慢性疾病数量、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 结直肠癌预防性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 investigate the current status and influencing factors of self-loathing in colorectal cancer patients with prophylactic stoma,and to provide evidence for nursing staff to develop targeted psychological care plans. Methods A total of 352 colorectal cancer patients with stoma were surveyed with the general information questionnaire,questionnaire for the assessment of self-disgust,stoma acceptance scale,stoma self-efficacy scale and lubben social network scale 6. 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 scale.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,indicating a moderately high level of self-loathing.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 account for 90.4% of the variance in self-disgust scores. 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. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
|
|
|
