结肠造口患者生活质量的影响因素分析

Affecting Factors of Quality of Life of Colostomy Patients

背景和目的:随着人们生活水平的提高,造口者将追求更有价值、有质量、有自尊的生命,这就要求医务工作者采取必要的措施,在医学方面给予恰当援助,以帮助患者提高其生活质量。本研究探讨结肠造口患者生活质量的影响因素,提出提高患者生活质量的措施,为临床护理提供依据。方法:采用描述性相关研究方法,应用欧洲癌症患者生活质量核心量表(EORTCQLQ-C30)、领悟社会支持量表(PSSS)和症状自评量表(SCL-90),对2002年10月～2004年2月在中山大学肿瘤防治中心出院的86例结肠造口患者进行问卷调查,数据采用SPSS11.0软件进行统计分析。结果:结肠造口患者生活质量较差,其EORTCQLQ-C30总生活质量均分为49.13±17.20;相关分析结果显示总生活质量与SCL-90总均分呈负相关,与社会支持总分呈正相关;逐步多元回归结果显示SCL-90总均分、收入情况是进入回归方程的因素。结论:影响直肠癌结肠造口患者生活质量的因素有患者的心理健康状况、社会支持水平和收入情况等,造口专科护士应关注此方面的情况。

BACKGROUND &OBJECTIVE: This study was to identify the factors th at affect the quality of life (QOL) and bring forward methods of improving the QOL of colostomy patients, so as to offer evidences for practical nurses. METHODS: A descriptive, correlative design was employed in this study. From October, 2002 to February, 2004, 86 colostomy patients who discharged from Tumor Hospital of Sun Yat-sen University were recruited to complete a series of questionnaires, i ncluding EORTC QLQ-C30, Symptom Check List(SCL-90), Perceived Social Support S cale(PSSS). The SPSS11.0 was used for data analysis. RESULTS: The QOL of colosto my patients was relatively low. The mean score of EORTC QLQ-C30 was 49.13±17.2 0. The score of QOL was negatively correlated with the score of SCL-90 and posi tively correlated with the score of social support. The score of SCL-90 was the most important factor that affected the QOL, followed by the income of the pati ents. CONCLUSION: The major factors affecting the QOL were mental health status, financial status and social support of the patients. The results point out prac tical nurses should keep an eye on these factors.