永久性肠造口患者伤残接受度、心理一致感对生活质量的影响

Effect of Acceptance of Disability, Sense of Coherence on Quality of Life of Colorectal Patients with Permanent Colostomy

目的了解永久性肠造口患者伤残接受度、心理一致感及生活质量现状,探讨伤残接受度、心理一致感对生活质量的影响。方法采用自制的一般资料调查表、伤残接受度量表(Acceptance of Disabiliy Scale,AODS)、心理一致感量表(Sense of Coherence SOC)和中文版造口患者生活质量问卷(City of Hope-Quality of life-Ostomy Questionnaire-Chinese Version COH-QOL-OQ)对青岛市某三级甲等医院90例永久性肠造口患者进行问卷调查。结果永久性结肠造口患者伤残接受度总分为(79.01±4.21)分,心理一致感总分为(53.42±4.19)分,生活质量总分为(4.47±1.31)分;生活质量总分与伤残接受度总分、心理一致感总分均呈正相关,r值分别为0.520和0.552(P<0.05);伤残接受度、心理一致感、年龄、家庭平均月收入、造口时间进入生活质量的回归模型(P<0.05),R2=0.649。结论永久性肠造口患者伤残接受度及生活质量均处于中等水平,心理一致感处于低度水平,生活质量与伤残接受度、心理一致感密切相关。医务人员应重视提高肠造口患者的伤残接受度和心理一致感水平,并根据患者的年龄、经济情况、造口时间给予个体化护理干预,从而改善患者的生活质量。

Objective To investigate the current status of acceptance of disability, sense of coherence and quality of life of colorectal patients with permanent colostomy, and discuss the effect of acceptance of disability, sense of coherence on quality of life. Methods Ninety patients in one third-level, first-class hospital in Qingdao City were recruited and investigated with a self-designed general information questionnaire, Acceptance of Disability Scale （AODS）, Sense of Coherence （SOC） and City of Hope-Quality of life-Ostomy Questionnaire-Chinese Version（COH-QOL-OQ）. Results The total scores of acceptance of disability, sense of coherence and quality of life of colorectal patients with permanent colostomy were 79.01 ±4.21, 53.42 ±4.19 and 4.47 ±1.31 respectively. The quality of life was positively correlated with acceptance of disability and sense of coherence and the correlation coefficient was 0.520 and 0.552 respectively （P〈0.05）. Multiple linear regression analysis showed that acceptance of disability, sense of coherence, age, average monthly household income and postoperative time entered into the quality of life regression equation （P〈0.05）, R^2=0.649. Conclusion The acceptance of disability and quality of life of colorectal patients with permanent colostomy are in medium level, but the sense of coherence is in low level. There is intimate correlation among quality of life, acceptance of disability and sense of coherence. To improve the quality of life of patients, medical staff should pay attention to raising the acceptance of disability and sense of coherence, and providing patients with individualized nursing intervention based on age, economic condition and postoperative time of patients.