述情障碍对永久性结肠造口患者残障接受度的影响

The impact of alexithymia on the disability acceptance among patients with permanent colostomy

目的 :了解永久性结肠造口患者残障接受度和述情障碍现状,探讨述情障碍对患者残障接受度的影响。方法 :采用残障接受度量表和述情障碍量表对222例永久性结肠造口患者进行问卷调查。结果 :残障接受度总分为(180.45±33.25)分,述情障碍总均分为(2.99±0.79)分。识别情感障碍、描述情感障碍、外向型思维及述情障碍总分均与残障接受度各维度及总分呈显著负相关(P<0.05)。分层回归分析结果显示,识别情感障碍、描述情感障碍、外向型思维是永久性结肠造口患者残障接受度的影响因素(P<0.05)。结论 :永久性结肠造口患者残障接受度处于中等水平,述情障碍为其影响因素,护士可从述情障碍入手对其进行护理干预来改善残障接受度。

Objective： To investigate the current status of disability acceptance and alexithymia among patients with permanent colostomy, and to explore the effect of alexithymia on disability acceptance. Methods： Totally 222 patients with permanent colostomy were recruited and investigated by the Acceptance of Disability Scale and the Toronto alexithymia Scale. Results： The mean scores of disability acceptance and alexithymia were（180.45±33.25） and（2.99±0.79）, respectively. The affective disorder of recognition, affective disorder of description, extroverted thinking and the total score of alexithymia were significantly negatively correlated with the each dimension and total score of disability acceptance（P〈0.05）. Hierarchical regression analysis showed that the affective disorder of recognition, affective disorder of description and extroverted thinking were the influencing factors of the disability acceptance among patients with permanent colostomy（P〈0.05）. Conclusions： The level of disability acceptance was in the medium level among permanent colostomy patients and alexithymia was its influencing factor. The nursing staff could take effective measures to intervene exithymia and to improve the level of disability acceptance among permanent colostomy patients.