目的性反刍性沉思对老年肠造口病人病耻感与生活质量的中介作用

Mediation role of “rumination meditations in purpose” between stigma and quality of life among elderly colostomy patients

[目的]探讨老年肠造口病人病耻感与生活质量间的关系及目的性反刍性沉思的中介作用。[方法]采用方便抽样法,对343例老年结肠造口病人,采用一般资料调查表、社会影响量表、事件相关性反刍性沉思问卷、造口病人生活质量量表进行问卷调查。[结果]老年结肠造口病人社会影响量表、事件相关性反刍性沉思问卷、造口病人生活质量量表得分分别为66.74分±10.18分,13.36分±4.13分,51.23分±10.18分。Pearson相关分析结果显示老年肠造口病人病耻感与目的性反刍性沉思、生活质量呈负相关(r值分别为-0.39,-0.52,P<0.01),目的性反刍性沉思与生活质量呈正相关(r值为0.46,P<0.01)。中介效应检验显示,目的性反刍性沉思对病耻感与生活质量起部分中介作用(36.4%)。[结论]造口对老年病人的病耻感、目的性反刍性沉思和生活质量存在不同程度的影响。

Objective：To investigate the relationship between stigma and quality of life in elderly colostomy patients,and the mediating effect of rumination meditations in purpose.Methods：A total of 343 elderly colostomy patients were selected by convenient sampling method;they were investigated by General Information Questionnaire,Social Impact Scale（SIS）,Event Related Rumination Inventory（ERRI）and Stoma-QOL.Results：The scores of SIS,ERRI,Stoma-QOL were（66.74±10.18）（13.36±4.13）,and（51.23±10.18）,respectively.The Pearson correlation analysis showed that stigma of elderly colostomy patients was negatively related with rumination meditations in purpose and quality of life（r=-0.39,-0.52;P0.01）.Rumination meditations in purpose were positively related to the quality of life（r=0.46,P0.01）.The mediator effect test showed that rumination meditations in purpose partially mediates the relationship between stigma and quality of life（36.4%）.Conclusions：Colostomy influenced the stigma,rumination meditations in purpose and quality of life of elderly patients in different degrees.