直肠癌造口患者心理弹性现状及其影响因素

Influencing factors for mental resilience in rectal cancer patients underwent colostomy

目的探讨直肠癌造口患者的心理弹性水平及影响因素。方法采用一般资料问卷、Connor-Davidson心理弹性量表对163例直肠癌造口患者的心理弹性水平进行问卷调查,并分析其影响因素。结果共发放问卷180份,回收有效问卷163份,有效率90.56%(163/180)。直肠癌造口患者心理弹性总分为23~85分,平均(51.81±10.07)分。多元逐步回归分析结果显示,家庭月收入、年龄、造口并发症、居住地、造口时间、造口接受度是患者心理弹性的影响因素(P<0.05)。结论直肠癌造口患者的心理弹性水平较低,尤其是农村地区、较年轻、经济状况较差、造口时间较短、有并发症以及接受度较差的患者;应制定合理措施,以提高其心理弹性水平。

Objective To investigate the influencing factors for mental resilience in rectal cancer patients underwent eolostomy. Methods The mental resilience of 163 patients with rectal cancer underwent co]ostomy was investigated by general data questionnaire and Connor-Davidson resilience scale, and the influencing factors for mental resilience were analyzed. Re- suits A total of 180 questionnaires were issued and 163 valid questionnaires were recovered,the effective rate was 90.56% （163/180）. The average total score of the mental resilience was 51.81 ±10.07 （23 -85 ） in rectal cancer patients underwent colostomy. Multiple stepwise regression analysis showed that the family monthly income, age, colostomy related complications, residence, time after ostomy and stoma acceptance were the influencing factors for mental resilience of patients with rectal canc- er underwent colostomy （P 〈 0.05 ）. Conclusion The rectal cancer patients underwent colostomy have lower mental resili- ence, especially in the patients of rural areas, younger, poorer financial status, shorter colostomy time, complicating complica- tions and poor acceptability. The reasonable measures should be taken to improve their mental resilience.