肠造口患者压力知觉及影响因素的研究

Study on perceived stress and its influencing factors of patients with enterostomy

目的调查肠造口患者压力知觉现状,探讨影响肠造口患者压力知觉的主要因素。方法采用横断面研究、一般资料调查表、中文版压力知觉量表,对168例结直肠癌行造口术的患者进行调查研究。结果肠造口患者压力知觉总分为(31.52±7.40)分,肠造口患者压力知觉水平受术后并发症、职业状况、居住状况、宗教信仰、术后时间、造口用品费用来源、自我管理能力的影响(P<0.05),差异有统计学意义。多元线性回归分析显示肠造口患者术后时间、并发症、造口用品费用来源、自我管理是影响患者压力知觉水平的主要因素。结论护理人员应了解肠造口患者压力知觉水平及其主要影响因素,以此为依据制定符合肠造口患者心理变化为特点的优质护理方案,从而减轻患者压力知觉降低心理压力,提高生活质量。

To study the status of perceived stress among enterostomy patients,and to explore the influencing factors.Methods A cross-sectional study was conducted.The self-designed demographic questionnaire and the perceived stress scale were delivered to 168 enterostomy patients.The data were analyzed by SPSS20.0 statistical software.Results The total perceived stress score of enterostomy patients was 31.52±7.40.The level of perceived stress of enterostomy patients was affected by complication,occupational status,living conditions,religious beliefs,postoperative time,self-management,cost of costomy.The difference was statistically significant(P<0.05).The postoperative time,complication,cost of costomy and self-management in patients with enterostomy of the patients entered the multiple regression equation.Conclusion Nursing staff should understand the level of perceived stress and its influencing factors in patients with enterostomy,nursing process to the influencing factors as the point to implement the nursing plan,by reducing the perceived stress of patients to improve their quality of life.