肠造口患者造口适应的现状及影响因素分析

Current Status of Adjustment in Enterostomy Patients and Its Influence Factors

目的调查肠造口患者造口适应水平现状及影响因素。方法采用方便抽样法选取大连市某三级甲等医院符合纳排标准的180例肠造口患者,采用一般资料调查表、肠造口患者社会心理适应量表、家庭关怀度指数问卷、正念注意觉知量表、疾病获益感量表进行调查分析。结果肠造口患者造口适应水平得分为(45.82±8.81)分。多元线性回归结果显示:患者的家庭人均月收入水平、手术后时长、正念水平、疾病获益感是影响肠造口患者造口适应的主要因素(P<0.05)。结论肠造口患者造口适应水平有待改善,应重点关注收入水平低、手术后时间<1年和>3年的患者,针对其特点采取有效的护理措施提高患者的正念水平及疾病获益感,进而促进肠造口患者造口适应水平的提高。

Objective To investigate the current status of adjustment in enterostomy patients and to explore its influence factors.Methods With convenient sampling method,180 patients with enterostomy were investigated by using a general information questionnaire,Ostomy Adjustment Inventory-20(QAI-20),the Family APGAR Index,Mindful Attention Awareness Scale(MAAS)and the Benefit Finding Scale(BFS).Results The score of stoma-adjustment was 45.82±8.81.Multiple linear regression analysis showed the influencing factors were household per capita monthly income,postoperative time,mindfulness and benefit finding(P<0.05).Conclusion Stoma-adjustment level of enterostomy patients should be improved.Emphasis should be placed on patients with low income and postoperative time less than one year and more than three years.Nursing measures should be taken to improve patients’mindfulness and disease benefit,so as to promote early adaptation of patients with enterostomy.