结肠癌造口患者自我管理能力的现状及影响因素分析

Current status and influencing factors of self-management ability of colostomy patients

目的:了解结肠癌造口患者自我管理能力的临床现状,并分析其影响因素。方法:选择2018年1至12月在广东省中医院治疗的191例结肠癌造口患者,应用一般情况调查表、社会支持量表(Social Support Rating Scale,SSRS)、肠造口患者自我管理问卷进行调查,数据采用SPSS22.0软件进行统计分析。结果:结肠癌造口患者的自我管理得分为(98.34±10.66)分,得分相对较低,症状管理、信息管理和心理护理的得分率均低于60%。回归分析结果显示:年龄、社会支持情况、文化程度、是否独居、造口护理情况、造口时间和住院次数均为自我管理得分的影响因素,共可解释69.5%的方差变异量。结论:结肠癌造口患者的自我管理能力相对不足,临床医护人员应加强评估并制订有针对性的健康教育策略,以提升其疾病自我管理能力,改善临床预后。

Objective:To understand the clinical status of self-management ability of colon cancer patients undergoing colostomy and to analyze its influencing factors.Methods:A total of 191 cases of colostomy patients treated in our hospital from January to December 2018 were selected.The general situation questionnaire,Social Support Rating Scale and self-management questionnaire of colostomy patients were used to investigate.The data were analyzed by SPSS 22.0 software.Results:The self-management score of colostomy patients was 98.34±10.66,which was relatively low.The scoring rates of symptom management,information management and psychological nursing were lower than 60%.Regression analysis showed that age,social support,education level,living alone,stoma care,stoma time and hospitalization times were independent factors affecting self-management scores.A total of 69.5%variance can be explained.Conclusion:The self-management ability of colostomy patients is relatively inadequate.Clinicians and nurses should strengthen the evaluation and formulate targeted health education strategies to improve their disease self-management ability and improve clinical prognosis.