预防性肠造口患者出院早期自我管理现状及影响因素分析

Self-management and its influencing factors among patients receiving preventive enterostomy in early discharge

目的了解预防性肠造口患者出院早期自我管理现状及影响因素,为制订针对性干预措施提供依据。方法采用一般资料调查表、出院准备度量表对266例预防性肠造口患者于出院前1 d进行调查,出院后60 d使用肠造口患者自我管理问卷进行调查。结果预防性肠造口患者自我管理能力得分(102.22±17.56)分;多元线性回归分析显示,是否进行放化疗、是否有造口相关并发症和出院准备度水平是预防性肠造口患者自我管理能力的主要影响因素(均P<0.01)。结论预防性肠造口患者出院早期自我管理能力处于中等水平。医护人员应关注预防性肠造口患者自我管理的影响因素,为患者制订针对性干预措施,改善患者健康结局。

Objective To investigate self-management status and its influencing factors among patients receiving preventive enterostomy in early discharge,so as to provide evidence for developing targeted intervention.Methods A total of 266 patients receiving preventive enterostomy were investigated utilizing a general data questionnaire,and the Readiness for Hospital Discharge Scale,at 1 day before discharge;60 days after discharge,they were surveyed with the Enterostomy Patients Self-management Questionnaire.Results The score of self-management ability among patients receiving preventive enterostomy was(102.22±17.56).Multiple li-near regression analysis showed that,whether having received radiotherapy and chemotherapy,whether having experienced ostomy-related complications and discharge readiness level were the major factors influencing the patients'self-management ability(P<0.01 for all).Conclusion The self-management ability among patients receiving preventive enterostomy in early discharge is at a moderate level.Medical staff should pay attention to the influencing factors of patients'self-management ability,then develop targeted interventions,so as to improve patients'health outcomes.