肠造口患者个人掌控感对其自我照护行为执行意向的影响

Effects of Personal Control on Implementation Intention of Self Care Behavior in Patients with Intestinal Stoma

目的探讨肠造口患者个人掌控感对自我照护行为执行意向的影响。方法2021年3-6月,采用便利抽样法选取在青岛市某三级甲等医院造口门诊就诊的182例肠造口患者作为研究对象,采用一般资料调查表、个人掌控感量表、领悟社会支持量表、肠造口患者自我照护行为执行意向问卷对其进行调查。结果肠造口患者自我照护行为执行意向得分为(76.24±16.83)分、个人掌控感得分为(20.68±2.47)分;多因素分析显示,家庭人均月收入、造口术后时间、个人掌控感、领悟社会支持为肠造口患者自我照护行为执行意向的主要影响因素(均P<0.05),共解释总变异量的43.5%。结论肠造口患者自我照护行为执行意向处于中等偏低水平,医护人员应多关注家庭人均月收入较低、造口术后时间短的肠造口患者,可通过提高其个人掌控感、社会支持水平,从而促进自我照护行为执行意向的形成。

Objective To investigate the effect of personal control on implementation intention of self-care behavior intestinal stoma patients.Methods From March 2021 to July 2021,a total of 182 intestinal stoma patients in ostomy outpatient of the tertiary hospital in Qingdao City were selected by the convenience sampling method.They were investigated by general data questionnaire,personal control scale,perceived social support scale and self-care behavior intention questionnaire.Results The total score of self-care behavior implementation intentions among intestinal stoma patients was(76.24±16.83),the total score of Personal Mastery of intestinal stoma patients was(20.68±2.47).The result of multiple linear regression showed that personal monthly income,postoperative time,mastery level,perceived social support were factors affecting implementation intentions of self-care behavior in patients with intestinal stoma(all P<0.05),which explained 43.5%of the total variance.Conclusions The score of implementation intentions of self-care behavior among intestinal stoma patients is at a medium low level.Medical staff should pay more attention to intestinal stoma patients with low income and short postoperative time,so as to promote the formation of self-care behavior implementation intention by improving their mastery and social support level.