Miles根治术后永久性肠造口患者自我感受负担及其影响因素

Self-Perceived Burden and Its Influencing Factors of Patients with Permanent Enterostomy After Miles Radical Operation

目的分析Miles根治术后永久性肠造口患者自我感受负担情况,并调查相关影响因素。方法选取新蔡县人民医院2019年4月至2021年4月收治的109例Miles根治术后永久性肠造口患者为研究对象,以自我感受负担量表(SPBS)评估患者自我感受负担,收集患者性别、年龄、受教育程度、粪便泄露频率、家庭月收入、造口位置、是否参加肠造口健康宣教培训等临床相关资料,进行影响因素分析。结果109例Miles根治术后永久性肠造口患者SPBS评分总分为(37.33±8.14)分,其中身体因素(7.85±1.94)分,经济因素(7.92±2.03)分,情感因素(21.56±4.19)分。重度自我感受负担31例,中度自我感受负担59例,轻度自我感受负担19例;不同受教育程度、粪便泄露频率、家庭月收入、是否参加肠造口健康宣教培训患者SPBS评分比较,差异有统计学意义(P<0.05);受教育程度、粪便泄露频率、家庭月收入、是否参加肠造口健康宣教培训是Miles根治术后永久性肠造口患者自我感受负担的影响因素(P<0.05)。结论Miles根治术后永久性肠造口患者自我感受负担处于较高水平,与受教育程度、粪便泄露频率、家庭月收入、是否参加肠造口健康宣教培训关系密切,临床应提高重视程度,加强患者对造口护理技能的了解程度,关注患者心理健康,改善患者心理状态,以提高患者生活质量。

Objective To analyze the self-perceived burden of patients with permanent enterostomy after Miles radical operation,and to investigate related influencing factors.Methods A total of 109 patients with permanent enterostomy after Miles radical operation who were admitted to Xincai People’s Hospital from April 2019 to April 2021 were selected as the research objects.The self-perceived burden scale(SPBS)was used to assess the self-perceived burden of the patients,and the gender,age,education level,fecal leakage frequency,family monthly income,stoma location and whether to participate in enterostomy health education and training were collected to analyze influencing factors.Results The total SPBS score of 109 patients with permanent enterostomy after Miles radical operation was(37.33±8.14)points,including physical factors(7.85±1.94)points,economic factors(7.92±2.03)points and emotional factors(21.56±4.19)Points.A total of 31 cases of severe self-perceived burden,59 cases of moderate self-perceived burden and 19 cases of light self-perceived burden.There were statistical differences in the SPBS scores of patients with permanent intestinal stoma after radical surgery in Miles with different education level,frequency of fecal leakage,family monthly income and whether to participate in enterostomy health education and training(P<0.05).Education level,frequency of fecal leakage,monthly family income and participation in enterostomy health education and training are the influencing factors of self-experience burden of patients with permanent enterostomy after Miles radical operation(P<0.05).Conclusion Patients with permanent enterostomy after Miles radical operation are at a relatively high level of self-experience burden,which is closely related to education level,frequency of fecal leakage,monthly family income and whether to participate in enterostomy health education and training.The clinic should increase the degree of attention,strengthen the patient’s understanding of stoma nursing skills,pay attention to the patient’s mental health,improve the patient’s mental state,and improve the quality of life of the patient.