直肠癌肠永久性结肠造口患者家庭复原力的现状及影响因素

Current status and factors affecting the family resilience in patients with permanent colostomy from rectal cancer

目的:了解本地区直肠癌永久性结肠造口患者家庭复原力现状及影响因素。方法:选取2019年12月~2021年4月在海南省人民医院就诊的直肠癌永久性结肠造口患者109例为研究对象,采用家庭复原力评估量表、社会影响量表、造口患者生活质量量表进行调查,分析直肠癌永久性结肠造口患者家庭复原力与一般临床资料、病耻感、生活质量的相关性。结果:直肠癌肠造口患者家庭复原力得分为(178.48±15.58)分,单因素分析结果显示,性别、居住地、婚姻状况与直肠癌造口患者家庭复原力有关(P<0.05);Pearon相关分析结果显示,家庭复原力与病耻感呈负相关(P<0.05),与生活质量呈正相关(P<0.05);多元线性回归分析发现无配偶或配偶不在身边、病耻感高、生活质量低是直肠癌永久性结肠造口患者家庭复原力的危险因素(P<0.05)。结论:在日常护理过程中,应注重关注对无配偶或配偶不在身边、病耻感高、生活质量低的患者,以提高患者家庭复原力,使患者快速恢复正常生活。

Objective:To understand the current status of local family resilience and the influencing factors in patients with permanent colostomy due to rectal cancer.Methods:One hundred and nine patients with permanent colostomy due to rectal cancer treated in our hospital were included from December 2019 to April 2021,and undergone survey with Family Resilience Assessment Scale,Social Impact Scale,and Quality of Life of Stoma Patients.Then the data were analyzed for observing the relationship between family resilience and general clinical data,stigma,and quality of life in patients with permanent colostomy due to rectal cancer.Results:The family resilience score was 178.48±15.58 for patients with permanent colostomy for rectal cancer.Univariate analysis showed that gender,residence and marital status were related to the family resilience(P<0.05).Pearson correlation analysis indicated that family resilience was negatively correlated with stigma(P<0.05),yet positively with quality of life(P<0.05).Multiple linear regression analysis demonstrated that the factors affecting family resilience were associated with such patients without spouse or spouse being not around,high stigma,and low quality of life(P<0.05).Conclusion:In the daily nursing process,attention should be paid to patients who have no spouse or whose spouse is not around,and those with high stigma and low quality of life,so as to improve the patient′s family resilience and enable the patient to quickly return to a normal life.