直肠癌术后永久性结肠造口患者病耻感现状及其相关危险因素分析

Analysis of stigma and related risk factors in patients with permanent colostomy after rectal cancer surgery

目的分析直肠癌术后永久性结肠造口患者病耻感现状及其相关危险因素。方法选取2021年1月至12月期间于南昌大学第二附属医院行永久性结肠造口的直肠癌患者75例为研究对象,术后采用社会影响量表(SIS)评估患者病耻感现状。采用自制基线资料调查问卷记录患者年龄、性别、文化程度、婚姻状况等相关资料,并比较不同特征的直肠癌术后永久性结肠造口患者SIS评分,采用多元线性回归分析影响患者病耻感的危险因素。结果75例直肠癌术后永久性结肠造口患者SIS评分37~85分,平均(62.35±8.64)分;不同文化程度、焦虑、社会支持度、希望水平的直肠癌术后永久性结肠造口患者SIS评分比较,差异有统计学意义(P<0.05);多元线性回归分析结果显示,文化程度低、伴有焦虑、社会支持度低、希望水平低是影响直肠癌术后永久性结肠造口患者病耻感的危险因素(P<0.05)。结论直肠癌术后永久性结肠造口患者病耻感较高,可能受患者自身文化程度、焦虑、社会支持度、希望水平等因素的影响。

Objective To analyze the status and risk factors of stigma in patients with permanent colostomy after rectal cancer surgery.Methods A total of 75 rectal cancer patients who underwent permanent colostomy in the Second Affiliated Hospital of Nanchang University from January to December 2021 were selected as the research objects.The Social Impact Scale(SIS)was used to evaluate the status of stigma of patients after surgery.A self-designed baseline questionnaire was used to record patients'age,gender,education level,marital status and other relevant information.The SIS scores of patients with different characteristics were compared Results The SIS score of 75 patients with permanent colostomy after rectal cancer surgery ranged from 37 to 85,with an average of(62.35±8.64).There were statistically significant differences in SIS scores of patients with different education levels,anxiety,social support and hope levels(P<0.05).The results of multiple linear regression analysis showed that low education level,anxiety,low social support and low hope level were risk factors affecting the stigma of patients with permanent colostomy after rectal cancer surgery(P<0.05).Conclusion The stigma of patients with permanent colostomy after rectal cancer surgery is high,which may be affected by their education levels,anxiety,social support and hope levels.