结直肠癌造口术后患者疾病获益感与社会心理适应的相关性

Correlation Between Disease Benefit and Psychosocial Adaptation in Patients With Colorectal Cancer After Colostomy

目的了解结直肠癌造口术后患者的疾病获益感和社会心理适应的现状及其影响因素,探讨患者的疾病获益感和社会心理适应的相关性,为结直肠癌造口术后患者造口护理干预提供依据。方法选取2022年3—10月就诊于厦门市某三级甲等综合性医院造口伤口护理门诊的83例结直肠癌造口术后患者作为调查对象,采用自制的一般资料调查表、疾病获益感量表(benefit finding scale,BFS)和社会心理适应量表(ostomy adjustment inventory-20,OAI-20)对其进行调查。结果患者的BFS得分为(81.53±13.38)分,处于中上水平,OAI-20得分为(44.01±11.17)分,社会心理适应水平中等;BFS总分及各维度均与社会心理适应水平呈正相关性(r=0.467,P<0.05)。单因素分析显示,年龄、婚姻状况、医疗付费方式为社会心理适应水平的影响因素。最终医疗付费方式和BFS得分进入多元回归方程,可列出方程y=38.509-11.146x1+0.388x2,x1为医保付费方式,x2为BFS得分,分析结果显示医疗付费方式和BFS得分是社会心理适应水平最重要的影响因素。结论结直肠癌造口术后患者疾病获益感与社会心理适应水平密切相关,提高患者的疾病获益感水平有助于改善其社会心理适应状况。

Objective To investigate the current status and influencing factors of the disease benefit and psychological adaptation in patients with colorectal cancer after colostomy,and to explore the correlation between the disease benefit and psychological adaptation in patients with colorectal cancer after colostomy,so as to provide a basis for colostomy nursing intervention.Methods A total of 83 patients with colorectal cancer after colostomy in the ostomy and wound care clinic of grade A tertiary general hospital in Xiamen from March to October 2022 were selected as the investigation subjects.The self-made general information questionnaire,benefit finding scale(BFS)and ostomy adjustment inventory-20(OAI-20)were used to investigate the patients.Results The BFS score of the patient was(81.53±13.38)points,which was in the upper middle level,the OAI-20 score was(44.01±11.17)points,and the psychosocial adaptation level was medium.The total score and dimensions of BFS were positively correlated with the level of psychosocial adaptation(r=0.467,P<0.05).Univariate analysis showed that age,marital status and medical payment method were the influencing factors of psychosocial adaptation level,and the final medical payment method and BFS score were entered into multiple regression equations.The equation y=38.509-11.146x1+0.388x2 can be listed,x1 is the medical insurance payment method,x2 is the BFS score,and the analysis results show that the medical payment method and BFS score are the most important influencing factors of psychosocial adaptation level.Conclusion The disease benefit is closely related to the level of psychosocial adaptation in patients with colorectal cancer after colostomy.Improving the level of perceived benefit from disease is helpful to improve their psychosocial adaptation.