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永久性肠造口患者化疗期间预期性悲伤现状及影响因素分析

Status Quo of Preparatory Grief in Patients with Permanent Intestinal Stoma Undergoing Chemetherapy and Its Influencing Factors
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摘要 目的:了解永久性肠造口患者化疗期间预期性悲伤的现状,并分析其影响因素,为医护人员实施有针对性的干预措施提供参考依据。方法:采取便利抽样法选取青岛市某所三级甲等医院造口门诊就诊的175名化疗期间的肠造口患者作为研究对象,采用一般资料调查表、一般自我效能量表、领悟社会支持量表、癌症患者预期性悲伤量表对其进行调查。结果:肠造口患者化疗期间预期性悲伤得分为(38.20 ±7.14)分;单因素分析显示,比较不同年龄、文化程度、家庭人均月收入、性格、造口自理程度的肠造口患者化疗期间预期性悲伤的得分,其差异有统计学意义(P 【0.05);多因素分析显示,年龄、文化程度、性格、造口自理程度、自我效能、领悟社会支持为肠造口患者化疗期间预期性悲伤的主要影响因素(P 【0.05),共解释总变异量的40.2%。结论:肠造口患者在化疗期间存在较为严重的预期性悲伤,医护人员亟需关注其心理状态,采取有针对性的护理措施,提高患者的心理健康。 Objective: To investigate the statusof preparatory grief among intestinal stoma patients undergoing chemotherapy, and to analyze its influencingfactors, so as to provide reference for clinical medical staff taking effectiveinterventions. Methods: A total of 175 cases of intestinal stoma patientsundergoing chemotherapy were conveniently selected from a hospital in Qingdao.The questionnaire survey was carried out by using a General InformationQuestionnaire, General Self-Efficacy Scale, Perceived Social Support Scale, thePreparatory Grief in Advanced Cancer Patients Scale. Results: The total PGACscore of the intestinal stoma patients undergoing chemotherapy was (38.20 ±7.14).The univariate analysis showed that the intestinal stoma patients withdifferent ages, educational backgrounds, personal monthly income, characters,degree of ostomy self-care scored significantly different in PGAC (P
出处 《护理学》 2021年第5期477-484,共6页 Nursing Science
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