文章摘要

结肠癌造口患者自我管理能力的现状及影响因素分析

作者: 1辛 楚璇, 1王 伟, 1黄 赛艳, 1梁 碧茵
1 广东省中医院胃肠外科,广州 510120
通讯: 辛 楚璇 Email: xuanshopszy@163.com
DOI: 10.3978/j.issn.2095-6959.2020.02.024
基金: 广东省中医院中医药科学技术研究专项课题(重点项目)(YN2016ZD02)。

摘要

目的:了解结肠癌造口患者自我管理能力的临床现状,并分析其影响因素。方法:选择2018年1至12月在广东省中医院治疗的191例结肠癌造口患者,应用一般情况调查表、社会支持量表(Social Support Rating Scale,SSRS)、肠造口患者自我管理问卷进行调查,数据采用SPSS 22.0软件进行统计分析。结果:结肠癌造口患者的自我管理得分为(98.34±10.66)分,得分相对较低,症状管理、信息管理和心理护理的得分率均低于60%。回归分析结果显示:年龄、社会支持情况、文化程度、是否独居、造口护理情况、造口时间和住院次数均为自我管理得分的影响因素,共可解释69.5%的方差变异量。结论:结肠癌造口患者的自我管理能力相对不足,临床医护人员应加强评估并制订有针对性的健康教育策略,以提升其疾病自我管理能力,改善临床预后。
关键词: 结肠癌;造口;自我管理能力;影响因素

Current status and influencing factors of self-management ability of colostomy patients

Authors: 1XIN Chuxuan, 1WANG Wei, 1HUANG Saiyan, 1LIANG Biyin
1 Department of Gastrointestinal Surgery, Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, China

CorrespondingAuthor:XIN Chuxuan Email: xuanshopszy@163.com

Foundation: This work was supported by the Special Project of Traditional Chinese Medicine Science and Technology Research in Guangdong Hospital of Traditional Chinese Medicine (Key Project), China (YN2016ZD02).

Abstract

Objective: To understand the clinical status of self-management ability of colon cancer patients undergoing colostomy and to analyze its influencing factors. Methods: A total of 191 cases of colostomy patients treated in our hospital from January to December 2018 were selected. The general situation questionnaire, Social Support Rating Scale and self-management questionnaire of colostomy patients were used to investigate. The data were analyzed by SPSS 22.0 software. Results: The self-management score of colostomy patients was 98.34±10.66, which was relatively low. The scoring rates of symptom management, information management and psychological nursing were lower than 60%. Regression analysis showed that age, social support, education level, living alone, stoma care, stoma time and hospitalization times were independent factors affecting self-management scores. A total of 69.5% variance can be explained. Conclusion: The self-management ability of colostomy patients is relatively inadequate. Clinicians and nurses should strengthen the evaluation and formulate targeted health education strategies to improve their disease self-management ability and improve clinical prognosis.
Keywords: colon cancer; stoma; self-management ability; influencing factors