1 广东省中医院胃肠外科，广州 510120
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。
Current status and influencing factors of self-management ability of colostomy patients
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).
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.
colon cancer; stoma; self-management ability; influencing factors