目的：调查直肠癌永久性造口患者疾病耻辱感、社会支持及自我效能现状，并分析患者疾病耻辱感与社会支持及自我效能之间的相关性。方法：采用方便抽样，选取解放军第102医院2015年6月至2016年12月直肠癌永久性造口患者118名为研究对象。采用社会影响量表(Social Impact Scale，SIS)、社会支持评定量表(Social Support Rating Scale，SSRS)以及造口相关自我效能问卷调查患者疾病耻辱感、社会支持及自我效能，并采用Spearman相关性检验分析患者疾病耻辱感与社会支持及自我效能的相关性。结果：患者疾病耻辱感得分为59.47±11.03，社会支持总分为43.11±5.85，55.08%患者自我效能处于中等水平。患者疾病耻辱感得分与社会支持中的主观支持、客观支持、社会利用度得分呈负相关(P<0.05)，与自我效能呈负相关(P<0.05)。结论：直肠癌永久性造口患者疾病耻辱感较强，临床护理工作者应全方位采取措施提高患者社会支持水平，从而降低患者疾病耻辱感，提高其自我效能。
Correlation of the disease stigma with social function and self-efficacy in rectal cancer patients with permanent colostomy
Objective: To investigate the present situation of disease stigma, social function and self-efficacy in rectal cancer patients with permanent colostomy, and to analysis the correlation between disease stigma, social function and self-efficacy. Methods: By a convenient sampling, the 118 cases of rectal cancer patients with permanent colostomy were selected in our hospital from June 2015 to December 2016. Used Social Impact Scale (SIS), Social Support Rating Scale (SSRS) and stoma related self-efficacy questionnaire to survey patients with stigma, social support and self-efficacy, and analyzed the correlation between disease stigma, social function and self-efficacy with Spearman correlative test. Results: The score of disease stigma in rectal cancer patients with permanent colostomy was 59.47±11.03, the total score of social function was 43.11±5.85, and 55.08% of the patients had moderate self-efficacy. The score of disease stigma were negatively correlated with the scores of subjective support, objective support and social utilization in social support, and negatively correlated with the score of self-efficacy. Conclusion: The rectal cancer patients with permanent colostomy have a strong disease stigma, clinical nursing workers should take all-round measures to improve the level of social support in the patients to reduce the disease stigma, and improve the self-efficacy.