文章摘要

克罗恩病患者病耻感现状及其影响因素

作者: 1张爱玲, 2陈艳, 3孔方, 2王文慧, 3丁成亮, 2鲁桂兰
1 南京中医药大学护理学院，南京 210023
2 南京中医药大学附属南京医院(南京市第二医院)护理部，南京 210003
3 南京中医药大学附属南京医院(南京市第二医院)消化病治疗中心，南京 210003
通讯: 陈艳 Email: fsyy01592@njucm.edu.cn
DOI: 10.3978/j.issn.2095-6959.2022.06.018
基金: 江苏省研究生科研与实践创新计划项目(SJCX22_0810)；十三五南京市卫生青年人才培养工程(QRX17155)。

摘要

目的：分析克罗恩病患者病耻感现状及影响因素。方法：采用一般资料调查问卷、社会影响量表和自尊量表对151例克罗恩病患者进行调查。结果：克罗恩病患者病耻感总分为61.68±13.59，条目分为2.57±0.57。多重逐步回归分析显示克罗恩病患者自尊水平、家庭收入、年龄、职业和是否带造口是影响其病耻感的重要因素，可解释总体变异的32.4%。结论：克罗恩病患者病耻感处于中等水平，临床护理中应关注患者的自尊、家庭收入、年龄、职业和是否造口，以减轻克罗恩病患者的病耻感程度。
关键词： 克罗恩病；病耻感；自尊；影响因素

Current status and influencing factors of stigma in patients with Crohn’s disease

Authors: 1ZHANG Ailing, 2CHEN Yan, 3KONG Fang, 2WANG Wenhui, 3DING Chengliang, 2LU Guilan
1 School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210023, China
2 Department of Nursing, Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine (Nanjing Second Hospital), Nanjing 210003, China
3 Digestive Disease Treatment Center, Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine (Nanjing Second Hospital), Nanjing 210003, China

CorrespondingAuthor: CHEN Yan Email: fsyy01592@njucm.edu.cn

DOI: 10.3978/j.issn.2095-6959.2022.06.018

Foundation: This work was supported by the Postgraduate Research & Practice Innovation Program of Jiangsu Province (SJCX22_0810) and 13th Five Year Plan of Nanjing Health Youth Talent Training Project (QRX17155), China.

Abstract

Objective: To explore the status and influencing factors of stigma in patients with Crohn’s disease. Methods: A total of 151 Crohn’s disease patients were investigated with the general information questionnaire, Social Impact Scale and the Self-Esteem Scale. Results: The total score on stigma in patients with Crohn’s disease was 61.68±13.59, and the score of items was 2.57±0.57. The multivariate regression analysis results showed that self-esteem level, family income, age, occupation and whether or not to have a stoma were the influencing factors of stigma of Crohn’s disease, which could explain 32.4% of the total variation. Conclusion: The stigma of patients with Crohn’s disease is at a moderate level, and clinical care should pay attention to the patient’s self-esteem, family income, age, occupation, and whether or not to have a stoma to reduce the degree of stigma in patients with Crohn’s disease.

Keywords： Crohn’s disease; stigma; self-esteem; influencing factor

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