摘要
目的评价肠造口患者术后的心理、社会功能情况，并分析其影响因素。方法采用大肠癌生命质量测定量表（QLICP-CR）对上海市3所三级甲等医院的160例肠造口患者的心理、社会功能进行调查，并对其影响因素进行分析。结果共发放调查问卷160份，回收156份，有效回收率为97．5％。术后时间〈1个月、1-6个月、6个月-1年、〉1年的肠造口患者社会功能得分分别为（69．44±5．93），（58．63±3．34），（53．33±3．21），（66．31±2．39）分，社会支持总分分别为（75．00±7．73），（56．25±5．40），（53．75±4．58），（71．74±3．33）分，不同术后时间的肠造口患者的社会功能及社会支持得分比较，差异有统计学意义（F值分别为3．76，4．34；P〈0．05）。在心理功能和社会功能领域上，由医护人员为其更换造口袋的患者得分最高，其次是自我护理的人群，依赖家属更换的得分较低，三组间比较差异无统计学意义（P〉0．05）。由患者本人、家庭护理者及医护人员更换造口袋的患者经济影响得分分别为（53．98±4．53），（51．09±4．71），（75．00±5．89）分，3组比较，差异有统计学意义（F=4．43，P〈0．05）。依赖医护人员更换的患者经济影响得分较高。结论关注肠造口术后患者及其家庭护理者的造口护理相关知识传授，提高其自我护理能力，使其向积极的心理社会功能方向转归，从而真正实现延长其生存期的同时提高生活质量的目标。
Objective To evaluate the psychological and social function in eolostomy patients, and to analysis its influential factors. Methods One hundred and sixty colostomy patients were investigated by the quality of life instruments for cancer patients-eoloreetal cancer （QLICP-CR） in the three grade 3 and first-class hospitals of Shanghai, and the influential factors were analyzed. Results One hundred and sixty questionnaires were issued and 156 questionnaires were responsive with an effective response rate of 97. 5%. The scores of social function were respectively （69. 44 ±5.93）, （58.63 ± 3. 34）, （53.33 ± 3.21 ）, （66. 31 ± 2. 39） ,which were less than one month, within one to six months, within six to twelve months, more than one year after operation, the scores of social support were respectively （75.00 ± 7. 73 ）, （56. 25 ± 5.40）, （53.75 ± 4. 58 ）, （71.74 ± 3.33 ）, and the scores of social function and social support in patients were compared at difference times, and the differences were statistically significant （ F = 3.76,4. 34, respectively; P 〈 0. 05 ）. In the field of psychological function and social function, the patients whose ostomy bag were changed by the doctors and nurses got the highest score, and the patients whose ostomy bag were changed by themselves got the higher score, and the patients whose ostomy bag were changed by earegivers got the lower score, and no difference was found in the three group （P 〉 0. 05 ）. The scores of economic effects in the patients whose ostomy bag were respectively changed by themselves, earegivers, doctors and nurses were （53.98 ± 4. 53 ）, （51.09 ± 4.71 ）, （75.00 ± 5.89）, and the difference was found in the three groups （ F = 4.43 ; P 〈 0.05 ）, and the patients whose ostomy bag were changed by the doctors and nurses got the higher scores of economic effects. Conclusions Keeping attention to ＇impart the knowledge of eolostomy related nursing to the eolostomy patients and their earegivers can improve their seff-earo abilities, and make the patients lapse to positive psyehologieal and social function, so as to realize the goals of extending their overall survival and improving their quality of life.
出处
《中华现代护理杂志》
2014年第8期897-900,共4页
Chinese Journal of Modern Nursing
关键词
肠造口术
护理
心理
社会功能
Colostomy
Nursing
Psychology
Social function
