摘要
目的探讨结直肠癌永久性肠造口患者自我表露对失志综合征的影响,为永久性肠造口患者临床护理干预提供参考依据。方法采用便利抽样法,选取2023年1—5月在青岛大学附属医院崂山院区伤口造口门诊就诊的207例结直肠癌永久性肠造口患者为研究对象,采用一般资料调查表、痛苦表露指数量表、社会支持量表、中文版失志量表对其进行调查。结果207例结直肠癌永久性肠造口患者自我表露得分为35.00(26.00,47.00)分,社会支持得分为32.00(26.00,39.00)分,失志综合征得分为35.00(23.00,47.00)分,其中128例(61.8%)患者处于中度失志、37例(17.9%)患者处于重度失志。多重线性回归分析结果显示,居住地、能否自我护理造口、自我表露、社会支持是结直肠癌永久性肠造口患者失志综合征的影响因素(P<0.05)。结论结直肠癌永久性肠造口患者失志综合征得分较高,处于中、重度失志状态的患者占比较高,医护人员应重点关注偏远农村地区、造口自我护理能力较差的患者,通过制订针对性的干预措施,改善患者负性情绪,提高其自我表露水平,同时注重加强社会支持,降低患者失志综合征水平,从而提高生活质量。
Objective To explore the impact of self-disclosure on demoralization syndrome in patients with permanent enterostomy for colorectal cancer,so as to provide reference for clinical nursing interventions for those patients.Methods From January to May 2023,convenience sampling was used to select 207 patients with permanent enterostomy for colocrctal cancer of the Wound Ostomy Clinic of Laoshan Campus of the Affiliated Hospital of Qingdao University as the research subjects.A survey was conducted on patients using the General Information Questionnaire,Distress Disclosure Index,Social Support Rating Scale,and the Demoralization Scale Mandarin Version.Results Among 207 patients with permanent enterostomy for colorectal cancer,the scores of self-disclosure,social support,and demoralization syndrome were 35.00(26.00,47.00),32.00(26.00,39.00),and 35.00(23.00,47.00),respectively.A total of 128 patients(61.8%)were in moderate demoralization,and 37 patients(17.9%)were in severe demoralization.Multiple linear regression analysis showed that place of residence,self-care of stoma,self-disclosure,and social support were the influencing factors for demoralization syndrome in patients with permanent enterostomy for colorectal cancer(P<0.05).Conclusions Patients with permanent enterostomy for colorectal cancer have a high overall score of demoralization syndrome,and a high proportion of patients with moderate to severe demoralization.Medical and nursing staff should focus on patients in remote rural areas and those with poor self-care abilities to stomas,develop targeted intervention measures to improve patients'negative emotions,enhance their self-disclosure,and pay attention to strengthening social support to relieve their demoralization syndrome,thereby improving their quality of life.
作者
刘萌
李梦飞
王淑云
杨富国
陈德鑫
刘景哲
Liu Meng;Li Mengfei;Wang Shuyun;Yang Fuguo;Chen Dexin;Liu Jingzhe(School of Nursing,Qingdao University,Qingdao 266000,China;Department of Emergency Surgery,Laoshan Campus,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)
出处
《中华现代护理杂志》
2024年第15期2055-2060,共6页
Chinese Journal of Modern Nursing
关键词
结直肠癌
永久性肠造口
自我表露
社会支持
失志综合征
Colorectal neoplasms
Permanent enterostomy
Self-disclosure
Social support
Demoralization syndrome
