首页|内镜下内痔套扎术患者生命质量影响因素及其与主观幸福感、病耻感的关系

内镜下内痔套扎术患者生命质量影响因素及其与主观幸福感、病耻感的关系

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目的 探讨影响内镜下内痔套扎术患者生命质量的因素,分析生命质量与主观幸福感、病耻感的关系。方法 对2020年1月-2023年12月在青岛市胶州中心医院行内镜下内痔套扎术的530例患者进行生命质量评定量表(SF-36)、总体幸福感量表(GWB)、慢性疾病病耻感量表(SSCI)调查,分析影响内镜下内痔套扎术患者生命质量的因素以及其与主观幸福感、病耻感的关系。结果 内痔套扎术患者生命质量得分为(71。53±8。96)分,便秘、痔核大小、疾病严重程度、术后感染情况不同的内痔套扎术患者生命质量得分差异有统计学意义(P<0。05),多元线性回归分析结果提示,便秘、痔核过大、术后感染均是内痔套扎术患者生命质量的影响因素(P<0。05)。Pear-son 相关性结果显示,内痔套扎术患者生命质量得分与主观幸福感得分呈正相关(r=0。553,P<0。001),与病耻感得分呈负相关(r=-0。608,P<0。001)。结论 便秘、痔核过大、术后感染均可能是内痔套扎术患者生命质量的影响因素,临床需密切注意患者术后恢复情况,及时采取干预措施改善患者生命质量,降低其病耻感,提高主观幸福感。
Influencing Factors of Quality of Life and Its Relationship with Subjective Well-being and Stigma in Patients undergoing Endoscopic Internal Hemorrhoid Ligation
Objective To explore the influencing factors of quality of life and analyze its relationship with subjec-tive well-being and stigma in patients undergoing endoscopic internal hemorrhoid ligation.Methods A total of 530 patients undergoing endoscopic hemorrhoid ligation in Jiaozhou Central Hospital,Qingdao,were enrolled between January 2020 and December 2023,and their demographic data,36-item short-form(SF-36),general well-being scale(GWB)and stigma scale for chronic illness(SSCI)were investigated.Influencing factors of quality of life and its rela-tionship with subjective well-being and stigma in patients undergoing endoscopic hemorrhoid ligation were analyzed.Results SF-36 score in patients undergoing endoscopic hemorrhoid ligation was(71.53±8.96)points,and there were significant differences in SF-36 scores among patients with different constipation degree,hemorrhoids size,di-sease severity and postoperative infection(P<0.05).The results of multiple linear regression analysis showed that constipation,large hemorrhoids,and postoperative infection were influencing factors of quality of life(P<0.05).The results of Pearson correlation analysis showed that quality of life score was positively correlated with score of subjec-tive well-being(r=0.553,P<0.001),while negatively correlated with stigma score(r=-0.608,P<0.001).Conclusion Constipation,large hemorrhoid and postoperative infection may be the influencing factors of quality of life in patients undergoing endoscopic hemorrhoid ligation.It is necessary to pay close attention to postoperative re-covery of patients and take timely intervention measures to improve quality of life,reduce stigma and improve subjec-tive well-being.

Endoscopic internal hemorrhoid ligationInternal hemorrhoidQuality of lifeSubjective well-beingStigma

丁明欣、刘正娟、宋艳玲

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青岛市胶州中心医院健康管理科,山东 青岛,266300

青岛市胶州中心医院消化内科,山东 青岛,266300

内镜下内痔套扎术 内痔 生命质量 主观幸福感 病耻感

山东省青岛市医药卫生科研项目

2022-WJZD122

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(4)
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