首页|结直肠癌行永久肠造口术患者造口接受度现状及影响因素

结直肠癌行永久肠造口术患者造口接受度现状及影响因素

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目的 了解结直肠癌行永久肠造口术(PE)患者造口接受度现状及影响因素.方法 选取2020 年6 月至2023 年9 月江苏省海安市人民医院收治的160 例结直肠癌PE 患者为调查对象,并采用造口患者适应量表(OAI)调查PE 患者造口接受度.收集患者疾病相关资料,利用多元线性回归分析结直肠癌PE 患者造口接受度的影响因素.结果 本研究共发出问卷160 份,回收有效问卷156 份,有效回收率为97.5%.156 例PE 患者OAI 得分为(47.52±10.73)分.不同文化程度、婚姻状况、家庭月收入、居住地、造口术后时间、自理程度、造口应对方式和社会支持度PE 患者的OAI 得分比较,差异有统计学意义(P<0.05).多元线性回归分析结果显示,文化程度、造口术后时间、造口应对方式和社会支持度为结直肠癌PE 患者造口接受度的独立影响因素(P<0.05).多元线性回归方程:造口接受度OAI得分=39.543+2.536×文化程度+2.346×造口术后时间-0.720×造口应对方式-2.917×社会支持度(R2=0.175,调整后R2=0.171,F=14.450,P<0.05).结论 结直肠癌PE 患者造口接受度处于中等水平,患者的造口接受度与文化程度、造口术后时间、造口应对方式和社会支持度直接相关,应予以重视.
Status and influencing factors of stoma acceptance in patients undergoing permanent enterostomy for colorectal cancer
Objective To investigate the status and influencing factors of stoma acceptance in patients with colorectal cancer undergoing permanent enterostomy(PE).Methods A total of 160 PE patients with colorectal cancer admitted to Haian People's Hospital,Jiangsu Province from June 2020 to September 2023 were selected as the investigation objects,and the ostomy adjustment inventory(OAI)was used to investigate the stomatological acceptance of PE patients.The data related to the disease were collected,and the factors influencing stoma acceptance in PE patients with colorectal cancer were analyzed by multiple linear regression.Results A total of 160 questionnaires were sent out,and 156 were valid,with an effective recovery rate of 97.5%.The OAI score of 156 PE patients was(47.52±10.73)points.The OAI scores of PE patients with different education level,marital status,family monthly income,place of residence,postoperative time,self-care degree,ostomy coping style,and social support were statistically significant(P<0.05).The results of multiple linear regression analysis showed that education level,postoperative time,coping style,and social support were independent influencing factors for stomatological acceptance in PE patients with colorectal cancer(P<0.05).Multiple linear regression equation:OAI score of ostomy acceptance=39.543+2.536 × educational level+2.346 × time after ostomy-0.720 × coping style-2.917 × social support(R2=0.175,adjusted R2=0.171,F=14.450,P<0.05).Conclusion The colostomy acceptance of PE patients with colorectal cancer is at a medium level,and the patients'colostomy acceptance is directly related to their education level,postoperative time,coping style,and social support,which should be paid attention to.

Colorectal cancerPermanent enterostomyAcceptance of stomaInfluencing factor

曹露、朱日祥、郁烨、杨红生、周敏露

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江苏省海安市人民医院普外科,江苏海安 226600

结直肠癌 永久肠造口术 造口接受度 影响因素

江苏省卫生健康委科研项目

ZJ2019033

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(15)