中国民康医学2024,Vol.36Issue(3) :12-14.DOI:10.3969/j.issn.1672-0369.2024.03.004

老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素

Influencing factors of stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy

高新颖 李娜娜 吴远宏
中国民康医学2024,Vol.36Issue(3) :12-14.DOI:10.3969/j.issn.1672-0369.2024.03.004

老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素

Influencing factors of stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy

高新颖 1李娜娜 1吴远宏1
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作者信息

  • 1. 商丘市第一人民医院胃肠肝胆外科,河南 商丘 476000
  • 折叠

摘要

目的:分析老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素.方法:回顾性分析 2021 年 7 月至 2023 年1 月该院收治的 136 例行回肠袢式造口术的老年梗阻性肠癌患者的临床资料,统计老年梗阻性肠癌患者行回肠袢式造口术后病耻感发生情况,采用Logistic回归分析老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的影响因素.结果:136 例老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感 101 例,占 74.26%,设为发生组,未发生病耻感 35 例,占 25.74%,设为未发生组;发生组现居住地在农村、有造口并发症、医疗支付自费占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,现居住地在农村、有造口并发症、医疗支付自费均为影响老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的危险因素(OR>1,P<0.05).结论:现居住地在农村、有造口并发症、医疗支付自费均为影响老年梗阻性肠癌患者行回肠袢式造口术后发生病耻感的危险因素.

Abstract

Objective:To analyze influencing factors of stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy.Methods:The clinical data of 136 elderly patients with obstructive intestinal cancer who underwent ileal loop ileostomy in this hospital from July 2021 to January 2023 were retrospectively analyzed.The incidence of stigma in these elderly patients was statistically analyzed.Logistic regression was used to analyze the influencing factors of stigma in the elderly patients with obstructive intestinal cancer after ideal loop ileostomy.Results:There were 101 patients with stigma after ideal loop ileostomy in the 136 elderly patients with obstructive intestinal cancer,accounting for 74.26%,and they were set as the occurrence group.There were 35 patients without stigma,accounting for 25.74%,and they were set as the non-occurrence group.The proportions of the patients living in rural areas,with ostomy complications,and medical payment at their own expense in the occurrence group were higher than these in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that living in rural areas,having stoma complications,and medical payment at their own expense were all risk factors for stigma in the elderly patients with obstructive intestinal cancer after ileal loop ileostomy(OR>1,P<0.05).Conclusions:Current residence in rural areas,having stoma complications,and medical payment at their own expense are the risk factors for stigma in elderly patients with obstructive intestinal cancer after ileal loop ileostomy.

关键词

老年/梗阻性肠癌/回肠袢式造口/病耻感/影响因素

Key words

Elderly/Obstructive intestinal cancer/Ileal loop colostomy/Stigma/Influencing factor

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出版年

2024
中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
参考文献量12
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