永久性肠造口患者化疗期间预期性悲伤现状及影响因素分析
Status Quo of Preparatory Grief in Patients with Permanent Intestinal Stoma Undergoing Chemetherapy and Its Influencing Factors
DOI: 10.12677/NS.2021.105078, PDF,   
作者: 韩雪娜, 杨富国*, 刘 蕊, 李梦飞, 丁遥遥, 耿文垚：青岛大学护理学院，山东 青岛；王淑云：青岛大学附属医院急诊外科，山东 青岛
关键词: 肠造口；化疗；预期性悲伤；领悟社会支持；自我效能； Intestinal Stoma Patients； Chemotherapy； Preparatory Grief； Perceived Social Support； Self-Efficacy
摘要: 目的：了解永久性肠造口患者化疗期间预期性悲伤的现状，并分析其影响因素，为医护人员实施有针对性的干预措施提供参考依据。方法：采取便利抽样法选取青岛市某所三级甲等医院造口门诊就诊的175名化疗期间的肠造口患者作为研究对象，采用一般资料调查表、一般自我效能量表、领悟社会支持量表、癌症患者预期性悲伤量表对其进行调查。结果：肠造口患者化疗期间预期性悲伤得分为(38.20 ± 7.14)分；单因素分析显示，比较不同年龄、文化程度、家庭人均月收入、性格、造口自理程度的肠造口患者化疗期间预期性悲伤的得分，其差异有统计学意义(P < 0.05)；多因素分析显示，年龄、文化程度、性格、造口自理程度、自我效能、领悟社会支持为肠造口患者化疗期间预期性悲伤的主要影响因素(P < 0.05)，共解释总变异量的40.2%。结论：肠造口患者在化疗期间存在较为严重的预期性悲伤，医护人员亟需关注其心理状态，采取有针对性的护理措施，提高患者的心理健康。
Abstract: Objective: To investigate the status of preparatory grief among intestinal stoma patients undergoing chemotherapy, and to analyze its influencing factors, so as to provide reference for clinical medical staff taking effective interventions. Methods: A total of 175 cases of intestinal stoma patients undergoing chemotherapy were conveniently selected from a hospital in Qingdao. The questionnaire survey was carried out by using a General Information Questionnaire, General Self-Efficacy Scale, Perceived Social Support Scale, the Preparatory Grief in Advanced Cancer Patients Scale. Results: The total PGAC score of the intestinal stoma patients undergoing chemotherapy was (38.20 ± 7.14). The univariate analysis showed that the intestinal stoma patients with different ages, educational backgrounds, personal monthly income, characters, degree of ostomy self-care scored significantly different in PGAC (P < 0.05). Multivariate logistic indicated that ages, educational backgrounds, characters, degree of ostomy self-care, self-efficacy, perceived social support were the major influencing factors of preparatory grief among intestinal stoma patients undergoing chemotherapy (P < 0.05), which explained 40.2% of the total variance. Conclusion: Preparatory grief among intestinal stoma patients undergoing chemotherapy is at a serious level. It is urgent for medical staff to pay attention to their mental state and take targeted nursing measures to improve the mental health of patients.
文章引用：韩雪娜, 杨富国, 王淑云, 刘蕊, 李梦飞, 丁遥遥, 耿文垚. 永久性肠造口患者化疗期间预期性悲伤现状及影响因素分析[J]. 护理学, 2021, 10(5): 477-484. https://doi.org/10.12677/NS.2021.105078

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