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Analysis on the social psychological adaptation status and its influence fatctors of patients with intestinal stoma |
HUANG Meixue HUANG Yanqing LING Yufang WEI Suyu GU Yali |
Department of Gastrointestinal Surgery, Affiliated Hospital of Youjiang Medical College for Nationalities, Guangxi Zhuang Autonomous Region, Baise 533000, China |
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Abstract Objective To study the social psychological adaptation status and its influencing factors of patients with intestinal stoma, in order to provide preconditions for the improvement of these patients′social psychological adaptation. Methods 100 patients with intestinal stoma in Affiliated Hospital of Youjiang Medical College for Nationalities from March 2014 to May 2016 were selected as the study object, and they were evaluated by OAI-20 scale . Then make the patients′OAI-20 scale assessment results were made separate comparison according to personal basic condition (gender, ages, education degree, living condition and economic condition), intestinal stoma related situation (intestinal stoma complications, intestinal stoma time, cceptance degree of intestinal stoma, self-care ability of intestinal stoma and recognition for intestinal stoma knowledge) and other situation(social support degree, emotional state, general self-efficacy and modes of medical care provider payment), and the relationship between the above mentioned factors and the social psychological adaptation status of the patients with intestinal stoma was analyzed by Logistic regression analysis. Results The OAI-20 scale results of 100 patients with intestinal stoma were bad, and the OAI-20 scale results of patients with different gender, ages, education degree, living condition, economic condition, intestinal stoma complications, intestinal stoma time, cceptance degree of intestinal stoma, self-care ability of intestinal stoma, recognition for intestinal stoma knowledge, social support degree, emotional state, general self-efficacy and ways of medical expenses had significant differences (P < 0.05). The Logistic regression analysis showed those factors were all the important influencing factors for the social psychological adaptation status of the patients with intestinal stoma (P < 0.05). Conclusion The social psychological adaptation status of patients with intestinal stoma are relatively bad, and the personal basic condition, intestinal stoma related situation and other situation are the important influencing factors, so they should be intervened regarding to these factors.
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[1] 吴艳雯,谢玲女,马琳琳,等.直肠癌术后结肠造口患者行综合性护理干预的效果分析[J].中国现代医生,2016, 54(25):154-157.
[2] 李慧,王建东,黄晓辉.直肠癌肠造口病人不同造口时间与适应程度和造口压力的相关性研究[J].护理研究,2014, 28(11):3994-3996.
[3] 薛冬群,刘月仙,马婷婷,等.永久性肠造口患者生活质量与社会心理适应水平的研究[J].解放军护理杂志,2015, 32(5):1-5.
[4] 张琴燕,钱惠玉.永久性肠造口患者自我形象和生活适应状况的调查与护理[J].齐鲁护理杂志,2014,20(22):61-62.
[5] 朱蓓,魏青,王永媛.术前造口定位对肠造口患者造口适应性及生命质量的影响[J].护士进修杂志,2013,28(12):1094-1096.
[6] Karabulut HK,Din?觭 L,Karadag A. Effects of planned group interactions on the social adaptation of individuals with an intestinal stoma:a quantitative study [J]. J Clin Nurs,2014, 23(19-20):2800-2813.
[7] 张冰,易昌华,唐梅,等.肠造口患者主要照顾者负担水平与社会支持的相关性[J].现代临床护理,2013,12(8):5-7.
[8] 王敬斋,张树荣. Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,26(3):150-153.
[9] 金引丽,桂守才.一般自我效能感研究综述[J].淮北职业技术学院学报,2014,13(2):33-34.
[10] Karada■ A,Karabulut H,Baykara ZG,et al. A prospective,multicentered study to assess social adjustment in patients with an intestinal stoma in Turkey [J]. Ostomy Wound Manage,2015,61(10):16-29.
[11] Jayarajah U,Samarasekera DN. Psychological adaptation to alteration of body image among stoma patients: a descriptive study [J]. Indian J Psychol Med,2017,39(1):63-68.
[12] 张铁玲,胡爱玲,徐洪莲,等.结肠造口患者残障接受度与社会关系质量的相关性研究[J].中华护理杂志,2013, 48(3):241-244.
[13] 徐莹,周申康,王慧,等.舒适护理在低位直肠癌结肠造口术后患者中的疗效评估[J].中国现代医生,2015,53(34):142-145.
[14] 王玉平.结肠造口患者社会参与状况及影响因素调查[J].护理管理杂志,2013,13(2):89-91.
[15] Ortiz-Rivas MK,Moreno-Pérez NE,Vega-Macías HD,et al. Adaptation of self-image level and defense mechanisms in elderly patients with complicated stoma [J]. Enferm Clin,2014,24(6):339-344.
[16] 徐慧,程玲,周光婷,等.同心会活动对直肠癌术后患者社会心理适应能力的影响[J].护理学杂志,2016,31(24):88-90.
[17] 程芳,孟爱凤,羊丽芳,等.同伴教育对永久性结肠造口患者术后早期社会心理适应的影响[J].中华护理杂志,2013,48(2):106-108.
[18] 王莲莲,刘文文,汪洪秀,等.结肠造口患者生活质量与适应水平的相关性研究[J].检验医学与临床,2015,12(13):1819-1820.
[19] 袁晓红,赵静燕,曾燕,等.造口联谊会对回肠膀胱造口患者社会心理适应的影响[J].护理与康复,2014,13(12):1172-1173.
[20] 王婷,陈湘玉.造口患者适应水平现状及影响因素分析[J].护理学报,2015,22(1):1-4. |
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