中老年回肠造口患者自我管理能力现状及影响因素

发布时间：2018-01-12 20:00

本文关键词：中老年回肠造口患者自我管理能力现状及影响因素　出处：《中国老年学杂志》2016年09期 　论文类型：期刊论文

【摘要】：目的调查经回肠造口术的中老年患者自我管理能力现状及其影响因素。方法对2014年1月至2015年6月在该院行回肠造口术的中老年患者进行现场自我管理能力现状的调查问卷,分析影响自我管理能力的因素。结果共发放问卷89份,回收有效问卷87份,有效率为97.75%。回肠造口患者总体自我管理能力得分(98.27±15.34)分,其中造口护理管理得分(36.21±5.85)分、日常生活管理得分(24.75±3.89)分、症状管理得分(14.23±2.70)分、信息管理得分(12.33±3.68)分、心理管理得分(11.08±3.36)分。自我管理能力差者10例(11.49%),中等者71例(81.61%),好者6例(6.90%)。经多因素Logistic回归分析发现,年龄、文化程度、家庭人均月收入、职业以及造口接受程度是影响自我管理能力的因素(P0.05)。结论接受回肠造口的中老年患者自我管理能力有待加强,医护人员应根据相关影响因素采取有针对性的干预措施提高患者对疾病的自我管理能力,促使患者早日康复。
[Abstract]:Objective to investigate the self-management ability of middle-aged and elderly patients undergoing ileostomy and its influencing factors. A questionnaire on the status of management competence. Results 89 questionnaires were sent out and 87 valid questionnaires were collected. The effective rate was 97.75. The score of total self-management ability of patients with ileostomy was 98.27 卤15.34, and the score of nursing management was 36.21 卤5.85. The score of daily life management was 24.75 卤3.89, the score of symptom management was 14.23 卤2.70, and the score of information management was 12.33 卤3.68. The score of psychological management was 11.08 卤3.36. The scores of 10 cases with poor self-management ability were 11.49 and 71 cases with middle level were 81.61%). By multivariate Logistic regression analysis, age, education level and average monthly income of the family were found. Occupation and ostomy acceptance were the factors influencing self-management ability (P0.050.Conclusion Self-management ability of middle-aged and elderly patients undergoing ileostomy needs to be strengthened. Medical staff should take targeted intervention measures according to relevant influencing factors to improve patients' ability of self-management of disease and promote patients to recover as soon as possible.
【作者单位】：海南省农垦三亚医院普外科;
【基金】：三亚市院地科技合作项目(No.2011YD67)
【分类号】：R473.6
【正文快照】： 结直肠癌主要多发于40岁以上中老年人〔1〕。大多数患者愿意接受保肛回肠造口术。但是由于造口术改变了患者的正常排便通道,给患者的生理、心理以及经济负担方面造成严重的影响〔2~4〕。自我管理作为慢性疾病管理最有效的方式之一,其核心思想是强调患者在慢性疾病管理过程中的

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