永久性肠造口患者伤残接受度、心理一致感对生活质量的影响

发布时间：2018-06-12 20:38

本文选题：永久性肠造口 + 伤残接受度　；参考：《护理学报》2016年08期

【摘要】：目的了解永久性肠造口患者伤残接受度、心理一致感及生活质量现状,探讨伤残接受度、心理一致感对生活质量的影响。方法采用自制的一般资料调查表、伤残接受度量表(Acceptance of Disabiliy Scale,AODS)、心理一致感量表(Sense of Coherence SOC)和中文版造口患者生活质量问卷(City of Hope-Quality of life-Ostomy Questionnaire-Chinese Version COH-QOL-OQ)对青岛市某三级甲等医院90例永久性肠造口患者进行问卷调查。结果永久性结肠造口患者伤残接受度总分为(79.01±4.21)分,心理一致感总分为(53.42±4.19)分,生活质量总分为(4.47±1.31)分;生活质量总分与伤残接受度总分、心理一致感总分均呈正相关,r值分别为0.520和0.552(P0.05);伤残接受度、心理一致感、年龄、家庭平均月收入、造口时间进入生活质量的回归模型(P0.05),R2=0.649。结论永久性肠造口患者伤残接受度及生活质量均处于中等水平,心理一致感处于低度水平,生活质量与伤残接受度、心理一致感密切相关。医务人员应重视提高肠造口患者的伤残接受度和心理一致感水平,并根据患者的年龄、经济情况、造口时间给予个体化护理干预,从而改善患者的生活质量。
[Abstract]:Objective to investigate the disability acceptance, psychological identity and quality of life of permanent enterostomy patients, and to explore the effect of disability acceptance and psychological identity on life quality. Methods A self-made general information questionnaire was used. 90 patients with permanent enterostomy in a Grade 3A hospital in Qingdao were investigated with acceptance of disability acceptance of scale (AODSU), sense of coherence (sense of coherence) and Chinese version of quality of life of patients with Ostomy (City of Hope-Questionnaire-Chinese version COH-QOL-OQ). Results the total score of disability acceptance was 79.01 卤4.21, the total score of psychological congruence was 53.42 卤4.19, the total score of quality of life was 4.47 卤1.31, the total score of quality of life and the total acceptance of disability were 79.01 卤4.21, 53.42 卤4.19, 4.47 卤1.31, respectively. The total scores of psychological identity were positively correlated with r values of 0.520 and 0.552%, respectively, and the regression model of disability acceptance, psychological identity, age, average monthly income of family, time of making mouth into quality of life (P0.05 / R2P _ (0.649). Conclusion the degree of disability and quality of life of patients with permanent enterostomy are at the medium level, and the sense of psychological consistency is at the low level. The quality of life is closely related to the acceptance of disability and the sense of psychological consistency. Medical staff should pay attention to improving the degree of disability acceptance and the level of psychological identity in patients with enterostomy, and give individualized nursing intervention according to the patient's age and economic situation, so as to improve the quality of life of the patients.
【作者单位】：青岛大学护理学院;青岛大学附属医院普外科;
【基金】：国家自然科学基金资助面上项目(NO 81373001)
【分类号】：R473.73

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