永久性结肠造口患者造口接受度与认知情绪调节方式的关系研究

发布时间：2018-07-13 17:47

【摘要】：目的:了解永久性结肠造口患者的造口接受度现状,分析造口接受度的影响因素,探讨造口接受度与认知情绪调节方式的关系,为提高永久性结肠造口患者造口接受度提供参考依据。方法:采用方便抽样,在2016年5月~2016年12月期间对南昌市3所三甲医院的128例永久性结肠造口患者进行问卷调查。调查工具包括:永久性结肠造口患者一般资料调查表、造口接受度量表、认知情绪调节方式量表。结果:1、永久性结肠造口患者造口接受度总分为(78.37±10.66)分,其中造口接受度处于低水平的占总调查人数10.94%,中水平81.25%,高水平7.81%。各维度得分为:对造口影响的包容(21.20±3.97)分,从对比价值到固有价值的转变(21.89±3.56)分,造口价值范围的扩大(24.65±3.32)分,对身体形象的从属(10.62±1.67)分。不同文化程度、工作状态、家庭收入、造口术后时间、造口自理程度以及有无并发症的永久性结肠造口患者造口接受度得分差异有统计学意义(P0.05)。2、永久性结肠造口患者的认知情绪调节方式得分依次为:接纳(13.81±1.74)、灾难化(13.33±2.32)、沉思(12.46±2.01)、重新关注计划(11.98±2.54)、理性分析(11.45±3.19)、积极重新关注(11.23±3.32)、积极重新评价(11.04±3.34)、自我责难(10.89±2.29)、责难他人(8.25±2.93)。3、永久性结肠造口患者的造口接受度及各维度与积极认知情绪调节方式正相关(P0.05),与消极认知情绪调节方式负相关(P0.05)。4、造口接受度的多元线性回归分析显示,灾难化、理性分析、接纳、术后造口时间、文化程度、家庭人均月收入是影响造口接受度的重要因素,共同解释造口接受度总分变异的57.0%。结论:1.永久性结肠造口患者的造口接受度处于中等偏低水平,其中扩大维度得分最高,从属维度得分最低。影响永久性结肠造口患者造口接受度的因素有:造口术后时间、文化程度、家庭人均月收入、工作状态、造口自理程度、造口并发症。2.在面对永久性结肠造口时,患者较多采用的认知情绪调节方式为接纳、灾难化、沉思,总体以消极的认知情绪调节为主。3.永久性结肠造口患者造口接受度与积极认知情绪调节方式呈正相关,与消极认知情绪调节方式呈负相关。说明使用积极认知情绪调节方式频率越高的患者,造口接受度水平越高;使用消极认知情绪调节方式频率越高的患者,造口接受度水平越低。4.认知情绪调节方式中的灾难化、接纳、理性分析是造口接受度的重要预测因子。
[Abstract]:Objective: to understand the present situation of ostomy acceptance in patients with permanent colostomy, analyze the influencing factors of ostomy acceptance, and explore the relationship between ostomy acceptance and cognitive emotion regulation. In order to improve the permanent colostomy patients ostomy acceptance to provide a reference. Methods: from May 2016 to December 2016, 128 patients with permanent colostomy in 3 third Class A hospitals in Nanchang City were investigated by convenient sampling. The survey tools include: general information questionnaire for permanent colostomy patients, oral acceptance scale and cognitive mood regulation style scale. Results the total score of ostomy acceptance was (78.37 卤10.66) in the patients with permanent colostomy, among which the lower level was 10.94. the middle level was 81.25, and the high level was 7.81.The total score of the patients with permanent colostomy was (78.37 卤10.66), and that of the patients with permanent colostomy was (78.37 卤10.66). The scores of each dimension were (21.20 卤3.97), (21.89 卤3.56), (24.65 卤3.32) and (10.62 卤1.67), respectively, and the changes from comparative value to intrinsic value were (21.89 卤3.56), (24.65 卤3.32) and (10.62 卤1.67), respectively. Different levels of education, working status, family income, post-orostomy time, There were significant differences in the degree of self-care and acceptance of permanent colostomy with or without complications (P0.05). The scores of cognitive emotion regulation in patients with permanent colostomy were (13.81 卤1.74), (13.33 卤2.32), and (13.33 卤2.32) respectively, and those in patients with permanent colostomy were (13.81 卤1.74), (13.33 卤2.32), respectively. Contemplation (12.46 卤2.01), refocus on plan (11.98 卤2.54), rational analysis (11.45 卤3.19), positive re-focus (11.23 卤3.32), positive reassessment (11.04 卤3.34), self-blame (10.89 卤2.29), censure others (8.25 卤2.93) .3. patients with permanent colostomy have positive oral acceptance and dimensions and positive cognitive mood regulation patterns. Correlation (P0.05), negative correlation with negative cognitive emotion regulation (P0.05). Disaster, rational analysis, acceptance, postoperative stomatal time, education level and average monthly income of the family were the important factors affecting the acceptance of the stomatitis, which explained the variation of the total score of ostomy acceptance in 57.0%. Conclusion 1. The acceptability of permanent colostomy patients was at the medium low level, with the highest score in the extended dimension and the lowest in the subordinate dimension. The factors influencing the acceptance of permanent colostomy were as follows: time after ostomy, education level, average monthly income of family, working status, degree of care, complications of anastomosis. In the face of permanent colostomy, the most common cognitive emotion regulation methods used by patients were acceptance, disaster, meditation, and negative cognitive emotion regulation. The degree of ostomy acceptance was positively correlated with positive cognitive emotion regulation and negatively correlated with negative cognitive emotion regulation in patients with permanent colostomy. It showed that the higher the frequency of positive cognitive emotion regulation, the higher the acceptance level of ostomy, and the lower the acceptance level of ostomy was with the higher the frequency of negative cognitive emotion regulation. Disaster, acceptance and rational analysis are important predictors of acceptance.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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