临时性造口患者与永久性造口患者适应度对比
A Comparison of Adjustment between Patients with Temporary Colostomy and Permanent Colostomy
-
摘要: 目的 研究临时性造口患者与永久性造口患者适应度及两者的对比, 为改进结直肠癌造口患者的临床护理工作提供理论依据.方法 采用问卷调查法对在昆明医科大学第一、二、三附属医院接受结直肠癌造口患者进行调查, 应用OAS量表及一般情况调查表进行问卷调查.采用Epidata3.1建立数据库, 用SPSS17.0进行数据分析, 以频率、均数、标准差、P值等进行统计学数据描述.结果 结果表明, 永久性造口患者在0AS适应总分和心理适应维度中适应水平 (46.5±2.4) 较临时性造口患者高, 差异无统计学意义 (P>0.05) , 但在身体和社会适应维度中临时性造口患者适应水平比较高, 差异有统计学意义 (P<0.05) .结论 在今后的护理工作中, 医护人员要提高造口患者的生存质量要从多角度考虑, 加强造口知识的普及.Abstract: Objective The aim of this research is to identify and compare the adjustment levels in patients with temporary and permanent colostomy, and to provide evidence to improve nursing performance. Me thods In the First, Second, and Third Affiliated Hospital of Kunming Medical University, 52 patients with colorectal stoma participated in the research and completed the questionnaire of OAS (Ostomy Adjustment Scale) and demographic data. The data were established using Epidata 3.1, then analyzed with SPSS 17.0. The results were described using frequency, mean, stand deviations, and p values.Re s ults Patients with permanent colostomy gained higher scores in OAS scores and psychological adaptation. Patients with temporary colostomy had higher scores in physical adaptation and social adaptation. Conclus ion The nursing staff will promote the quality of life for this population from multiple perspectives in the future.
-
Key words:
- Patients with colostomy /
- Permanent colostomy /
- Permanent colostomy /
- Ostomy adjustment
-
[1] [1]PERRETT S E, BILEY F C.A Roy model study of Adapting to being HIV Postive[J].Nurs Sci Q, 2013, 26 (4) :337-343. [2] [2]CHENG F, MENG A F, YANG L F, et al.The Correlation between Ostomy Knowledge and Self-care Ability with Psychosocial Adjustment in chinese Patients with a permanent Colostomy:a Descriptive Study[J].Ostomy Wound Manage, 2013, 59 (7) :35-38. [3] [3]BEKKER M, VAN KNIPPENBERG F C E, VAN DEN BORNE H W, et al.Psychosocial adaptation to stoma surgery:a review[J].Journal of Behavioral Medicine, 1995, 18 (1) :1-31. [4]李道娟, 李倩, 贺于彤, 等.结直肠癌流行病学趋势[J].肿瘤防治研究, 2015, 42 (03) :305-310. [5] [5]International Agency for research on cancer Colorectal cancer estimated incidence mortality and prevalence worldwide in 2012[EB/OL].http:globocan, jarc.fr/pages/fact_sheets_cancer.aspx. [6]卢震海, 万德森, 肠造口手术的并发症及其处理[J].广东医学, 2009, 30 (8) :1029-1030. [7] [7]OLBRISCH ME.Development and validation of the ostomy adjustment scale[J].Rebab Phychol, 1983, 28 (4) :3-12. [8]谢敏艳, 苏永辉, 龙凤娇, 陶红梅.36例临时性肠造口患者造口急性水肿期的护理[J].中国急救复苏与灾害医学杂志, 2015, 4 (4) :371-372. [9]季艳平, 黄歆, 周立.永久性肠造口患者术后心理体验的质性研究[J].解放军护理杂志, 2012, 29 (12A) :15-17. [10]张晓霞, 郑倩茹, 赵凌.针刺治疗中风后呃逆的穴位配伍[J].四川中医, 2013, 31 (7) :172-174. [11] [11]BEKKERS M J, VAN KNIPPENBERG F C, VAN DULMEA A M, et al, survival and psychosocial adjustment to stoma surgery and nonstoma bomel resection:4-year follow up[J].J Psychosom Res, 1997, 42 (3) :235-244. -
点击查看大图
计量
- 文章访问数: 1600
- HTML全文浏览量: 531
- PDF下载量: 94
- 被引次数: 0
下载:
