造口患者適應(yīng)水平調(diào)查及其影響因素研究
發(fā)布時(shí)間：2019-01-12 12:04
【摘要】：[目的]通過評(píng)估造口患者一般人口學(xué)及疾病相關(guān)情況、適應(yīng)水平、應(yīng)對(duì)方式、自我效能、社會(huì)支持總體狀況,全面分析探索造口患者適應(yīng)水平的影響因素,旨在為制定及實(shí)施有效的護(hù)理干預(yù)方案提供理論依據(jù)。[方法]通過文獻(xiàn)回顧、理論研究等方法確定研究變量和測(cè)量工具。采用造口患者一般人口學(xué)及疾病相關(guān)資料調(diào)查表、中文版造口者社會(huì)心理適應(yīng)量表、中文版醫(yī)學(xué)應(yīng)對(duì)問卷、造口患者自我效能量表、社會(huì)支持評(píng)定量表對(duì)南京地區(qū)兩所醫(yī)院的320例造口患者進(jìn)行調(diào)查。采用單因素分析、相關(guān)分析以及多元逐步線性回歸分析影響造口患者適應(yīng)水平的因素。[結(jié)果]本次研究中造口患者的適應(yīng)水平總分為(47.02±7.42)分,三個(gè)維度的得分為(14.47±2.49)分、(12.84±2.00)分、(19.72±4.10)分,總體處于中低水平。單因素分析顯示：不同性別、年齡、婚姻狀況、文化程度、醫(yī)療費(fèi)用支付方式、造口術(shù)后時(shí)間、造口位置合適與否、造口相關(guān)并發(fā)癥、每月購買造口用品費(fèi)用、主動(dòng)與醫(yī)護(hù)人員交流情況、參加造口聯(lián)誼會(huì)或其他相關(guān)活動(dòng)情況、自護(hù)程度、自我接受程度的造口患者適應(yīng)水平之間存在統(tǒng)計(jì)學(xué)差異(P0.05)；面對(duì)應(yīng)對(duì)方式維度、自我效能及各維度、社會(huì)支持及各維度均與造口患者適應(yīng)水平呈顯著正相關(guān)(P0.01),回避、屈服應(yīng)對(duì)方式維度與造口患者適應(yīng)水平呈顯著負(fù)相關(guān)(P0.01)；多元逐步線性回歸分析顯示：自我效能,造口術(shù)后時(shí)間,面對(duì),主觀社會(huì)支持,造口自我接受程度,支持利用度,造口自我護(hù)理程度,屈服8個(gè)影響適應(yīng)水平的變量先后進(jìn)入回歸方程。由標(biāo)準(zhǔn)化偏回歸系數(shù)可看出影響作用的大小依次是：面對(duì),造口術(shù)后時(shí)間,主觀社會(huì)支持,自我效能,造口自我接受程度,屈服,支持利用度,造口自我護(hù)理程度。[結(jié)論]本研究中樣本人群的適應(yīng)狀況總體處于中低水平。自我效能、面對(duì)應(yīng)對(duì)方式、主觀社會(huì)支持、社會(huì)支持利用度得分越高,造口患者的適應(yīng)水平越高；造口自我接受程度、造口自護(hù)程度越高,適應(yīng)水平越高；造口術(shù)后6年以上的患者適應(yīng)水平高于6年以內(nèi)的；屈服應(yīng)對(duì)方式得分越低,患者適應(yīng)水平越高。本課題研究結(jié)果可幫助評(píng)估篩選目標(biāo)人群,通過構(gòu)建針對(duì)影響因素的干預(yù)模式,以改善造口患者的適應(yīng)狀況及長期生存質(zhì)量。
[Abstract]:[objective] to evaluate the general demographics and disease related status of patients with stomatosis, the level of adaptation, coping style, self-efficacy, and the overall situation of social support, and to analyze comprehensively the factors affecting the level of adaptation of patients with stomstomy. The aim is to provide theoretical basis for the formulation and implementation of effective nursing intervention programs. [methods] study variables and measurement tools were determined by literature review, theoretical research and other methods. The questionnaire of general demography and disease-related information of patients with stomatostomy, the Chinese version of social-psychological adaptation scale, the Chinese version of medical coping questionnaire, the self-efficacy scale of patients with stomatostomy were used. The Social support rating scale (SSS) was used to investigate 320 patients with stoma in two hospitals in Nanjing. Univariate analysis, correlation analysis and multiple stepwise linear regression analysis were used to analyze the factors affecting the level of adaptation. [results] in this study, the total score of adaptation level was (47.02 鹵7.42), the score of three dimensions was (14.47 鹵2.49), (12.84 鹵2.00), (19.72 鹵4.10), the total score was in the middle and low level, the total score was (47.02 鹵7.42), (14.47 鹵2.49), (12.84 鹵2.00), (19.72 鹵4.10). Univariate analysis showed that: sex, age, marital status, educational level, medical expenses payment, time after ostomy, appropriate location of stomy, complications associated with stomatostomy, cost of purchasing ostomy articles per month, There was statistical difference between the patients who took the initiative to communicate with the medical staff, participated in the oral association or other related activities, the degree of self-care, the degree of self-acceptance of the patients with the level of adaptation (P0.05); The coping style dimensions, self-efficacy and each dimension, social support and each dimension were significantly positive correlation with the level of adaptation of patients with ostomy (P0.01), avoidance; There was a significant negative correlation between the dimension of yield coping style and the level of adaptation (P0.01). Multiple stepwise linear regression analysis showed that: Self-efficacy, time after ostomy, face, subjective social support, degree of self-acceptance, degree of utilization of support, degree of self-nursing of stomatostomy, The eight variables that affect the adaptation level entered the regression equation successively. From the standardized partial regression coefficient, we can see that the order of influence is: face, postorostomy time, subjective social support, self-efficacy, ostomy self-acceptance degree, yield, support utilization degree, ostomy self-nursing degree. [conclusion] the adaptation status of the sample population in this study is in low and middle level. Self-efficacy, facing coping style, subjective social support, the higher the score of the utilization of social support, the higher the adaptation level of the patients, the higher the degree of self-acceptance, the higher the degree of self-care, the higher the level of adaptation. The adaptation level of the patients more than 6 years after ostomy was higher than that of the less than 6 years, and the lower the score of yielding coping style, the higher the adaptation level of the patients. The results of this study can help to evaluate and screen the target population, and to improve the adaptation and long-term quality of life of patients with ostomy by setting up an intervention model aimed at influencing factors.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73
本文編號(hào)：2407752
[Abstract]:[objective] to evaluate the general demographics and disease related status of patients with stomatosis, the level of adaptation, coping style, self-efficacy, and the overall situation of social support, and to analyze comprehensively the factors affecting the level of adaptation of patients with stomstomy. The aim is to provide theoretical basis for the formulation and implementation of effective nursing intervention programs. [methods] study variables and measurement tools were determined by literature review, theoretical research and other methods. The questionnaire of general demography and disease-related information of patients with stomatostomy, the Chinese version of social-psychological adaptation scale, the Chinese version of medical coping questionnaire, the self-efficacy scale of patients with stomatostomy were used. The Social support rating scale (SSS) was used to investigate 320 patients with stoma in two hospitals in Nanjing. Univariate analysis, correlation analysis and multiple stepwise linear regression analysis were used to analyze the factors affecting the level of adaptation. [results] in this study, the total score of adaptation level was (47.02 鹵7.42), the score of three dimensions was (14.47 鹵2.49), (12.84 鹵2.00), (19.72 鹵4.10), the total score was in the middle and low level, the total score was (47.02 鹵7.42), (14.47 鹵2.49), (12.84 鹵2.00), (19.72 鹵4.10). Univariate analysis showed that: sex, age, marital status, educational level, medical expenses payment, time after ostomy, appropriate location of stomy, complications associated with stomatostomy, cost of purchasing ostomy articles per month, There was statistical difference between the patients who took the initiative to communicate with the medical staff, participated in the oral association or other related activities, the degree of self-care, the degree of self-acceptance of the patients with the level of adaptation (P0.05); The coping style dimensions, self-efficacy and each dimension, social support and each dimension were significantly positive correlation with the level of adaptation of patients with ostomy (P0.01), avoidance; There was a significant negative correlation between the dimension of yield coping style and the level of adaptation (P0.01). Multiple stepwise linear regression analysis showed that: Self-efficacy, time after ostomy, face, subjective social support, degree of self-acceptance, degree of utilization of support, degree of self-nursing of stomatostomy, The eight variables that affect the adaptation level entered the regression equation successively. From the standardized partial regression coefficient, we can see that the order of influence is: face, postorostomy time, subjective social support, self-efficacy, ostomy self-acceptance degree, yield, support utilization degree, ostomy self-nursing degree. [conclusion] the adaptation status of the sample population in this study is in low and middle level. Self-efficacy, facing coping style, subjective social support, the higher the score of the utilization of social support, the higher the adaptation level of the patients, the higher the degree of self-acceptance, the higher the degree of self-care, the higher the level of adaptation. The adaptation level of the patients more than 6 years after ostomy was higher than that of the less than 6 years, and the lower the score of yielding coping style, the higher the adaptation level of the patients. The results of this study can help to evaluate and screen the target population, and to improve the adaptation and long-term quality of life of patients with ostomy by setting up an intervention model aimed at influencing factors.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73
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