【摘要】：目的:了解永久性結(jié)腸造口患者的造口接受度現(xiàn)狀,分析造口接受度的影響因素,探討造口接受度與認(rèn)知情緒調(diào)節(jié)方式的關(guān)系,為提高永久性結(jié)腸造口患者造口接受度提供參考依據(jù)。方法:采用方便抽樣,在2016年5月~2016年12月期間對南昌市3所三甲醫(yī)院的128例永久性結(jié)腸造口患者進(jìn)行問卷調(diào)查。調(diào)查工具包括:永久性結(jié)腸造口患者一般資料調(diào)查表、造口接受度量表、認(rèn)知情緒調(diào)節(jié)方式量表。結(jié)果:1、永久性結(jié)腸造口患者造口接受度總分為(78.37±10.66)分,其中造口接受度處于低水平的占總調(diào)查人數(shù)10.94%,中水平81.25%,高水平7.81%。各維度得分為:對造口影響的包容(21.20±3.97)分,從對比價(jià)值到固有價(jià)值的轉(zhuǎn)變(21.89±3.56)分,造口價(jià)值范圍的擴(kuò)大(24.65±3.32)分,對身體形象的從屬(10.62±1.67)分。不同文化程度、工作狀態(tài)、家庭收入、造口術(shù)后時(shí)間、造口自理程度以及有無并發(fā)癥的永久性結(jié)腸造口患者造口接受度得分差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2、永久性結(jié)腸造口患者的認(rèn)知情緒調(diào)節(jié)方式得分依次為:接納(13.81±1.74)、災(zāi)難化(13.33±2.32)、沉思(12.46±2.01)、重新關(guān)注計(jì)劃(11.98±2.54)、理性分析(11.45±3.19)、積極重新關(guān)注(11.23±3.32)、積極重新評價(jià)(11.04±3.34)、自我責(zé)難(10.89±2.29)、責(zé)難他人(8.25±2.93)。3、永久性結(jié)腸造口患者的造口接受度及各維度與積極認(rèn)知情緒調(diào)節(jié)方式正相關(guān)(P0.05),與消極認(rèn)知情緒調(diào)節(jié)方式負(fù)相關(guān)(P0.05)。4、造口接受度的多元線性回歸分析顯示,災(zāi)難化、理性分析、接納、術(shù)后造口時(shí)間、文化程度、家庭人均月收入是影響造口接受度的重要因素,共同解釋造口接受度總分變異的57.0%。結(jié)論:1.永久性結(jié)腸造口患者的造口接受度處于中等偏低水平,其中擴(kuò)大維度得分最高,從屬維度得分最低。影響永久性結(jié)腸造口患者造口接受度的因素有:造口術(shù)后時(shí)間、文化程度、家庭人均月收入、工作狀態(tài)、造口自理程度、造口并發(fā)癥。2.在面對永久性結(jié)腸造口時(shí),患者較多采用的認(rèn)知情緒調(diào)節(jié)方式為接納、災(zāi)難化、沉思,總體以消極的認(rèn)知情緒調(diào)節(jié)為主。3.永久性結(jié)腸造口患者造口接受度與積極認(rèn)知情緒調(diào)節(jié)方式呈正相關(guān),與消極認(rèn)知情緒調(diào)節(jié)方式呈負(fù)相關(guān)。說明使用積極認(rèn)知情緒調(diào)節(jié)方式頻率越高的患者,造口接受度水平越高;使用消極認(rèn)知情緒調(diào)節(jié)方式頻率越高的患者,造口接受度水平越低。4.認(rèn)知情緒調(diào)節(jié)方式中的災(zāi)難化、接納、理性分析是造口接受度的重要預(yù)測因子。
[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 鹵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 鹵10.66), and that of the patients with permanent colostomy was (78.37 鹵10.66). The scores of each dimension were (21.20 鹵3.97), (21.89 鹵3.56), (24.65 鹵3.32) and (10.62 鹵1.67), respectively, and the changes from comparative value to intrinsic value were (21.89 鹵3.56), (24.65 鹵3.32) and (10.62 鹵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 鹵1.74), (13.33 鹵2.32), and (13.33 鹵2.32) respectively, and those in patients with permanent colostomy were (13.81 鹵1.74), (13.33 鹵2.32), respectively. Contemplation (12.46 鹵2.01), refocus on plan (11.98 鹵2.54), rational analysis (11.45 鹵3.19), positive re-focus (11.23 鹵3.32), positive reassessment (11.04 鹵3.34), self-blame (10.89 鹵2.29), censure others (8.25 鹵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.
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.73

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 暴卿;周彥榜;;大學(xué)生體像煩惱對自我概念的影響研究[J];科教導(dǎo)刊(中旬刊);2016年08期

2 蔡宏瀾;馬麗;;糖尿病患者認(rèn)知情緒調(diào)節(jié)策略調(diào)查分析[J];寧夏醫(yī)科大學(xué)學(xué)報(bào);2016年04期

3 徐芳芳;于衛(wèi)華;王勝琴;;腸造口患者病恥感與生活質(zhì)量的相關(guān)性[J];中國心理衛(wèi)生雜志;2016年02期

4 柴倩文;原志芳;金奕;張清;;首發(fā)腦卒中患者殘疾接受度及影響因素的研究[J];中華護(hù)理雜志;2016年01期

5 魯俊華;鄒繼華;呂雨梅;金榮梅;陳志會(huì);;腦卒中后殘疾患者傷殘接受度水平及其影響因素研究[J];中國護(hù)理管理;2015年07期

6 何松雪;劉國杰;劉虹澤;于穎;陳立杰;;永久性結(jié)腸造口患者傷殘接受度與社會(huì)支持及應(yīng)對方式的相關(guān)性分析[J];護(hù)理學(xué)報(bào);2015年13期

7 張勁強(qiáng);李玲艷;朱熊兆;王瑜萍;楊玉玲;;女性乳腺癌患者的認(rèn)知情緒調(diào)節(jié)方式特點(diǎn)[J];中國臨床心理學(xué)雜志;2014年06期

8 馬雪玲;王玉玨;;腸造口患者性生活的影響因素及護(hù)理進(jìn)展[J];護(hù)士進(jìn)修雜志;2014年22期

9 張琴燕;錢惠玉;;永久性腸造口患者自我形象和生活適應(yīng)狀況的調(diào)查與護(hù)理[J];齊魯護(hù)理雜志;2014年22期

10 辛程;王紅艷;柯紅艷;畢春霞;程玲;姜兆權(quán);張會(huì)君;;中文版簡易慢性疼痛接受問卷信效度檢驗(yàn)[J];中華行為醫(yī)學(xué)與腦科學(xué)雜志;2014年03期

相關(guān)碩士學(xué)位論文 前4條

1 韓舒;腸造口患者自我管理現(xiàn)狀及醫(yī)院—社區(qū)—家庭護(hù)理模式構(gòu)建的研究[D];青島大學(xué);2014年

2 胡丹鳳;生活事件、認(rèn)知情緒調(diào)節(jié)方式對高中生心理彈性的影響[D];山西師范大學(xué);2012年

3 袁金秀;初二學(xué)生認(rèn)知情緒調(diào)節(jié)能力現(xiàn)狀調(diào)查及干預(yù)研究[D];湖南師范大學(xué);2011年

4 陳妮;臂叢神經(jīng)損傷患者傷殘接受度和相關(guān)因素及其干預(yù)的研究[D];復(fù)旦大學(xué);2009年

，

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