肠造口患者社会心理适应的现状及的影响因素分析.docVIP

肠造口患者社会心理适应的现状及的影响因素分析 　　[摘要] 目的 分析肠造口患者社会心理适应现状及其影响因素，?榇死嗷颊叩纳缁嵝睦硎视Φ母纳铺峁┣疤崽跫?。方法 选取2014年3月～2016年5月右江民族医学院附属医院诊治的100例肠造口患者作为研究对象，采用OAI-20量表进行评估，然后根据其中个人基本情况（性别、年龄、文化程度、居住情况及经济状况）、造口相关情况（造口并发症、造口时间、造口接受程度、造口自护能力及造口知识认知度）及其他情况（社会支持程度、情绪状态、一般自我效能感及医疗费用支付情况）患者的OAI-20量表评分结果进行分别比较，并采用Logistic回归分析处理上述因素与肠造口患者社会心理适应状态的关系。 结果 100例肠造口患者的OAI-20量表评分较差，其中不同性别、年龄、文化程度、居住情况、经济状况、造口并发症、造口时间、造口接受程度、造口自护能力、造口知识认知度、社会支持程度、情绪状态、一般自我效能感及医疗费用支付方式患者的OAI-20量表评分比较，差异有统计学意义（P 0.05）。Logistic回归分析显示，上述研究因素均是肠造口患者社会心理适应状态的重要影响因素（P 0.05）。 结论 肠造口患者社会心理适应状态较差，且较多个人基本情况、造口相关情况及其他情况均是其重要影响因素，应针对这些因素给予干预。 　　[关键词] 肠造口；社会心理适应现状；影响因素 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）06（c）-0172-05 　　[Abstract] Objective To study the social psychological adaptation status and its influencing factors of patients with intestinal stoma， in order to provide preconditions for the improvement of these patients′social psychological adaptation. Methods 100 patients with intestinal stoma in Affiliated Hospital of Youjiang Medical College for Nationalities from March 2014 to May 2016 were selected as the study object， and they were evaluated by OAI-20 scale . Then make the patients′OAI-20 scale assessment results were made separate comparison according to personal basic condition （gender， ages， education degree， living condition and economic condition）， intestinal stoma related situation （intestinal stoma complications， intestinal stoma time， cceptance degree of intestinal stoma， self-care ability of intestinal stoma and recognition for intestinal stoma knowledge） and other situation（social support degree， emotional state， general self-efficacy and modes of medical care provider payment）， and the relationship between the above mentioned factors and the social psychological adaptation status of the patients with intestinal stoma was analyzed by Logistic regression analysis. Results The OAI-20 scale results of 100 patients with intestinal stoma were bad， and the OAI-20 scale results of patients with different gender