摘要
目的 研究预防性肠造口患者出院准备度和病耻感的相关性。方法 应用肠造口出院准备度量表对108例预防性肠造口患者在出院前1天予以调查，采用社会影响量表（Social Impact Scale, SIS）在患者出院1个月予以调查，对出院准备度和病耻感进行相关性分析。结果 肠造口患者出院准备度量表得分 （99.86±13.02）分，患者的耻感总分为(66.94±5.22)分，Person相关分析显示，预防性肠造口出院准备的和病耻感呈负相关（r= ＜0.01）。结论 预防性肠造口患者出院准备度处于中等水平，肠造口患者术后早期病耻感高，本研究结果证实了出院准备度和病耻感的相关性，对此医护人员应采取有效的措施，以提高患者出院准备度水平，进而降低其病耻感水平。
关键词： 预防性肠造口；出院准备度；病耻感；相关性研究
Abstract
Objective: To study the correlation between hospital discharge readiness and stigma in patients with prophylactic colostomy. Methods: 108 patients with prophylactic enterostomy were investigated 1 day before discharge by using the Enterostomy Discharge Readiness Scale, and 1 month after discharge by the Social Impact Scale (SIS). Correlation analysis between readiness and stigma. Results: The score of hospital discharge readiness scale for patients with enterostomy was (99.86±13.02) points, and the total score of stigma was (66.94±5.22) points. Negative correlation (r=<0.01). Conclusion : Patients with prophylactic colostomy have a moderate level of readiness for hospital discharge, and patients with colostomy have high stigma in the early postoperative period. The results of this study confirmed the correlation between readiness for hospital discharge and stigma, and medical staff should take effective measures for this. measures to improve patient readiness for hospital discharge and thereby reduce their level of stigma.
Key words： Prophylactic enterostomy; Discharge readiness; Stigma; Correlation research
参考文献 References
[1]张贞丽, 庞振红, 许晓洁,等. 出院准备服务在结直肠癌造口术后患者中的应用研究[J]. 国际医药卫生导报, 2019, 025(007):1043-1046.
[2]Weiss ME, Piacentine LB, Lokken L, Ancona J, Archer J, Gresser S, Holmes SB, Toman S, Toy A, Vega-Stromberg T. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec. 2007 Jan-Feb; 21(1):31-42.
[3]徐俊敏, 方艳春, 黄雅莲,等. 预防性肠造口患者以家庭为中心赋权模式的出院计划干预[J]. 护理学杂志, 2020, 035(008):30-33.
[4]于清舒,陆连芳,王淑云,王美兰.肠造口患者出院准备度量表的编制及信效度检验[J].中国实用护理杂志,2020(13):998-999-1000-1001-1002.
[5]Fife BL, Wright ER. The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. J Health Soc Behav. 2000 Mar;41 (1): 50-67.
[6]原静民,郑美春,卜秀青,张俊娥.永久性肠造口患者病耻感现状及其影响因素研究[J].中华护理杂志,2016, 51(12):1422-1427.
[7]王汐嬅, 胡明, 王莹,等. 肠造口患者出院准备度现状及影响因素分析[J]. 结直肠肛门外科, 2019, 25(05): 133-138.
[8]胡志琴, 马新莉. 永久性肠造口术患者出院准备度与出院指导质量、社会支持的相关性研究[J]. 解放军护理杂志, 2019(5):33-37.
[9]王汐嬅,史莉娜,成颖,等. 肠造口患者病耻感与出院准备度的关系[J]. 中国心理卫生杂志,2021,35(9):710-714.
[10]王香丽. 直肠癌肠造口患者病耻感现状对自我感受负担水平的影响[J]. 现代诊断与治疗,2021,32(17): 2806-2807.