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中华疝和腹壁外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 65 -70. doi: 10.3877/cma.j.issn.1674-392X.2021.01.016

所属专题: 文献

临床论著

永久性结肠造口患者造口影响状况及其影响因素分析
王静1, 庞冬1,(), 高赫2, 刘金3   
  1. 1. 100191 北京大学护理学院
    2. 010055 呼和浩特,内蒙古自治区卫生健康委员会
    3. 100034 北京大学第一医院普外科造口门诊
  • 收稿日期:2020-05-02 出版日期:2021-02-18
  • 通信作者: 庞冬

Colostomy impact condition and its influencing factors in patients with permanent colostomy

Jing Wang1, Dong Pang1,(), He Gao2, Jin Liu3   

  1. 1. Peking University School of Nursing, Beijing 100191, China
    2. Inner Mongolia Autonomous Region Health Committee, Hohhot 010055, China
    3. Stoma Clinic Of General Surgery, Peking University First Hospital, Beijing 100034, China
  • Received:2020-05-02 Published:2021-02-18
  • Corresponding author: Dong Pang
引用本文:

王静, 庞冬, 高赫, 刘金. 永久性结肠造口患者造口影响状况及其影响因素分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(01): 65-70.

Jing Wang, Dong Pang, He Gao, Jin Liu. Colostomy impact condition and its influencing factors in patients with permanent colostomy[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(01): 65-70.

目的

调查永久性结肠造口对患者生活影响的状况并分析其影响因素。

方法

采用一般资料调查问卷以及造口影响评分对218例永久性结肠造口患者进行问卷调查。

结果

218例永久性结肠造口患者中54.6%认为永久性结肠造口对其生活的影响大,其中对患者影响最大的是造口异味以及造口袋渗漏。多因素回归分析结果显示年龄(OR=1.137,P<0.001)、每日清理造口次数(OR=1.438,P=0.015)、术后时间(OR=0.789,P<0.001)以及是否与造口护士有规律联系(OR=0.098,P=0.002)为造口影响评分的影响因素。

结论

永久性结肠造口对患者生活影响较大,医护人员应在临床对老年患者予以更多关注,帮助患者形成规律的排便习惯,加强出院后患者的延续性护理服务并为患者提供专业支持,从而减少造口影响,提高患者的生活质量。

Objective

To investigate the impact of permanent colostomy on patients' life and to analyze its influencing factors.

Methods

A total of 218 patients with permanent colostomy were invited to complete self-designed demographic questionnaire and Colostomy Impact Score (CIS).

Results

54.6% of patients believed that permanent colostomy had a significant impact on their quality of life, odors from the stoma and leakage from the pocket had the greatest influence on the patients. Multivariate regression analysis showed that age (OR=1.137, P<0.001), times of daily clean stoma (OR=1.438, P=0.015), postoperative time (OR=0.098, P<0.001), and regular contact with nurse (OR=0.098, P=0.002) were the influencing factors of the colostomy impact condition.

Conclusion

Permanent colostomy has a significant impact on patients' lives. Medical staff should pay more attention to elderly patients in clinical practice, help patients train regular defecation habits, enhance continuous care services for patients after discharge and provide professional support to patients, so as to reduce the impact of stoma and improve their quality of life.

表1 218例患者一般资料
表2 造口影响评分各选项赋分及患者选择例数
表3 自变量赋值表
表4 造口影响评分单因素Logistic回归分析
表5 造口影响评分多因素Logistic回归分析
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