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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (15): 1-4.doi: 10.16460/j.issn1008-9969.2019.15.001

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Current Status of Adjustment in Enterostomy Patients and Its Influence Factors

YUAN Li1, XU Yi-yuan1, DING Shu-zhen1, FENG Hong2   

  1. 1. Dept. of Nursing Administration, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China;
    2. Dept. of Nursing Administration, Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:2019-03-19 Published:2020-07-08

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Abstract: Objective To investigate the current status of adjustment in enterostomy patients and to explore its influence factors. Methods With convenient sampling method, 180 patients with enterostomy were investigated by using a general information questionnaire, Ostomy Adjustment Inventory-20 (QAI-20), the Family APGAR Index, Mindful Attention Awareness Scale (MAAS) and the Benefit Finding Scale (BFS). Results The score of stoma-adjustment was 45.82±8.81. Multiple linear regression analysis showed the influencing factors were household per capita monthly income, postoperative time,mindfulness and benefit finding(P<0.05). Conclusion Stoma-adjustment level of enterostomy patients should be improved. Emphasis should be placed on patients with low income and postoperative time less than one year and more than three years. Nursing measures should be taken to improve patients&' mindfulness and disease benefit, so as to promote early adaptation of patients with enterostomy.

Key words: colorectal cancer, enterostomy, adjustment, family care, mindfulness, benefit finding

CLC Number: 

  • R473.6
[1] Cheng F, Meng A, Yang L F, et al.The Correlation between Ostomy Knowledge and Self-care Ability with Psychosocial Adjustment in Chinese Patients with a Permanent Colostomy: A Descriptive Study[J]. Ostomy Wound Manage, 2013, 59(7):35-38.
[2] 王青青,霍孝蓉,吴玲,等.造口患者社会心理适应水平与自我效能的关系及影响因素研究[J].中华现代护理杂志,2018,24(9):1017-1021. DOI:10.3760/cma.j.issn.1674-2907.2018.09.007.
[3] 陈彬. 医学多因素分析设计样本例数估算--多因素分析设计样本例数综合估算法[J].伤害医学(电子版),2012(4):58-60. DOI:10.3868/j.issn.2095-1566.2012.04.012.
[4] 许勤,程芳,戴晓冬.中文版造口者社会心理适应量表的修订及信效度评价[J].江苏医药,2010, 36(14):1647-1649. DOI:10.19460/j.cnki.0253-3685.2010.14.015.
[5] 张作记. 行为医学量表手册[M].北京:中华医学电子音像出版社,2005:121-156.
[6] 楚玉琴. 心智觉知对癌症、尿毒症患者心理干预研究初探[D].北京:首都师范大学,2009.
[7] Weaver K E, Llabre M M, Lechner S C, et al.Comparing Unidimensional and Multidimensional Models of Benefit Finding in Breast and Prostate Cancer[J]. Qual Life Res, 2008, 17(5):771-781. DOI:10.1007/s11136-008-9348-z.
[8] 刘谆谆,张兰凤,Gudenkauf L.癌症患者疾病获益感量表的跨文化调适[J]. 中华护理杂志, 2015,50(5):561-566. DOI:10.3761/j.issn.0254-1769.2015.05.010.
[9] 李秀娟,李玲妍,李夏,等. 临时性造口患者与永久性造口患者适应度对比[J].昆明医科大学学报,2018,39(2):108-111. DOI:10.3969/j.issn.1003-4706.2018.02.024.
[10] 胡爱玲,张美芬,陈妙霞,等.结肠造口患者适应状况的调查[J].中华现代护理杂志,2010,16(7):752-755. DOI:10.3760/cma.j.issn.1674-2907.2010.07.003.
[11] Lopes A, Decesaro M.The Adjustments Experienced by Persons with an Ostomy: An Integrative Review of the Literature[J]. Ostomy Wound Manage, 2014,60(10):34-42.
[12] Gautam S, Poudel A.Effect of Gender on Psychosocial Adjustment of Colorectal Cancer Survivors with Ostomy[J]. J Gastrointest Oncol, 2016, 7(6):938-945. DOI:10.21037/jgo.2016.09.02.
[13] Trabelsi F, Ben Abeljalil S, Derbal F, et al.Patients&' Adaptation Strategies for Colostomates with a Self Image Disturbance after a Month of Surgery[J]. Rech Soins Infirm, 2017, 12(9):89-103. DOI:10.3917/rsi.129.0089.
[14] 郑家钰,严华,李娟.肠造口患者疾病不确定感现况及其影响因素研究[J].护理学报,2018,25(15):72-74. DOI:10.16460/j.issn1008-9969.2018.15.072.
[15] Bulkley J E, McMullen C K, Grant M, et al. Ongoing Ostomy Self-care Challenges of Long-term Rectal Cancer Survivors[J]. Support Care Cancer, 2018,26(11):3933-3939. DOI:10.1007/s00520-018-4268-0.
[16] 周阳,周萌,朱秀丽,等. 慢性阻塞性肺疾病患者正念水平的现状调查及影响因素分析[J]. 护理学报, 2018, 25(4):10-14.DOI:10.16460/j.issn1008-9969.2018.04.010.
[17] Song Y, Lindquist R.Effects of Mindfulness-based Stress Reduction on Depression, Anxiety, Stress and Mindfulness in Korean Nursing Students[J]. Nurse Educ Today, 2015,35(1):86-90. DOI:10.1016/j.nedt.2014.06.010.
[18] Sanjuán P, García-Zamora C, Ruiz M Á, et al.Benefit Finding in Cardiac Patients: Relationships with Emotional Well-being and Resources after Controlling for Physical Functional Impairment[J]. Span J Psychol, 2016,19:E50. DOI:10.1017/sjp.2016.60.
[19] Belcher S M, Low C A, Posluszny D M, et al.Psychological Distress, Health Behaviors, and Benefit Finding in Survivors of Multiple Primary Cancers: Results from the 2010 Livestrong Survey[J]. Oncol Nurs Forum, 2017, 44(6):703-711. DOI:10.1188/17.ONF.703-711.
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