中国临床心理学杂志

永久性肠造口患者自尊现状及其影响因素

作者：原静民张俊娥郑美春张惠芹卜秀青

单位：1. 长江大学医学院荆州 434023 2. 中山大学护理学院广州 510089 3. 中山大学附属肿瘤医院广州 510060

关键词：肠造口自尊影响因素分析

分类号：R395.6

出版年,卷(期):页码：2017,25(6):1164-1167

摘要：

目的：调查永久性肠造口患者自尊现状，并分析其影响因素。方法：采用自行设计的一般资料调查问卷、状态自尊量表、应对自我效能量表和社会影响量表，对131例永久性肠造口患者进行研究。结果：永久性肠造口患者自尊得分为（51.98±23.11）分，处于中等水平，46.6%的患者自尊为低水平。多重线性回归分析结果显示，配偶接受造口程度、应对自我效能、年龄等因素为自尊的影响因素，可共同解释自尊50.6%的变异。结论：永久性肠造口患者自尊水平较低，医务人员在要注重提高其应对自我效能水平，教育患者以及家属接受患者造口和身体形象的改变，定期开展并鼓励患者积极参加造口联谊会，并特别关注青壮年造口患者。

Objective:To investigate the level and influence factors of self-esteem in people with permanent stoma pa-tients. Methods:The sample consisted of 131 permanent stoma patients. The patients were recruited to complete demo-graphic questionnaire, State Self-esteem Scale, Social Impact Scale and Coping Self-efficacy Scale. Results:All of the per-manent stoma patients got the average score(51.98±23.11) on State Self-esteem, which was moderate level, with 46.6% pa-tients were high level. The influencing factors of self-esteem of permanent stoma patients included coping self-efficacy, the acceptance with stoma among spouse and age. Conclusion:The level of permanent stoma patients'self-esteem is slightly lower. Improving patients coping self-efficacy, encouraging family members to accept patients'stoma and changes in body image, encouraging patients to participate in colostomy sodality may help to improve self-esteem of stoma patients.

基金项目：

国家社会科学基金（16BSH053）；荆州市2017年度科技发展计划（医疗卫生）项目

作者简介：

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