临床普外科电子杂志 ›› 2023, Vol. 11 ›› Issue (3): 13-.

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结直肠癌肠造口患者益处发现潜在剖面分析及其影响因素研究

  

  1. 1. 青岛大学 护理学院,山东 青岛 266011;2. 青岛市市立医院 康复大学青岛医院 普外科,山东 青岛 266011; 3. 青岛市市立医院 康复大学青岛医院 护理部,山东 青岛 266011
  • 出版日期:2023-07-01 发布日期:2023-09-01

Potential profile analysis and influencing factors for benefit discovery in colorectal cancer patients with enterostomy

  1. JI Yanyan1,2, WANG Kaixuan2, LI Chang2, XU Xiaoqing2,ZHANG Dianliang2, LIU Zhimei3
  • Online:2023-07-01 Published:2023-09-01

摘要:

目的 探究结直肠癌肠造口患者益处发现的潜在类别,并分析结直肠癌肠造口患者不同益处发现的影响因素。方法 采用便利抽样法选取2022 年1 月至2022 年9 月在青岛市市立医院造口门诊或住院的216 例结直肠癌肠造口患者为研究对象。使用一般资料调查表、益处发现评定量表、医学应对方式问卷、领悟社会支持量表、生活定向测验修订版量表及反刍性沉思问卷进行调查。采用潜在剖面分析的方法对研究对象的益处发现特征进行分析,通过单因素分析、方差分析和有序多分类Logistic 回归分析探讨益处发现潜在类别的影响因素。结果 结直肠癌肠造口患者益处发现可分为3 个潜在类别,分别是低益处发现-应对疲乏组(16.7%)、中益处发现- 缺乏运动组(52.3%)和高益处发现- 健康被爱组(31.0%)。面对和屈服、家庭支持和其他支持、乐观倾向、离退休、从不和几乎不与医护人员交流是益处发现潜在类别的影响因素。结论 结直肠癌肠造口患者的益处发现存在明显的群体异质性,医护人员应识别不同益处发现潜在类别的特征及影响因素,制订针对性干预策略,提升患者益处发现水平。

关键词: 结直肠癌, 肠造口, 益处发现, 潜在剖面分析, 影响因素

Abstract:

Objective To explore the potential categories of benefit findings in colorectal cancer enterostomy patients, and to analyze the influencing factors of different benefit findings in colorectal cancer enterostomy patients. Method A total of 216 patients with colorectal cancer enterostomy who were hospitalized or outpatients in Qingdao Municipal Hospital from January 2022 to September 2022 were selected as subjects by convenience sampling method. The survey was conducted using the General Information Questionnaire, the Benefit Finding Rating Scale, the Medical Coping Style Questionnaire, the Perceptive Social Support Inventory, the Revised Life Orientation Test Scale, and the Rumination Rumination Questionnaire. The potential profile analysis method was used to analyze the characteristics of benefit discovery of the research object, and the factors influencing the

potential categories of benefit discovery were discussed by univariate analysis, variance analysis and ordered multiple Logistic regression analysis. Result The benefit findings in colorectal cancer enterostomy patients could be divided into three potential categories: low benefit findings-coping fatigue group (16.7%), moderate benefit findings-lack of exercise group (52.3%) and high benefit findings - healthy and loved group (31.0%). Facing and yielding, family support and other support, optimistic tendency, retirement, and never or almost no communication with health care workers were factors influencing the potential categories of beneficial findings. Conclusion There is significant group heterogeneity in the benefit finding of colorectal cancer enterostomy patients. Medical staff should identify the characteristics and influencing factors of different potential categories of benefits and formulate targeted intervention strategies to improve the level of benefit finding in patients.

Key words: Colorectal cancer, Enterostomy, Benefit discovery, Potential profile analysis, Influence factor