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本文引用的文献

1
The Burden of Peristomal Skin Complications on an Ostomy Population as Assessed by Health Utility and the Physical Component Summary of the SF-36v2.通过健康效用和SF-36v2的身体状况总结评估造口人群的造口周围皮肤并发症负担。
Value Health. 2018 Jan;21(1):89-94. doi: 10.1016/j.jval.2017.07.004. Epub 2017 Sep 1.
2
A Randomized Controlled Trial Determining Variances in Ostomy Skin Conditions and the Economic Impact (ADVOCATE Trial).一项确定造口皮肤状况差异及其经济影响的随机对照试验（ADVOCATE试验）。
J Wound Ostomy Continence Nurs. 2018 Jan/Feb;45(1):37-42. doi: 10.1097/WON.0000000000000389.
3
Peristomal moisture-associated skin damage in adults with fecal ostomies: a comprehensive review and consensus.成人造口周围皮肤的潮气相关性损伤：全面综述和共识
J Wound Ostomy Continence Nurs. 2013 Jul-Aug;40(4):389-99. doi: 10.1097/WON.0b013e3182944340.
4
Social isolation, loneliness, and all-cause mortality in older men and women.社会隔离、孤独感与老年人全因死亡率。
Proc Natl Acad Sci U S A. 2013 Apr 9;110(15):5797-801. doi: 10.1073/pnas.1219686110. Epub 2013 Mar 25.
5
Social connectivity in those 24 months or less postsurgery.术后 24 个月及以内的社会联系情况。
J Wound Ostomy Continence Nurs. 2011 Jan-Feb;38(1):63-8. doi: 10.1097/won.0b013e318202a804.
6
QALYs: the basics.质量调整生命年：基础内容
Value Health. 2009 Mar;12 Suppl 1:S5-9. doi: 10.1111/j.1524-4733.2009.00515.x.
7
Effect of social factors on winter hospital admission for respiratory disease: a case-control study of older people in the UK.社会因素对冬季呼吸系统疾病住院率的影响：英国老年人的病例对照研究
Br J Gen Pract. 2008 Jun;58(551):400-2. doi: 10.3399/bjgp08X302682.
8
Perceived social support and mortality in older people.老年人感知到的社会支持与死亡率
J Gerontol B Psychol Sci Soc Sci. 2006 May;61(3):S147-52. doi: 10.1093/geronb/61.3.s147.
9
Quality of life in patients with vitiligo.白癜风患者的生活质量
Health Qual Life Outcomes. 2003 Oct 23;1:58. doi: 10.1186/1477-7525-1-58.
10
What is the relationship between the minimally important difference and health state utility values? The case of the SF-6D.最小重要差异与健康状态效用值之间的关系是什么？以SF-6D为例。
Health Qual Life Outcomes. 2003 Apr 11;1:4. doi: 10.1186/1477-7525-1-4.

健康效用、社会互动性与造口周围皮肤状况：一项横断面研究。

Health Utility, Social Interactivity, and Peristomal Skin Status: A Cross-Sectional Study.

作者信息

Nichols Thomas

机构信息

Thomas Nichols, MS/MBA, Hollister Incorporated, Libertyville, Illinois.

出版信息

J Wound Ostomy Continence Nurs. 2018 Sep/Oct;45(5):438-443. doi: 10.1097/WON.0000000000000457.

DOI:10.1097/WON.0000000000000457
PMID:30001296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6133225/
Abstract

PURPOSE

The objective of this study was to examine relationships among social interaction, health utility, and peristomal skin status in adults with ostomies.

DESIGN

Cross-sectional, descriptive.

SUBJECTS AND SETTING

15,591 persons residing in the United States were randomly selected from 3 multinational proprietary databases of individuals who had undergone surgery.

METHODS

The study was a cross-sectional assessment utilizing the SF36v2 survey instrument. Potential subjects were sent an e-mail letter of invitation that included instructions for completing the questionnaire, an informed consent form, and nontransferable link to an electronic survey. Health utility was derived from the SF6D, and the Hawthorne Friendship Scale was used to measure social connectivity. Social functioning was derived from the SF36v2. A minimally important social value of health (MISVH) is reported as the minimum quality-adjusted life-days to be of benefit (influence) within indices of social connectivity and function. A self-reported determinant of peristomal skin health was included.

RESULTS

Increased social interactivity, defined as social functioning and social connectivity, was associated with increased health utility. In addition, health utility decreased as peristomal skin integrity worsened. A MISVH can be demonstrated.

CONCLUSION

Findings indicate that peristomal skin complications are more than dermatologic issues. They negatively affect the well-being of those who must cope and adapt to their impact and the community at large. Social interaction is also negatively influenced.

摘要

目的

本研究的目的是探讨造口成年人的社会互动、健康效用和造口周围皮肤状况之间的关系。

设计

横断面描述性研究。

研究对象与研究背景

从3个跨国专有手术患者数据库中随机选取15591名居住在美国的人。

方法

本研究采用SF36v2调查问卷进行横断面评估。向潜在研究对象发送电子邮件邀请信，其中包括填写问卷的说明、知情同意书以及电子调查问卷的不可转让链接。健康效用由SF6D得出，霍桑友谊量表用于衡量社会联系。社会功能由SF36v2得出。报告了健康的最低重要社会价值（MISVH），即社会联系和功能指标内有益（有影响）的最低质量调整生命天数。纳入了造口周围皮肤健康的自我报告决定因素。

结果

社会互动增加，定义为社会功能和社会联系，与健康效用增加相关。此外，随着造口周围皮肤完整性恶化，健康效用降低。可以证明存在MISVH。

结论

研究结果表明，造口周围皮肤并发症不仅仅是皮肤病问题。它们会对那些必须应对和适应其影响的人以及整个社区的福祉产生负面影响。社会互动也受到负面影响。