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造口临时患者的污名及其影响:一项横断面调查。

Stigma and Its Influence on Patients With Temporary Ostomy: A Cross-sectional Survey.

机构信息

Fang Qin, MSc, RN, School of Nursing, Southern Medical University, Guangzhou, China.

Li Zhen, MSc, ET, Department of General Surgery, Southern Medical University, Nanfang Hospital, Guangzhou, China.

出版信息

J Wound Ostomy Continence Nurs. 2020 May/Jun;47(3):244-248. doi: 10.1097/WON.0000000000000645.

Abstract

PURPOSE

The purpose of this study was to explore stigma and its influencing factors in Chinese patients with a temporary ostomy.

DESIGN

Cross-sectional, descriptive.

SUBJECTS AND SETTING

Convenience sampling was used to recruit 170 patients living with a temporary ostomy for at least 2 weeks. Participants were recruited from 3 general hospitals in Guangdong province, located in southeastern China.

METHODS

Respondents completed a questionnaire that included ostomy-related sociodemographic questionnaire, the Social Impact Scale, and the Stoma Self-Efficacy Scale. Multivariate linear regression was used to identify factors influencing stigma.

RESULTS

Of the 170 questionnaires distributed, 159 (93.5%) respondents who sufficiently completed responses were included in the final analysis. The average score of the Social Impact Scale was 61.63 (SD = 8.39), reflecting a moderate level of stigma, and 27 (17%) experienced high levels of stigma. Multivariate regression analysis revealed that stigma was associated with family relationships (B = 6.139, P = .000), age when ostomy was created (B = -4.038, P = .000), and self-efficacy (B = -0.080, P = .002).

CONCLUSIONS

The level of stigma in Chinese patients with temporary ostomies is moderate. Multivariate regression analysis identified family relationship, age, and self-efficacy as the main factors that influenced stigma in patients with temporary ostomy.

摘要

目的

本研究旨在探讨中国临时造口患者的污名及其影响因素。

设计

横断面描述性研究。

研究对象和场所

采用便利抽样法,招募了 170 名至少有 2 周临时造口的患者。参与者来自中国东南部广东省的 3 家综合医院。

方法

受访者完成了一份问卷,其中包括与造口相关的社会人口学问卷、社会影响量表和造口自我效能感量表。采用多元线性回归分析确定影响污名的因素。

结果

在发放的 170 份问卷中,有 159 份(93.5%)充分完成了回复的问卷被纳入最终分析。社会影响量表的平均得分为 61.63(SD=8.39),反映出中度的污名程度,有 27 名(17%)患者经历了高度的污名。多元回归分析显示,污名与家庭关系(B=6.139,P=.000)、造口时的年龄(B=-4.038,P=.000)和自我效能(B=-0.080,P=.002)有关。

结论

中国临时造口患者的污名程度处于中等水平。多元回归分析确定家庭关系、年龄和自我效能是影响临时造口患者污名的主要因素。

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