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引流造口术后患者的自我护理和健康相关生活质量:一项多中心、横断面研究。

Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study.

机构信息

Department of Nursing, Faculty of Health Sciences, University of Jaume I, Castellón de la Plana, 12071 Castelló, Spain.

Predepartmental Unit of Medicine, Faculty of Health Sciences, University of Jaume I, Castellón de la Plana, 12071 Castelló, Spain.

出版信息

Int J Environ Res Public Health. 2021 Mar 2;18(5):2443. doi: 10.3390/ijerph18052443.

Abstract

The current article examined stoma self-care and health-related quality of life in patients with drainage enterostomy, described clinical and sociodemographic variables and analyzed the relationship between all of them. Trained interviewers collected data using a standardized form that queried sociodemographic and clinical variables. In addition, Self-Care (SC) was measured through a specific questionnaire for Ostomized Patients (CAESPO) and Health-Related Quality of Life (HRQoL) through the Stoma Quality of Life questionnaire (S-QoL), which are not included in the electronic medical record. This was a multicenter, cross sectional study conducted in four hospitals of the province of Castellon (Spain), where 139 participants were studied. As novel findings, it was found that the level of SC of the stoma was high and was positively correlated with health-related quality of life. In relation to SC and sociodemographic variables studied in the research, women, married patients and active workers presented significantly higher scores than the rest. In relation to the clinical variables, we highlight the highest scores of the autonomous patients in the care of their stoma and those who used irrigations regularly. The lowest scores were the patients with complications in their stoma. We can highlight the validity and reliability of the CAESPO scale for biomedical and social research, and the importance of skills related to self-care of ostomy patients for a good level of HRQoL.

摘要

本文研究了引流肠造口患者的造口自我护理和与健康相关的生活质量,描述了临床和社会人口统计学变量,并分析了它们之间的关系。经过培训的访谈者使用标准化表格收集数据,该表格询问了社会人口统计学和临床变量。此外,通过特定的造口患者自我护理问卷 (CAESPO) 测量自我护理 (SC),通过造口生活质量问卷 (S-QoL) 测量与健康相关的生活质量 (HRQoL),而这些问卷都不包含在电子病历中。这是一项在西班牙卡斯特利翁省的四家医院进行的多中心、横断面研究,共研究了 139 名参与者。作为新的发现,研究发现造口的自我护理水平较高,与健康相关的生活质量呈正相关。关于研究中涉及的自我护理和社会人口统计学变量,女性、已婚患者和在职患者的得分明显高于其他患者。关于临床变量,我们强调自主患者在护理造口方面的得分最高,以及那些定期进行冲洗的患者。造口有并发症的患者得分最低。我们可以强调 CAESPO 量表在生物医学和社会研究中的有效性和可靠性,以及与造口患者自我护理相关的技能对于良好的 HRQoL 的重要性。

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