School of Nursing, Qingdao University, Qingdao 266071, China.
Comput Math Methods Med. 2022 Jul 4;2022:4940946. doi: 10.1155/2022/4940946. eCollection 2022.
In terms of social and psychological health of enterostomy patients during hospitalization and discharge transition period, the degree of social isolation in patients during discharge transition period is higher than that during hospitalization period, which is usually manifested by poor self-perception of body image changes. Self-esteem (shame) frustration, severe negative emotions, low psychosocial adjustment, and other factors are closely related to postoperative complications, coping self-efficacy, social support level, family living conditions, and other influencing factors. This is an important reason why patients are difficult to adapt to ostomy life and low quality of life. At present, it is believed that the social isolation related evaluation scale can be used to understand the status quo of patients with social isolation and provide nursing guidance, so as to better cope with the adverse medical outcomes caused by social isolation.
在住院和出院过渡期肠造口患者的社会和心理健康方面,患者在出院过渡期的社会隔离程度高于住院期间,通常表现为对身体形象变化的自我认知较差、自尊心(羞耻感)受挫、严重的负面情绪、低心理社会调整等,这些与术后并发症、应对自我效能、社会支持水平、家庭生活条件等影响因素密切相关。这是患者难以适应造口生活和生活质量低的重要原因。目前认为,可以使用社会隔离相关评估量表来了解患者社会隔离的现状,提供护理指导,从而更好地应对社会隔离导致的不良医疗结局。