Evaluation of Comfort in Patients with Intestinal Fistula and Analysis of Influencing Factors.

OBJECTIVE

To analyze the comfort and influencing factors in patients with enterocutaneous intestinal fistula (ECF) on hospital admission and propose targeted nursing intervention countermeasures.

METHODS

A total of 193 patients with EDF admitted to Hunan Provincial People's Hospital in China from May 2018 to February 2021 were selected for this study. Basic patient data were collected upon admission and the Kolcaba Comfort Scale was used to score comfort status. Univariate and multivariate analysis methods were used to analyze the influencing factors.

RESULTS

Patients with ECF have low comfort scores; the social, psychological, physiological and environmental dimensions were affected by 8, 7, 4 and 2 factors, respectively. The number of fistulas and skin condition in patients with ECF were the main physiological factors affecting patients.

CONCLUSION

Paying attention to the fistula and surrounding skin care and strengthening psychological counseling can improve the comfort of patients with ECF.