Department of Nursing, Peking University People's Hospital, Beijing, China.
School of Nursing, Peking University, Beijing, China.
J Clin Nurs. 2024 Dec;33(12):4717-4725. doi: 10.1111/jocn.17143. Epub 2024 Mar 25.
This study aimed to explore the psychosocial adjustment of enterostomy patients on a national scale.
Based on a national cross-sectional survey.
From December 2021 and February 2023, a total of 22,040 enterostomy patients were assessed using the ostomy adjustment inventory-20. Initial analysis involved employing the chi-square test or Kruskal-Wallis H test to identify factors influencing the psychosocial adjustment of these patients. Subsequently, multinomial logistic regression was used to determine the factors affecting the classification of psychosocial adjustment levels of enterostomy patients. The reporting of this study adhered to the STROBE checklist.
Eventually 21,124 patients with enterostomy were included in this study, out of which 7788 (36.9%) patients with low level of psychosocial adjustment, 11,803 (55.8%) patients with medium level of psychosocial adjustment and 1533 (7.3%) patients with high level of psychosocial adjustment. The factors influencing the classification of psychosocial adjustment levels of enterostomy patients were gender, educational background, carer, enterostomy self-care knowledge score and medical payment method.
The overall psychosocial adjustment level of enterostomy patients is not optimistic, and the factors that may affect the classification of their psychosocial adjustment level are analysed. Individualised intervention should be given according to different psychosocial adjustment levels of enterostomy patients.
The number of enterostomy patients with a high level of psychosocial adjustment is small in relation to the total number of enterostomy patients, and caregivers can provide health education to enterostomy patients by analysing the factors affecting the level of psychosocial adjustment of enterostomy patients.
None.
本研究旨在全国范围内探讨肠造口患者的社会心理调整情况。
基于全国性横断面调查。
2021 年 12 月至 2023 年 2 月，采用造口调整量表-20 对 22040 例肠造口患者进行评估。采用卡方检验或 Kruskal-Wallis H 检验对影响患者社会心理调整的因素进行初步分析。随后，采用多项逻辑回归分析确定影响肠造口患者社会心理调整水平分类的因素。本研究的报告符合 STROBE 清单。
最终纳入 21124 例肠造口患者，其中低社会心理调整水平患者 7788 例（36.9%），中社会心理调整水平患者 11803 例（55.8%），高社会心理调整水平患者 1533 例（7.3%）。影响肠造口患者社会心理调整水平分类的因素有性别、教育背景、照顾者、肠造口自我护理知识评分和医疗支付方式。
肠造口患者的整体社会心理调整水平不容乐观，分析可能影响其社会心理调整水平分类的因素。应根据肠造口患者不同的社会心理调整水平给予个体化干预。
高水平社会心理调整的肠造口患者数量相对较少，照顾者可以通过分析影响肠造口患者社会心理调整水平的因素，为肠造口患者提供健康教育。
无。
