黄梅雪++++++黄艳青++++++凌玉芳++++++韦素雨++++++顾亚丽

[摘要] 目的 分析肠造口患者社会心理适应现状及其影响因素，為此类患者的社会心理适应的改善提供前提条件。方法 选取2014年3月～2016年5月右江民族医学院附属医院诊治的100例肠造口患者作为研究对象，采用OAI-20量表进行评估，然后根据其中个人基本情况（性别、年龄、文化程度、居住情况及经济状况）、造口相关情况（造口并发症、造口时间、造口接受程度、造口自护能力及造口知识认知度）及其他情况（社会支持程度、情绪状态、一般自我效能感及医疗费用支付情况）患者的OAI-20量表评分结果进行分别比较，并采用Logistic回归分析处理上述因素与肠造口患者社会心理适应状态的关系。 结果 100例肠造口患者的OAI-20量表评分较差，其中不同性别、年龄、文化程度、居住情况、经济状况、造口并发症、造口时间、造口接受程度、造口自护能力、造口知识认知度、社会支持程度、情绪状态、一般自我效能感及医疗费用支付方式患者的OAI-20量表评分比较，差异有统计学意义（P < 0.05）。Logistic回归分析显示，上述研究因素均是肠造口患者社会心理适应状态的重要影响因素（P < 0.05）。 结论 肠造口患者社会心理适应状态较差，且较多个人基本情况、造口相关情况及其他情况均是其重要影响因素，应针对这些因素给予干预。

[关键词] 肠造口；社会心理适应现状；影响因素

[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）06（c）-0172-05

[Abstract] Objective To study the social psychological adaptation status and its influencing factors of patients with intestinal stoma， in order to provide preconditions for the improvement of these patients′social psychological adaptation. Methods 100 patients with intestinal stoma in Affiliated Hospital of Youjiang Medical College for Nationalities from March 2014 to May 2016 were selected as the study object， and they were evaluated by OAI-20 scale . Then make the patients′OAI-20 scale assessment results were made separate comparison according to personal basic condition （gender， ages， education degree， living condition and economic condition）， intestinal stoma related situation （intestinal stoma complications， intestinal stoma time， cceptance degree of intestinal stoma， self-care ability of intestinal stoma and recognition for intestinal stoma knowledge） and other situation（social support degree， emotional state， general self-efficacy and modes of medical care provider payment）， and the relationship between the above mentioned factors and the social psychological adaptation status of the patients with intestinal stoma was analyzed by Logistic regression analysis. Results The OAI-20 scale results of 100 patients with intestinal stoma were bad， and the OAI-20 scale results of patients with different gender， ages， education degree， living condition， economic condition， intestinal stoma complications， intestinal stoma time， cceptance degree of intestinal stoma， self-care ability of intestinal stoma， recognition for intestinal stoma knowledge， social support degree， emotional state， general self-efficacy and ways of medical expenses had significant differences （P < 0.05）. The Logistic regression analysis showed those factors were all the important influencing factors for the social psychological adaptation status of the patients with intestinal stoma （P < 0.05）. Conclusion The social psychological adaptation status of patients with intestinal stoma are relatively bad， and the personal basic condition， intestinal stoma related situation and other situation are the important influencing factors， so they should be intervened regarding to these factors.

[Key words] Intestinal stoma； Social psychological adaptation status； Influence fatctors

肠造口是临床中采用率极高的一类治疗方式，本病是多类肠道疾病患者粪便出口的改道的方式，而这种粪便出口改道的方式，不仅仅对患者的机体舒适度可造成不同程度的影响[1-2]，且可对患者的心理状态等造成不同程度的不良影响，其中较多患者的社会心理适应状态极差，严重影响到其……