永久性结肠造口患者造口影响状况及其影响因素分析

目的调查永久性结肠造口对患者生活影响的状况并分析其影响因素。方法采用一般资料调查问卷以及造口影响评分对218例永久性结肠造口患者进行问卷调查。结果218例永久性结肠造口患者中54.6%认为永久性结肠造口对其生活的影响大,其中对患者影响最大的是造口异味以及造口袋渗漏。多因素回归分析结果显示年龄(OR=1.137,P<0.001)、每日清理造口次数(OR=1.438,P=0.015)、术后时间(OR=0.789,P<0.001)以及是否与造口护士有规律联系(OR=0.098,P=0.002)为造口影响评分的影响因素。结论永久性结肠造口对患者生活影响较大,医护人员应在临床对老年患者予以更多关注,帮助患者形成规律的排便习惯,加强出院后患者的延续性护理服务并为患者提供专业支持,从而减少造口影响,提高患者的生活质量。

Colostomy impact condition and its influencing factors in patients with permanent colostomy

Objective To investigate the impact of permanent colostomy on patients'life and to analyze its influencing factors.Methods A total of 218 patients with permanent colostomy were invited to complete self-designed demographic questionnaire and Colostomy Impact Score(CIS).Results 54.6%of patients believed that permanent colostomy had a significant impact on their quality of life,odors from the stoma and leakage from the pocket had the greatest influence on the patients.Multivariate regression analysis showed that age(OR=1.137,P<0.001),times of daily clean stoma(OR=1.438,P=0.015),postoperative time(OR=0.098,P<0.001),and regular contact with nurse(OR=0.098,P=0.002)were the influencing factors of the colostomy impact condition.Conclusion Permanent colostomy has a significant impact on patients'lives.Medical staff should pay more attention to elderly patients in clinical practice,help patients train regular defecation habits,enhance continuous care services for patients after discharge and provide professional support to patients,so as to reduce the impact of stoma and improve their quality of life.