摘要
目的探讨永久性肠造口患者的自我接纳水平和自动思维的变化及其相关性。方法选取2016年2-10月在西安交通大学第一附属医院肿瘤外科住院行Miles术和永久性结肠造口术的89例低位直肠癌患者为研究对象。在患者造口术后1、3、6和12个月,分别使用自我接纳问卷和自动思维问卷进行测量。结果研究对象在患者造口术后1、3、6和12个月4个时点的自我接纳总分分别为(33.64±5.52)、(33.24±5.71)、(34.56±6.04)、(38.91±6.33)分,差异有统计学意义(F=11.012,P<0.01);自动思维得分分别为(63.20±16.78)、(60.88±16.53)、(58.64±15.87)、(55.32±14.76)分,差异有统计学意义(F=3.462,P<0.05)。在4个时点上研究对象的自我接纳总分与自动思维之间具有相关性(r=-0.576^-0.372,P<0.01)。结论永久性肠造口患者的自我接纳水平和自动思维在术后1年内均呈负相关。医护人员应学会准确识别患者的自动思维,宣泄负性情绪,以促进其尽早地接纳自我,提高患者生命质量。
Objective To explore the dynamic changes and correlation of self-acceptance and automatic thoughts in permanent colostomy patients.Methods There were 89 low position rectal cancer patients after Miles and permanent colostomy were recruited from the Department of Oncological Surgery of the First Affiliated Hospital of Xi’an Jiaotong UniversityfromFebruary 2016 to October 2016. Self-acceptance Questionnaire and Automatic Thoughts Questionnaire were used to collect data in 1 month, 3 months, 6 months and 12 months after colostomy.Results The self-acceptance scores were 33.64±5.52, 33.24±5.71, 34.56±6.04 and 38.91±6.33 respectively, which had significant differences (F=11.012, P<0.01). The automatic thoughts scores were 63.20±16.78, 60.88±16.53, 58.64±15.87 and 55.32±14.76 respectively, which had significant differences (F=3.462, P<0.05). The correlation between self-acceptance and automatic thoughts were -0.576- -0.372, which were all significant (P<0.01).Conclusion There were negative correlations between self-acceptance and automatic thoughts in permanent colostomy patients within 1 year after operation. Health professionals should learn to identify patients′automatic thoughts accurately, lead off negative emotions, promote early self-acceptance and improve their quality of life.
作者
郝楠
杨群草
张昊
张勇
Hao Nan;Yang Quncao;Zhang Hao;Zhang Yong
出处
《中国实用护理杂志》
2019年第1期7-11,共5页
Chinese Journal of Practical Nursing
基金
国家自然科学基金青年科学基金项目(81502442).
关键词
肠造口
自我接纳
自动思维
随访研究
Colostomy
Self-acceptance
Automatic thoughts
Follow-up study
