摘要
目的探讨新辅助化疗直肠癌造口患者健康行为现状及影响因素。方法采用问卷调查法对78例新辅助化疗直肠癌造口患者进行健康行为的调查,调查内容包括健康促进生活方式量表Ⅱ、一般人口学资料及患者的疾病相关资料,并进行统计分析。结果新辅助化疗直肠癌造口患者健康行为总平均分为(131.01±24.47)分,各维度平均得分由高到低依次为:营养、人际支持、压力应对、健康责任、自我实现、运动。多元逐步回归分析显示文化程度、人均月收入、化疗副损伤和造口并发症是影响健康行为的显著因素(P<0.05),可解释健康行为水平70.00%的变异量。结论新辅助化疗直肠癌造口患者健康行为水平有待提高,在设计和实施临床护理的过程中,应重视对有化疗副损伤和造口并发症患者的护理,提高患者的健康行为,帮助患者建立和维持良好的健康生活方式,提高生命质量。
Objective To study current situation and influencing factors of health behavior among rectal cancer patients with intestine stoma after neoadjuvant chemotherapy.Methods Questionnaire investigation was conducted among 78 patients using health-promoting lifestyle profile-Ⅱ, general demographic data and related data of disease.And a statistical analysis was made on its investigation.Results The score of health behavior of rectal cancer patients with intestine stoma after neoadjuvant chemotherapy was 131.01±24.47.The score ofeach dimensionin descending order were:nutrition, interpersonal relations, stress management, health responsibility, spiritual growth and physical activity. Multiple stepwise regression analysis indicates literacy, average mothly income, chemotherapy collateral injury and stoma complications were the significant factors of health behavior (P<0.05), which could explain 70% of the variance in health behavior.Conclusion The level of health behavior of rectal cancer patients with intestine stoma afer neoadjuvant chemotherapy need to be improved. In the process of designing and implementing clinical nursing, great importance should be paid to the nursing of patients with chemotherapy collateral injury and stoma complications, to improve their health behavior, to help them establish and maintain a healthy lifestyle and to improve the quality of life.
作者
万珊珊
杨长永
卫莉
Wan Shanshan;Yang Changyong;Wei Li
出处
《中国实用护理杂志》
2019年第1期60-64,共5页
Chinese Journal of Practical Nursing
关键词
新辅助化疗
直肠癌
肠造口
健康行为
影响因素
Neoadjuvant chemotherapy
Rectal cancer
Intestinal stoma
Health behavior
Influencing factors
