摘要
目的了解永久性肠造口患者灵性护理需求现状及其影响因素,分析其与伤残接受度、病耻感的相关性,以期为构建针对性的灵性护理干预方案提供借鉴。方法于2021年1月至2022年3月,采用方便抽样法抽取中南大学湘雅医院、湖南省肿瘤医院共351例永久性肠造口患者,使用自制一般资料调查表、中文版患者对护士提供灵性护理的需求量表(NSTS)、伤残接受度量表(ADS)及慢性病病耻感量表(SSCI)对其进行横断面调查。采用多元线性回归分析永久性肠造口患者灵性护理需求的影响因素。结果永久性肠造口患者灵性护理需求总分为(30.15±6.46)分,条目均分为(2.51±0.78)分。5个维度中,条目均分最高的是营造良好氛围(3.10±0.98)分,最低的是帮助宗教修行(1.65±0.70);伤残接受度总分为(81.94±13.86)分;病耻感总分为(64.03±14.28)分,灵性护理需求总分与伤残接受度总分呈正相关(r=0.703,P<0.01),与病耻感总分呈负相关(r=-0.516,P<0.01);多元线性回归分析显示,宗教信仰、文化程度、居住地、病程、伤残接受度及病耻感是其灵性护理需求的主要影响因素(t值为-13.26~13.56,均P<0.01),可解释总变异的52.5%。结论永久性肠造口患者灵性护理需求处于中等水平。建议护士可根据患者的个体化特征制订针对性的灵性护理措施,提高其伤残接受度,降低其病耻感水平,从而满足其灵性护理需求,实现其灵性安适。
Objective To investigate the status quo of spiritual nursing needs and its influencing factors of patients with permanent enterostomy,and analyze its correlation with disability acceptance and stigma,so as to provide a reference for the construction of targeted spiritual nursing intervention programs.Methods A total of 351 patients with permanent enterostomy in Xiangya Hospital Central South University and Hunan Cancer Hospital were selected by convenience sampling from January 2021 to March 2022.A cross-section by using the self-made general information questionnaire,Nurse Spiritual Therapeutics Scale(NSTS),Acceptance of Disability Scale(ADS),and Stigma Scale for Chronic Illness(SSCI).And multiple linear regression was used to analyze the influencing factors of spiritual nursing needs of patients with permanent enterostomy.Results The total score of spiritual nursing needs of patients with permanent enterostomy was 30.15±6.46,and the average score of items was 2.51±0.78.Among the five dimensions,the highest average score was creating a good atmosphere 3.10±0.98,and and the lowest was helping religious practice 1.65±0.70.The total score of disability acceptance was 81.94±13.86;the total score of stigma was 64.03±14.28.The total scores of spiritual nursing needs were positively correlated with the total scores of disability acceptance(r=0.703,P<0.01),and negatively correlated with the total scores of stigma(r=-0.516,P<0.01).Multivariate linear regression analysis showed that religious beliefs,educational level,residence,course of disease,disability acceptance,and stigma were the main influencing factors for the spiritual nursing needs of patients with permanent enterostomy(t values were-13.26-13.56,all P<0.01),accounting for 52.5%of the total variation.Conclusions The spiritual nursing needs of patients with permanent enterostomy were moderate.It is suggested that nurses can develop targeted spiritual nursing measures according to the individualized characteristics of patients,improve their disability accept
作者
万咏
汪张毅
赵浩梅
肖露微
秦莉花
Wan Yong;Wang Zhangyi;Zhao Haomei;Xiao Luwei;Qin Lihua(School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China;Department of Cardiovascular,Xiangya Hospital Central South University,Changsha 410008,China;School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;School of Nursing,Hebei University of Chinese Medicine,Shijiazhuang 050000,China;School of Nursing,University of South China,Hengyang 421000,China)
出处
《中国实用护理杂志》
2023年第7期513-519,共7页
Chinese Journal of Practical Nursing
关键词
肠造口术
灵性护理需求
伤残接受度
病耻感
影响因素
Enterostomy
Spiritual nursing needs
Disability acceptance
Stigma
Influencing factors
