摘要
目的探究原发性结直肠癌术后患者知性谦逊潜在类别,分析其知性谦逊与术后自我管理的相关性。方法以便利取样法选取青海省中医院肛肠科2021年10月至2023年6月收治250例接受肿瘤根治术的原发性结直肠癌术后患者作为调查对象进行横断面调查。采用基本情况问卷、知性谦逊综合量表(CIHS)和癌症患者自我管理测评量表(CPSMAS)对其进行调查。结果得到有效问卷243份,其中男125例,女118例,年龄32~68(52.45±10.24)岁。结直肠癌患者知性谦逊得分为(67.59±13.26)分,可分低知性谦逊型30例(12.34%)、自信知性谦逊型36例(14.82%)、中知性谦逊型93例(38.27%)和高知性谦逊型84例(34.57%)。无序多分类Logistic回归分析显示,性别(女性,OR=2.465)、受教育程度(高中或中专,OR=0.012)和确诊时间(1~3个月,OR=15.289)是自信知性谦逊型原发性结直肠癌术后患者知性谦逊的影响因素(均P<0.05)。性别(女性,OR=5.354)和受教育程度(高中或中专,OR=0.012)是中知性谦逊型原发性结直肠癌术后患者知性谦逊的影响因素(均P<0.05)。性别(女性,OR=11.253)、受教育程度(高中或中专,OR=0.017)、年龄(<45岁,OR=7.532)和确诊时间(<1个月,OR=0.054)是高知性谦逊型原发性结直肠癌术后患者知性谦逊的影响因素(均P<0.05)。本次调查的原发性结直肠癌术后患者的自我管理得分为(142.03±19.83)分,不同知性谦逊类别的患者自我管理总分及日常生活管理、症状管理等6个维度的评分比较差异均有统计学意义(F值为25.42~490.55,均P<0.05)。原发性结直肠癌术后患者的知性谦逊与术后自我管理之间呈正相关(r值为0.373~0.749,均P<0.05)。结论原发性结直肠癌术后患者知识谦逊和术后自我管理均处于中等水平,其知识谦逊可分为低知性谦逊型、自信知性谦逊型、中知性谦逊型和高知性谦逊型,知识谦逊能提升其术后自我管理,应对不同知识谦逊类别的结直肠癌患者
Objective To explore the latent profiles of intellectual humility in primary colorectal cancer(CRC)postoperative patients and analyze the correlation between their intellectual humility and self-management.Methods A total of 250 patients with primary CRC who underwent radical tumor surgery in anorectal department of Qinghai Provincial Hospital of Traditional Chinese Medicine from October 2021 to June 2023 were selected to accept a cross-sectional survey through convenient sampling method.They were surveyed by basic information questionnaire,comprehensive intellectual humility scale and cancer patient self-management assessment scale.Results Finally,243 valid questionnaires were obtained,it contained 125 males and 118 females with age 32-68(52.45±10.24)years old.The score of primary CRC postoperative patients′intellectual humility was(67.59±13.26)points,it could be divided into low-level intellectual humility type with 30 cases(12.34%),confident intellectual humility type with 36 cases(14.82%),mid-level intellectual humility type with 93 cases(38.27%),and high-level intellectual humility type with 84 cases(34.57%).Disordered multi-classes Logistic regression analysis showed that gender(female,OR=2.465),education level(high school or vocational school,OR=0.012)and diagnosis time(1-3 months,OR=15.289)were significant influencing factors to primary CRC postoperative patients from confident intellectual humility type(all P<0.05),gender(female,OR=5.354)and education level(high school or vocational school education,OR=0.012)were significant influencing factors to primary CRC postoperativepatients from mid-level intellectual humility type(both P<0.05),gender(female,OR=11.253),age(<45 years old,OR=7.532),education level(high school or vocational school,OR=0.017)and diagnosis time(<1 month,OR=0.054)were significant influencing factors to primary CRC postoperative patients from high-level intellectual humility type(all P<0.05).The score of primary CRC postoperative patients′self-management was(142.03±19.83)points.The
作者
吕佳颖
陈月梅
王晓倩
王生英
Lyu Jiaying;Chen Yuemei;Wang Xiaoqian;Wang Shengying(Department of Proctology,Qinghai Provincial Hospital of Traditional Chinese Medicine,Xining 810000,China)
出处
《中国实用护理杂志》
2024年第25期1958-1968,共11页
Chinese Journal of Practical Nursing
关键词
结直肠肿瘤
原发性
知性谦逊
自我管理
潜在类别分析
Colorectal neoplasms,primary
Intellectual humility
Self-management
Latent profile analysis
