摘要
目的调查小儿肠造口主要照顾者自我效能现状,分析其影响因素,为制定肠造口患儿延续性护理干预措施提供科学依据。方法此研究为横断面调查研究,采用便利抽样法,于2016年1月—2017年10月选择上海市某三级甲等儿童专科医院收治的肠造口患儿的主要照顾者进行调查。采用自行设计的一般资料调查表、一般自我效能量表、汉密尔顿焦虑量表进行问卷调查,采用单因素分析和多元线性回归分析自我效能的影响因素。共发放问卷92份,共回收有效问卷90份,问卷有效回收率为97.83%。结果接受肠造口手术患儿的90名主要照顾者自我效能感量表得分中位数为24分,得分范围为13~36分,处于中低水平。单因素分析显示,照顾者的自我效能评分在文化程度、居住地、家庭月收入、是否医保、家庭结构类型以及医患沟通程度的分布上差异有统计学意义(P<0.01)。多元线性回归分析显示,照顾者文化程度、家庭类型、焦虑水平以及家庭月收入是主要照顾者自我效能感的主要影响因素。结论肠造口患儿主要照顾者自我效能感水平有待改善,对文化程度较低的照顾者加强医患沟通,鼓励寻求社会支持,扩大信息汲取面,提升照护能力,改善患儿生活质量。
Objective To investigate the current situation of the self-efficacy in the main caregivers of pediatric enterostoma patients and its influencing factors,to provide scientific basis for formulating continuing nursing intervention measures for children with enterostomy.Methods A cross-sectional investigation was carried out.The primary caregivers of the pediatric enterostoma patients who were treated in a ClassⅢGrade A children's specialized hospital in Shanghai during January 2016 to October 2017 were selected by convenience sampling method.A self-designed general information questionnaire,General Self-Efficacy Scale(GSES),and Hamilton Depression Rating Scale(HAMA)were applied in the investigation.Univariate analysis and multiple linear regression analysis were applied to analyze the influencing factors of self-efficacy.A total of 92 questionnaires were sent out,and 90 were recovered,with a valid rate of 97.83%.Results The median score of GSES among the 90 primary caregivers of the pediatric enterostoma patients was 24,ranging from 13 to 36,which was at a median to low level.The result of univariate analysis showed that there were significant differences in the distribution of caregivers'self-efficacy scores in terms of education level,residence,family monthly income,health insurance,family structure type and doctor-patient communication level(P<0.01).Multivariate linear regression analysis showed that caregivers'educational level,family type,anxiety level and family monthly income were the main factors affecting their self-efficacy.Conclusions The self-efficacy level of the main caregivers of children with enterostoma needs to be improved.We should strengthen doctor-patient communication for caregivers with lower education,encourage seeking social support,expand information acquisition,enhance care ability and improve the quality of life of children.
作者
唐文娟
陆燕萍
袁春香
周嫣
陆群峰
Tang Wenjuan;Lu Yanping;Yuan Chunxiang;Zhou Yan;Lu Qunfeng(Department of General Surgery,Children's Hospital of Shanghai Jiaotong University,Shanghai 200062,China;Nursing Department,Shanghai United Family Hospital,Shanghai 201206,China;Nursing Department,Children's Hospital of Shanghai Jiaotong University,Shanghai 200062,China)
出处
《中华现代护理杂志》
2019年第4期448-452,共5页
Chinese Journal of Modern Nursing
基金
上海交通大学医学院护理科研项目(Jyh1715)
上海医药基金会青年护理人才培养项目
上海交通大学高原学科建设青年后备人才项目(hlgy16063qnhh).
关键词
肠造口术
照顾者
自我效能
影响因素
Enterostomy
Caregivers
Self-efficacy
Influencing factors
