期刊文献+

叙事疗法对永久性肠造口患者病耻感影响的研究 被引量:78

The effects of narrative therapy on stigma of patients with permanent stoma
原文传递
导出
摘要 目的评价叙事疗法对永久性肠造口患者病耻感的影响。方法选取2018年4月—11月在某三级甲等医院胃肠外科、结直肠肛门外科行腹会阴联合直肠癌根治术的47例患者,通过一对一、面对面或视频通话的形式,对患者进行每周1次、每次30~45 min、共8次的叙事疗法;采用社会影响量表和造口适应量表评价干预前后的效果。结果出院前1 d、干预结束、干预结束后1个月,患者社会影响量表得分分别为(59.64±6.62)分、(53.87±8.78)分、(47.98±8.47)分,不同时间点病耻感差异有统计学意义(F=179.078,P<0.001);造口适应量表得分分别为(40.49±7.13)分、(45.68±6.87)分、(46.70±7.11)分,不同时间点社会心理适应水平差异有统计学意义(校正后F=75.295,P<0.001)。结论叙事疗法有助于降低永久性肠造口患者的病耻感并提高其社会心理适应水平。 Objective To explore the effects of narrative therapy on stigma in permanent stoma patients.Methods A total of 47 patients with permanent stoma were recruited from April 2018 to November 2018 in the department of gastroenterology and colorectal surgery,and were given narrative therapy:totally 8 times,30 to 45 mins for each time,once per week,through one-on-one,face-to-face or video call.Social Impact Scale(SIS)and Ostomy Adjustment Inventory-20 were used to evaluate the effects of intervention.Results At the times of one day before discharge,after intervention and one month after intervention,the scores of SIS were 59.64±6.62,53.87±8.78,and 47.98±8.47,the time effect of stigma level in permanent stoma patients were statistically significant,F=179.078,P<0.001.The scores of OAI-20 were 40.49±7.13,45.68±6.87,and 46.70±7.11,and the differences were statistically significant,F=75.295,P<0.001.Conclusion Narrative therapy can reduce the stigma level in permanent stoma patients and improve the level of psycho-social adaptation.
作者 张宽新 屈清荣 石佩玉 王碧轩 ZHANG Kuanxin;QU Qing-rong;SHI Peiyu;WANG Bixuan
出处 《中华护理杂志》 CSCD 北大核心 2019年第8期1125-1129,共5页 Chinese Journal of Nursing
基金 河南省科技厅重点科技攻关计划项目(142102310528)
关键词 直肠肿瘤 肠造口术 病耻感 叙事疗法 社会适应 心理护理 Rectal Neoplasms Enterostomy Stigma Narrative Therapy Social Adjustment PSYCHOLO-GICAL NURSING
  • 相关文献

参考文献4

二级参考文献39

  • 1张俊娥,郑美春,苏小茵,李津,叶新梅.社会支持对结肠造口患者自尊变化的影响[J].中华护理杂志,2005,40(7):489-492. 被引量:54
  • 2赵晓维,寇京莉,韩斌如.肠造口病人生活质量的研究进展[J].护理研究(下旬版),2006,20(1):194-196. 被引量:54
  • 3Brown H,Randle J.Living with a stoma:a review of the literature[J].J Clin Nurs,2005,14(1):74-81.
  • 4Simmons KL,Smith JA,Maekawa A.Development and psychometric evaluation of the Ostomy Adjustment Inventory-23[J].J Wound Ostomy Continence Nurs,2009,36(1):69-76.
  • 5Krouse RS,Grant M,Rawl SM,et al.Coping and acceptance:the greatest challenge for veterans with intestinal sternas[J].Journal of psychometric research,2009,66(3):227-233.
  • 6Brown H,Jacqueline R.Living with a stoma:a review of the literature[J].J Clin Nurs,2005,14(1):74-81.
  • 7Trninic Z,Vidacak A,Vrhovac J.et al.Quality of life after colorector cancer surgery in patients from University Clinics] Hospital Mostar,Bosnia and Herzegovina[J].Coll Antropol,2009,33(2):1-5.
  • 8Orem DE.Nursing:concept of practice[M].6th ed.New York:McGrawy,2000:1.
  • 9Metcalf C.Stoma care:empowering patients through teaching practical skiils[J].Br J Nurs,1999,8(9):593-570.
  • 10Sampaio FAA,Aquino PS,De Araajo TL,et al. Nursing care to an os- tomy patient:application of the Orem's theory[J]. Acta Patti Enferm, 2008,21 ( 1 ) :94-100.

共引文献300

同被引文献914

引证文献78

二级引证文献473

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部