直肠癌永久性肠造口患者抑郁影响因素及护理对策

Influencing Factors and Nursing Strategies of Depression in Patients with Rectal Cancer Undergoing Permanent Enterostomy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

濮阳市油田总医院科研教育办公室 ;

摘要
【摘要】探讨直肠癌永久性肠造口患者抑郁影响因素及护理对策。方法 选择2019年1月~2021年1月我院84例直肠癌永久性肠造口患者为研究对象,采用抑郁自评量表(SDS)评价患者抑郁情绪,并设为抑郁组与非抑郁组,比较两组性别、年龄、肿瘤分期等病历资料,采用单因素、多因素logistic回归分析调查直肠癌永久性肠造口患者抑郁影响因素。结果 84例直肠癌永久性肠造口患者发生抑郁44例,发生率52.38%,抑郁组与非抑郁组性别、年龄、家庭收入、有无造口相关并发症、工作状态、自护能力、文化程度、肿瘤分期差异具有统计学意义(P<0.05),两组居住地、婚姻状况差异无统计学意义(P>0.05);多因素logistic回归分析显示,女性、年龄<45岁、家庭收入低、有造口相关并发症、在职、自护能力差是直肠癌永久性肠造口患者抑郁的影响因素。结论 直肠癌永久性肠造口患者抑郁检出率较高,且受到性别、年龄、家庭收入、并发症、工作状态、自护能力等的影响,应采取针对性措施减低抑郁发生率。
Abstract
[Abstract] Objective To explore the factors influencing depression and nursing measures of permanent enterostomy patients with rectal cancer. Methods Eighty-four patients with permanent enterostomy of rectal cancer were selected as the study object from January 2019 to January 2021. The depression self-assessment scale (SDS) was used to evaluate the depression emotion of patients. The depression group and the non-depression group were used to compare the medical records of sex, age and tumor stage between the two groups. Univariate and multivariate logistic regression analysis was used to investigate the influencing factors of depression in rectal cancer patients with permanent colostomy. Results The incidence of depression was 52.38%. There were significant differences in gender, age, family income, stoma related complications, working status, self-care ability, education level and tumor stage between depression group and non-depression group (P < 0.05), but there were no significant differences in residence and marital status between the two groups (P > 0.05). Multivariate logistic regression analysis showed that there were significant differences between depression group and non-depression group (P < 0.05) Regression analysis showed that female, age < 45 years old, low family income, stoma related complications, on-the-job, poor self-care ability were the influencing factors of depression in rectal cancer patients with permanent colostomy. Conclusion The prevalence of depression in patients with permanent enterostomy in rectal cancer is higher, and it is affected by sex, age, family income, complications, working status, self-care ability, etc. targeted measures should be taken to reduce the incidence of depression.
关键词
关键词:直肠癌;永久性肠造口;抑郁;影响因素;护理对策
KeyWord
Key words Rectal Cancer; Permanent Enterostomy; Depression; Influencing Factors; Nursing Strategies
基金项目
页码 313-315
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王倩*. 直肠癌永久性肠造口患者抑郁影响因素及护理对策 [J]. 国际精神病学杂志. 2022; 49; (2). 313 - 315.

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