泌尿造口患者自我照护能力现状及影响因素分析.pdfVIP

论著

ResearchPapers

泌尿造口患者自我照护能力现状及影响因素分析

毛瑜俊石涛管宏雪陈明霞於青梅

[摘要]目的：调查泌尿造口患者自我照护能力现状并分析其影响因素，为临床干预提供理论依据。方法：于

2023年2月—8月，采用便利抽样法对云南、贵州、重庆4家三级甲等医院的249例泌尿造口患者进行横断面调查，

使用一般资料调查表、造口患者自我照护指数量表、相依关系量表及一般自我效能量表评估。采用多元线性逐步回归

分析泌尿造口患者自我照护能力的影响因素。结果：泌尿造口患者自我照护能力总分为（59.94±17.85）分。多元线性

逐步回归分析结果显示，文化程度、造口用品更换时间间隔、有无出现造口问题、一般自我效能及相依关系是泌尿造

口患者自我照护能力的独立影响因素（均P0.05）。结论：泌尿造口患者自我照护能力偏低，医护人员应重视患者的

自我照护能力，基于文化程度、并发症预防、护理技能培训及社会支持系统构建多维度干预方案，以提升患者生活质量。

[关键词]泌尿造口；患者；自我照护；自我效能；相依关系；影响因素分析

[中图分类号]R47；R197[DOI]10.3969/j.issn.1672-1756.2025.08.008

Analysisofthecurrentsituationandinfluencingfactorsofself-careabilityofpatientswithurostomy/MAOYujun,SHI

Tao,GUANHongxue,CHENMingxia,YUQingmei//TheSecondDepartmentofUrology,TheThirdAffiliatedHospital

ofKunmingMedicalUniversity,Kunming,650118,China///ChinNursManag,2025,25(8):1158-1163

[Abstract]Objective:Toinvestigatethestatusquoandinfluencingfactorsofself-careabilityofpatientswithurostomy,

soastoprovidetheoreticalbasisforclinicalintervention.Methods:Across-sectionalstudywasconductedfromFebruary

toAugust2023usingconveniencesamplingamong249urostomypatientsfromfourtertiarygradeAhospitalsinYunnan,

GuizhouandChongqing,China.Inadditiontodemographicquestions,OstomySelf-CareIndex(OSCI),theMutualityScale

andtheGeneralSelf-EfficacyScalewereusedforevaluation.Multiplelinearstepwiseregressionanalysiswasemployed

toidentifytheinfluencingfactorsoftheself-careabilityofpatientswithurostomy.Results:ThemeanoverallOSCIscore

regardingurostomypatientswas59.94±17.85.Theresultsofmultiplelinearstepwiseregressionanalysisshowedthat

educationlevel,frequencyofstomaappliancereplacement,whethe