[1]崔天娇,屈清荣,高娅鑫,等.肠造口患者重返工作适应性现状及其影响因素分析[J].军事护理,2022,39(03):5-8.[doi:10.3969/j.issn.1008-9993.2022.03.002]
　CUI Tianjiao,QU Qingrong,GAO Yaxin,et al.Status Quo of Adaptability of Returning to Work among Patients with Intestinal Stoma and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(03):5-8.[doi:10.3969/j.issn.1008-9993.2022.03.002]
点击复制

肠造口患者重返工作适应性现状及其影响因素分析
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年03期
页码:
5-8
栏目:
研究生毕业专栏
出版日期:
2022-03-15

文章信息/Info

Title:
Status Quo of Adaptability of Returning to Work among Patients with Intestinal Stoma and Its Influencing Factors
文章编号:
1008-9993(2022)03-0005-04
作者:
崔天娇1; 屈清荣2; 高娅鑫1; 王碧轩1; 焦春辉1
(1.郑州大学第一附属医院 结直肠肛门外科,河南 郑州450052; 2.郑州大学第一附属医院 外科医学部)
Author(s):
CUI Tianjiao1; QU Qingrong2; GAO Yaxin1; WANG Bixuan1; JIAO Chunhui1
(1.Department of Colorectal and Anal Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China; 2.Department of Surgery,The First Affiliated Hospital of Zhengzhou University)
关键词:
肠造口;  重返工作适应性;  影响因素
Keywords:
intestinal stoma;  adaptability of returning to work;  influencing factors
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2022.03.002
文献标志码:
A
摘要:
目的 了解肠造口患者重返工作适应性现状,并分析其影响因素。方法 2021年9-10月,采用便利抽样抽取郑州市某三级甲等医院复诊且已重返工作的300例肠造口患者为研究对象,采用一般情况调查表、癌症患者重返工作适应性量表、社会支持评定量表及中文版癌症自我管理效能感量表对其进行调查。结果 肠造口患者重返工作适应性得分为(57.86±9.81)分,社会支持得分为(34.17±4.82)分,自我管理效能感得分为(71.29±12.41)分。不同文化程度、工作性质、工作模式、医保类型、造口类型、是否合并造口并发症的肠造口患者的重返工作适应性得分的差异均有统计学意义(均P<0.05); 多重线性回归分析显示,支持利用度、主观支持、客观支持、是否合并造口并发症、文化程度为重返工作适应性的正相关因素,工作性质和造口类型为负相关因素(F=541.52,P<0.05),影响因素可解释总变异的78.2%。结论 医护人员应综合评估肠造口患者重返工作适应性及其影响因素,并给予针对性的干预,帮助患者提高重返工作适应性。
Abstract:
Objective To understand the status quo of adaptability of returning to work among patients with intestinal stoma and analyze its influencing factors.Methods Convenient sampling method was used to select 300 patients with intestinal stoma who had returned to work,when they visited a tertiary hospital in Zhengzhou for reexamination from September to October,2021.The general information questionnaire,Cancer Patients' Adaptability of Returning to Work Scale,Social Support Rating Scale(SSRS)and Chinese version of Strategies Used by People to Promote Health(SUPPH)were used for investigation.Results The score of adaptability of returning to work among patients with intestinal stoma was(57.86±9.81),the SSRS score was(34.17±4.82),and the SUPPH score was(71.29±12.41).There were significant differences in the scores of adaptability of returning to work among recruited patients with different educational level,job category,working mode,medical payment pattern,intestinal stoma type and who suffered complications or not(all P<0.05).Multiple linear regression analysis showed that the support utilization,subjective support,objective support,presence of complications,education level,job category and stoma type were significantly correlated factors of adaptability of returning to work(F=541.52,P<0.05),explaining 78.2% of the total variance.Conclusions Medical staff should comprehensively assess the adaptability of returning to work among patients with intestinal stoma and its influencing factors,and provide targeted interventions to help patients improve their adaptability of returning to work.

参考文献/References:

[1] FINLAYSON E,ZHAO S,VARMA M G.Outcomes after rectal cancer surgery in elderly nursing home residents[J].Dis Colon Rectum,2012,55(12):1229-1235.
[2] CARLSEN K,HARLING H,PEDERSEN J,et al.The transition between work,sickness absence and pension in a cohort of Danish colorectal cancer survivors[J/OL].[2022-02-11].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3586129/.DOI:10.1136/bmjopen-2012-002259.
[3] 郭亚雯,符博,梅永霞,等.重返工作测评工具研究进展[J].中国康复理论与实践,2018,24(12):1417-1421.
[4] 张梦瑶,唐涵,董诗奇,等.癌症幸存者重返工作岗位干预研究进展[J].护理学杂志,2021,36(19):102-105.
[5] 许嘉硕,季红娟,李佳镁,等.癌症患者重返工作适应体验及应对资源的扎根理论研究[J].,2021,38(2):1-5.
[6] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.
[7] 李佳镁,郭瑜洁,顾丽培,等.癌症患者重返工作适应性量表的编制及信效度检验[J].,2021,38(8):1-4.
[8] 肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神杂志,1994,4(2):98-100.
[9] LEV E L,OWEN S V.A measure of self-care self-efficacy[J].Res Nurs Health,1996,19(5):421-429.
[10]钱会娟.癌症患者自我管理效能感水平的横断面研究及其影响因素分析[D].上海:第二军医大学,2011.
[11]王莉莹.中青年肠癌患者术后重返工作准备度现状及影响因素分析[D].延安:延安大学,2021.
[12]徐惠丽.结直肠癌造口患者体力活动现状及影响因素的研究[D].郑州:河南大学,2019.
[13]HEINESEN E,IMAI S,MARUYAMA S.Employment,job skills and occupational mobility of cancer survivors[J/OL].[2022-02-11].https://www.sciencedirect.com/science/article/pii/S0167629617302746.DOI:10.1016/j.jhealeco.2018.01.006.
[14]原静民,郑美春,卜秀青,等.永久性肠造口患者病耻感现状及其影响因素研究[J].中华护理杂志,2016,51(12):1422-1427.
[15]张梦珂,黄娟,豆丽园,等.早期适应干预方案在结直肠癌肠造口患者中的应用效果研究[J].中国慢性病预防与控制,2020,28(8):615-619.
[16]HARTUNG T J,SAUTIER L P,SCHERWATH A,et al.Return to work in patients with hematological cancers 1 year after treatment:a prospective longitudinal study[J].Oncol Res Treat,2018,41(11):697-701.
[17]ZAMAN A G N M,TYTGAT K M A J,KLINKENBIJL J H G,et al.Process evaluation of a tailored work-related support intervention for patients diagnosed with gastrointestinal cancer[J].J Cancer Surviv,2020,14(1):59-71.
[18]何文奇,陈长英,杜若飞.适应性领导理论在护理领域的应用进展[J].中华护理杂志,2018,53(11):1406-1408.

相似文献/References:

[1]韩雪娜,李雯雯,高俊茹,等.肠造口患者个人掌控感对其自我照护行为执行意向的影响[J].军事护理,2021,38(11):58.[doi:10.3969/j.issn.1008-9993.2021.11.015]
　HAN Xuena,LI Wenwen,GAO Junru,et al.Effects of Personal Control on Implementation Intention of Self Care Behavior in Patients with Intestinal Stoma[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(03):58.[doi:10.3969/j.issn.1008-9993.2021.11.015]
[2]钟志嘉,胡守紫.肝细胞癌根治性切除术后患者重返工作适应性现况调查[J].军事护理,2023,40(01):27.[doi:10.3969/j.issn.2097-1826.2023.01.007]
　ZHONG Zhijia,HU Shouzi.Investigation on Adaptability of Return to Work among Patients with Hepatocellular Carcinoma after Radical Resection[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(03):27.[doi:10.3969/j.issn.2097-1826.2023.01.007]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-11-05 【 修回日期 】 2022-02-12
【 基金项目 】 河南省高等学校重点科研项目计划(20A320026); 郑州大学生研究生创新项目
【 作者简介 】 崔天娇,硕士在读,护士,从事外科护理研究
【 通信作者 】 屈清荣,电话:0371-66862216
更新日期/Last Update: 2022-03-15