CAJ | 학술논문

目的：探讨永久性结肠造口患者手术前心理社会行为反应与需要、焦虑、抑郁的相关性。方法：采用描述性相关研究，采用一般资料问卷、肠造口患者心理社会行为反应量表、肠造口患者心理社会需要量表、综合医院焦虑抑郁量表对60例即将行结肠造口手术的患者进行问卷调查。结果：①结肠造口患者术前的心理社会行为反应为中等水平，最常出现的反应依次为：重建反应＞认知反应＞退缩反应＞冲击反应。患者的心理社会需要处于中等偏高水平，焦虑、抑郁的发生率较低。②结肠造口患者术前心理社会行为反应总分与心理社会需要、焦虑、抑郁均呈正相关。结论：造口手术前医护人员应注意评估患者的需要及情绪状态，有针对性地满足其需要、缓解焦虑和抑郁，以促进患者积极的应激反应，更好地应对即将到来的造口手术。
목적：탐토영구성결장조구환자수술전심리사회행위반응여수요、초필、억욱적상관성。방법：채용묘술성상관연구，채용일반자료문권、장조구환자심리사회행위반응량표、장조구환자심리사회수요량표、종합의원초필억욱량표대60례즉장행결장조구수술적환자진행문권조사。결과：①결장조구환자술전적심리사회행위반응위중등수평，최상출현적반응의차위：중건반응＞인지반응＞퇴축반응＞충격반응。환자적심리사회수요처우중등편고수평，초필、억욱적발생솔교저。②결장조구환자술전심리사회행위반응총분여심리사회수요、초필、억욱균정정상관。결론：조구수술전의호인원응주의평고환자적수요급정서상태，유침대성지만족기수요、완해초필화억욱，이촉진환자적겁적응격반응，경호지응대즉장도래적조구수술。
Objective:To explore the relationships among psychosocial behavior reaction, psychosocial needs, anxiety and depression of colostomy patients before surgery. Methods:Sixty colostomy patients who were going to undergo surgery were selected. Demographic data scale (self-designed), Ostomy Psychosocial Behavior Reaction Questionnaire (OPBRQ), Ostomy Psychosocial Needs Questionnaire (OPNQ), Hospital Anxiety and Depression Scale(HADS) were used to evaluate the relationships. Results: ① The psychosocial behavior reaction of colostomy patients before surgery was in the moderate level. The most common events were reconstruction, acknowledgement, retreat and impact in descending order. Patients' psychosocial needs were in the middle to high level and anxiety-depression showed a low incidence rate. ② Signiifcant positive correlation was shown between psychosocial behavior reaction and psychosocial needs, anxiety-depression. Conclusion:Colostomy patients' needs and emotion should be paid enough attention to before surgery. Fulifllment of patients' speciifc needs and release of their anxiety-depression emotion will help to raise patients' eustress and better preparation for the coming colostomy.