CAJ | 학술논문

目的：了解永久性结肠造口患者残障接受度和述情障碍现状，探讨述情障碍对患者残障接受度的影响。方法：采用残障接受度量表和述情障碍量表对222例永久性结肠造口患者进行问卷调查。结果：残障接受度总分为（180.45±33.25)分，述情障碍总均分为（2.99±0.79)分。识别情感障碍、描述情感障碍、外向型思维及述情障碍总分均与残障接受度各维度及总分呈显著负相关（P<0.05）。分层回归分析结果显示，识别情感障碍、描述情感障碍、外向型思维是永久性结肠造口患者残障接受度的影响因素（P<0.05）。结论：永久性结肠造口患者残障接受度处于中等水平，述情障碍为其影响因素，护士可从述情障碍入手对其进行护理干预来改善残障接受度。
목적：료해영구성결장조구환자잔장접수도화술정장애현상，탐토술정장애대환자잔장접수도적영향。방법：채용잔장접수도량표화술정장애량표대222례영구성결장조구환자진행문권조사。결과：잔장접수도총분위（180.45±33.25)분，술정장애총균분위（2.99±0.79)분。식별정감장애、묘술정감장애、외향형사유급술정장애총분균여잔장접수도각유도급총분정현저부상관（P<0.05）。분층회귀분석결과현시，식별정감장애、묘술정감장애、외향형사유시영구성결장조구환자잔장접수도적영향인소（P<0.05）。결론：영구성결장조구환자잔장접수도처우중등수평，술정장애위기영향인소，호사가종술정장애입수대기진행호리간예래개선잔장접수도。
Objective:To investigate the current status of disability acceptance and alexithymia among patients with permanent colostomy, and to explore the effect of alexithymia on disability acceptance. Methods:Totally 222 patients with permanent colostomy were recruited and investigated by the Acceptance of Disability Scale and the Toronto alexithymia Scale. Results:The mean scores of disability acceptance and alexithymia were (180.45±33.25) and (2.99±0.79), respectively. The affective disorder of recognition, affective disorder of description, extroverted thinking and the total score of alexithymia were signiifcantly negatively correlated with the each dimension and total score of disability acceptance (P<0.05). Hierarchical regression analysis showed that the affective disorder of recognition, affective disorder of description and extroverted thinking were the inlfuencing factors of the disability acceptance among patients with permanent colostomy (P<0.05). Conclusions:The level of disability acceptance was in the medium level among permanent colostomy patients and alexithymia was its inlfuencing factor. The nursing staff could take effective measures to intervene exithymia and to improve the level of disability acceptance among permanent colostomy patients.