CAJ | 학술논문

目的：探讨影响造口患者适应水平的因素。方法采用造口患者一般人口学及疾病相关资料调查表、中文版造口者社会心理适应量表调查南京市2所医院的301例造口患者，采用单因素分析法分析影响适应的因素，将有统计学意义的因素进行多元逐步线性回归分析。结果适应总分为46（41，53）分，处于中等水平；多元逐步回归分析结果显示：造口术后时间、造口自护状况、造口接受程度、造口相关并发症、文化程度为适应水平的影响因素。结论造口患者适应水平有待改善；需加强术后早期的随访指导，改善患者接受程度，提高自护能力，减少造口并发症的发生，缩短适应过程。
목적：탐토영향조구환자괄응수평적인소。방법채용조구환자일반인구학급질병상관자료조사표、중문판조구자사회심리괄응량표조사남경시2소의원적301례조구환자，채용단인소분석법분석영향괄응적인소，장유통계학의의적인소진행다원축보선성회귀분석。결과괄응총분위46（41，53）분，처우중등수평；다원축보회귀분석결과현시：조구술후시간、조구자호상황、조구접수정도、조구상관병발증、문화정도위괄응수평적영향인소。결론조구환자괄응수평유대개선；수가강술후조기적수방지도，개선환자접수정도，제고자호능력，감소조구병발증적발생，축단괄응과정。
Objective To investigate the influencing factors of adjustment of ostomates. Methods The questionnaires of demographic data and Ostomy Adjustment Inventory-20 (OAI-20) were used to investigate 301 ostomates. Results The average score of OAI-20 was 46 (41,53), which showed a middle level of adjustment. Linear regression analysis showed that operation date, self-care ability, acceptance, complication and educational background were influencing factors of ostomates ’ adjustment. Conclusion Ostomates’ adaptation remains to be improved. It is important to conduct early postoperative follow-up, which helps to improve patients’ acceptance and self-care ability and to take proper interventions to shorten the adaptation process.