影响近期 Ostomy 患者心理社会调整的因素
Jeffrey E Doucette1,2,3,4, Barbara E Mawn1,2,3,4, Janice M Beitz1,2,3,4
1Jeffrey E. Doucette, PhD, RN, CWOCN, Senior WOC Nurse, UMass Memorial Medical Center, Worcester, Massachusetts.
概括
瘤患者的心理社会调整受到年龄和护理独立等因素的影响. 在骨架护理中独立的患者报告了所有测量区域的更好的调整.
科学领域:
- 护理科学 护理科学
- 心理社会健康 心理健康
- 术护理研究 研究 术护理研究
背景情况:
- 患有骨的人经常面临重大的心理社会挑战.
- 了解影响调整的因素对于有效的患者支持至关重要.
- 早期 (<1年) 的口腔调整需要特别注意.
研究的目的:
- 调查个人和临床因素对新骨髓切割患者心理社会调整的影响.
- 为了确定成功适应生活的关键决定因素与结肠静脉,结肠静脉或泌尿静脉.
- 为有针对性的干预提供基础,以促进 Ostomy 群体的福祉.
主要方法:
- 采用了横截面调查设计.
- 包括183名在美国东北部经历了不到一年的口腔切除的成年参与者.
- 数据采集使用社会人口调查问卷和Ostomy调整清单-23 (OAI-23),通过ANOVA,MANOVA,Cramer's V和回归分析.
主要成果:
- 诸如年龄,护理援助,教育,口腔类型,BMI,口腔高度,手术前教育和位置等因素影响了调整.
- 多变量分析显示,在骨关节护理中的独立性与所有OAI-23子尺度中的更高的调整水平有显著的关联.
- 具体的个人和临床变量表明不同程度的影响心理社会结果.
结论:
- 调查结果强调了独立性在心理社会调整中的重要性.
- 护士和医疗保健提供者可以使用这些信息来更好地满足瘤患者的身体和情感需求.
- 专注于促进自我护理独立性的干预措施可能会提高这一群体的整体健康和福祉.
相关概念视频
01:24Ostomy Care
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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
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