自护和奥斯托米患者的生活质量:结构方程建模分析
Ilaria Marcomini1, Paolo Iovino2, Laura Rasero2
1Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Nursing reports (Pavia, Italy)
|November 25, 2024
概括
自我护理显著影响瘤患者的与健康相关的生活质量 (HRQoL). 改善自我照顾行为,如维护和监测,对于提高这一群体的HRQoL至关重要.
科学领域:
- 医学和健康科学医学和健康科学
- 护理 护理 护理
- 生活质量研究 研究 生命质量研究
背景情况:
- 患有骨症的患者经常经历与健康相关的生活质量 (HRQoL) 的下降.
- 自我护理被认为是影响瘤患者HRQoL的关键因素.
- 在这个人口群体中,自我照顾和HRQoL之间的确切关系需要进一步澄清.
研究的目的:
- 分析了患者的自我护理和HRQoL之间的关系.
- 为了确定自我护理行为是否能预测口腔静脉的个体的HRQoL.
- 为开发有针对性的干预措施提供证据,以改善 Ostomy 患者的治疗结果.
主要方法:
- 一个多中心的二次分析,观察,纵向意大利研究.
- 使用了口腔特异性生活质量调查问卷 (Stoma QoL) 和口腔自护指数 (OSCI).
- 雇员结构方程建模 (SEM) 来评估自我护理和HRQoL之间的因果关系.
主要成果:
- 自我护理被确定为HRQoL的显著预测因子,在521名骨髓瘤患者中.
- 自理维护 (β = 0.506,p < 0.001) 和自理监测 (β = 0.303,p < 0.001) 都对HRQoL产生了积极的影响.
- 该SEM模型显示了可接受的匹配指数,支持拟议的关系.
结论:
- 这项研究提供了SEM的第一个证据,即不充分的自我护理直接导致 ostomy 患者的HRQoL降低.
- 旨在增强自我护理行为的干预措施被推用于改善患有骨髓瘤的个体的HRQoL.
- 未来的研究应该探索影响自我照顾和HRQoL连接的潜在调解变量.
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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:
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