老年结直肠癌术后临时性回肠造口患者自我感受负担与希望水平、社会支持的相关性

Relationship between self-perceived burden and hope level and social support in elderly patients with temporary ileostomy after colorectal cancer surgery

中文关键词: 老年  结直肠癌  临时性回肠造口  自我感受负担  希望水平  社会支持度

英文关键词: elderly  colorectal cancer  temporary ileostomy  self-perceived burden  hope level  social support

中文摘要:

      目的 分析老年结直肠癌术后临时性回肠造口患者自我感受负担与希望水平、社会支持的相关性.方法 选取2021 年5 月—2023 年4 月空军军医大学第一附属医院消化外科收治的行腹腔镜结直肠癌根治术联合临时性回肠造口术患者200 例,分别采用自我感受负担量表(SPBS)、Herth希望指数(HHI)及社会支持度量表(SSRS)评估并比较2 组患者自我感受负担、希望水平及社会支持度;以多元线性回归方法分析患者自我感受负担的影响因素,并用Pearson相关性分析自我感受负担与希望水平和社会支持度的关系.结果 老年结直肠癌术后临时性回肠造口患者自我感受负担、希望水平和社会支持评分分别为(32.16±4.72)、(29.51±5.32)、(38.49±5.10)分,均处于中等水平;不同年龄、居住地、家庭人均月收入、希望水平及社会支持度患者SPBS评分的比较,差异有统计学意义(P＜0.05);多元线性回归分析显示,家庭人均月收入、希望水平及社会支持度是老年结直肠癌术后临时性回肠造口患者自我感受负担的影响因素(P＜0.05);Pearson相关性分析显示,自我感受负担与希望水平及社会支持呈负相关(P＜0.05).结论 老年结直肠癌术后临时性回肠造口患者自我感受负担处于中等水平,可能受家庭人均月收入、希望水平及社会支持度的影响.

英文摘要:

      Objective To analyze the relationship between self-perceived burden and hope level and social support in elderly patients with temporary ileostomy after colorectal cancer surgery.Methods A total of 200 patients undergoing laparo-scopic radical resection of colorectal cancer combined with temporary ileostomy were selected from Department of Digestive Surgery,First Affiliated Hospital of Air Force Military Medical University from May 2021 to April 2023.The Self-Perceived Burden Scale(SPBS),Herth Hope Index(HHI)and Social Support Rating Scale(SSRS)were used to evaluate and compare the self-perceived burden,hope level and social support of the two groups,respectively.Multiple linear regression method was used to analyze the influencing factors for patients'perceived burden.Pearson correlation analysis was used to analyze the rela-tionship between self-perceived burden and hope level and social support.Results The self-perceived burden,hope level,and social support scores of elderly patients with temporary ileostomy after colorectal cancer surgery were(32.16±4.72),(29.51±5.32),and(38.49±5.10)points,respectively,all at a moderate level.There were significant differences in SPBS scores among patients with different age,places of residence,monthly family income per capita,hope level and social support(P＜0.05).The results of multiple linear regression analysis showed that monthly family income per capita,hope level and so-cial support were the influencing factors for self-perceived burden in elderly patients with temporary ileostomy after colorectal cancer surgery(P＜0.05).The results of Pearson correlation analysis showed that self-perceived burden was negatively corre-lated with the hope level and social support(P＜0.05).Conclusion The self-perceived burden is at a moderate level in elder-ly patients with temporary ileostomy after colorectal cancer surgery,which may be affected by monthly family income per capi-ta,hope level and social support.