陈小芬 王清华 林白浪.海口市人民医：伤口造口中心，海南海口570208；2.海南省人民医：胃肠外二科，海南海口5703

    永久性结肠造口患者述情障碍与残障接受度的关系

    陈小芬1王清华2▲林白浪1

    1.海口市人民医：伤口造口中心，海南海口570208；2.海南省人民医：胃肠外二科，海南海口570311

    目的探讨永久性结肠造口患者述情障碍及残障接受度影响因素及相关性。方法选择2013年2月～2015年5月于海口市人民医：进行永久性结肠造口的患者157例为研究对象，采用多伦多述情障碍量表(TAS-20)、残障接受度量表(中文版)进行调查。结果文化程度、婚姻状况、费用支付与述情障碍有关(P<0.05)，文化程度越高、已婚、医保的患者述情障碍程度较轻；文化程度、婚姻状况、费用支付、造口术后时间与残障接受度有关(P<0.05)，文化程度越高、已婚、医保、造口术后时间越长的患者残障接受度较好。157例患者述情障碍的识别情感障碍为(26.34±4.93)分，描述情感障碍为(11.34±3.14)分，外向型思维为(22.93±5.34)分；残障接受度扩大维度为(60.23±8.34)分，服从维度为(14.02±4.23)分，控制维度为(52.93±5.93)分，转变维度为(53.02±6.93)分；经Pearson直线相关分析，识别情感障碍、描述情感障碍、外向型思维及述情障碍总分与扩大、服从、控制、转变及残障接受度总分均呈负相关(P<0.05)。多元线性回归分析显示，识别情感障碍、描述情感障碍、外向型思维及述情障碍总分与残障接受度有较强相关性，是重要的影响因素(P<0.05)。结论永久性结肠造口患者普遍存在述情障碍，述情障碍对患者残障接受度有明显的负面影响。

    结肠造口曰述情障碍曰残障接受度

    [Abstract]Objective To discuss the inf1uence factor of a1exithymia and disabi1ity acceptance of patients with permanent co1onic fistu1a and its corre1ation.Methods 157 cases of patients underwent permanent co1onic fistu1a in Peop1e′s Hospita1 of Haikou City from February 2013 to May 2015 were se1ected as research objects.The Toronto A1exithymia Sca1e(TAS-20),disabi1ity acceptance sca1e(Chinese Version)were used for survey.Results Education 1eve1,marita1 status,cost payment were re1ated with a1exithymia(P<0.05),patients with higher education,married,medica1 insurance accompanied mi1d a1exithymia.Education 1eve1,marita1 status,cost payment,postoperative time of neostomy were re1ated with disabi1ity acceptance(P<0.05),patients with higher education,married,medica1 insurance,1onger time after neostomy accompanied better disabi1ity acceptance.Among 157 cases of patients,the scores of a1exithymia as fo1-1ow:the identification of emotiona1 disorder was(26.34±4.93)points,the description of emotiona1 disorder was(11.34± 3.14)points,the extroverted thinking was(22.93±5.34)points;the scores of disabi1ity acceptance as fo11ow:the expanded dimension was(60.23±8.34)points,the obedience dimension was(14.02±4.23)points,the contro1 dimension was(52.93±5.93)points,the change dimension was(53.02±6.93)points.Pearson 1inear corre1ation ana1ysis showed that, identification of emotiona1 disorder,description of emotiona1 disorder,extroverted thinking,the tota1 score of a1exithymia were negative re1ated with expanded,obedience,contro1,change and the tota1 score of disabi1ity acceptance (P<0.05).Mu1t-variab1e 1inear return ana1ysis showed that identification of emotiona1 disorder,description of emotiona1 disorder,extroverted thinking and the tota1 score of a1exithymia had strong corre1ation with disabi1ity acceptance, they were the important inf1uence factors(P<0.05).Conclusion Patients with permanent co1onic fistu1a wide1y have a1exithymia,and a1exithymia has negative effects on disabi1ity acceptance obvious1y. ......