作者：黄艳1，秦月兰2，邓颖红1，袁平3，李珍4，熊艺灿1

单位：1. 湖南省人民医院(湖南师范大学附属第一医院) 普外科，湖南 长沙410005； 2. 湖南省人民医院(湖南师范大学附属第一医院) 护理部，湖南 长沙 410005； 3. 湖南省人民医院(湖南师范大学附属第一医院) 内分泌科，湖南 长沙 410005； 4. 湖南省人民医院(湖南师范大学附属第一医院) 老年科，湖南 长沙 410005

Authors: Huang Yan1, Qin Yuelan2, Deng Yinghong1, Yuan Ping3, Li Zhen4, Xiong Yican1

Unit:  1.Department of General Surgery, the First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha 410005, Hunan, China； 2.Department of Nursing, the First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha 410005, Hunan, China； 3.Department of Endocnnology, the First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha 410005, Hunan, China； 4.Geriatric Medicine Ward ,the First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha 410005, Hunan, China

摘要：

目的 调查肠瘘患者自我感受负担现状并分析其影响因素。方法 2020年6月至2021年10月,选取湖南省人民医院(湖南师范大学附属第一医院)的126例肠瘘患者为研究对象进行现场问卷调查,使用一般资料调查问卷、自我感受负担量表(SPBS)及抑郁自评量表(SDS)。结果 肠瘘患者SPBS得分为(34.60±4.92)分,处于中度水平,与患者SDS评分水平呈正相关(r=0.426,P<0.05)。多元线性回归分析显示病程、家庭人均月收入、SDS得分是肠瘘患者住院期间自我感受负担的主要影响因素(P<0.05)。结论 肠瘘患者住院期间自我感受负担多处于中等水平,临床医护人员应根据患者自我感受负担水平给予更多的关注并及时干预,尤其是对于住院时间长以及收入较低的患者,以减少患者负性情绪及降低其自我感受负担。

关键词：  肠瘘; 自我感受负担; 影响因素分析

Abstract：

Objective To investigate the self-perceived burden of patients with intestinal fistula and analyze its influencing factors. Methods From June 2020 to June 2021, a total of 126 patients with intestinal fistula in a tertiary hospital in Changsha were selected for field questionnaire survey. General data questionnaire, Self-Perceived Burden Scale （SPBS）and Self-Rating Depression Scale （SDS）were used. Results The score of the patient's self-perceived burdens was（34.60±4.92）at a mild level. It was positively correlated with the level of SDS（r=0.426, P<0.05）. Multiple linear regression analysis showed that the course of disease, family per-capita monthly income and SDS score were the main influencing factors of self-perceived burden in patients with intestinal fistula during hospitalization （P<0.05）. Conclusion Patients with intestinal fistula generally experience a moderate level of self-perceived burden during hospitalization. Clinical medical staff should pay more attention and intervene in time according to the level of self-perceived burden, especially for patients with long hospital stay and low income, so as to reduce the negative emotion and self-perceived burden of patients.

Key Words:  Intestinal fistula; Self-perceived burden; Influencing factors