结直肠癌病人社会疏离现状及其影响因素分析

    Study on the current situation of social alienation among patients with colorectal cancer and its influencing factors

    • 摘要: 目的:了解结直肠癌病人社会疏离现状,并探讨社会疏离、疾病感知、家庭抗逆力之间的相关性,分析结直肠癌病人社会疏离的相关影响因素。方法:随机抽取安徽省某三甲医院收治的结直肠癌术后病人114例为研究对象,采用结直肠癌幸存者社会疏离感量表对病人社会疏离感进行测评,并收集病人相关资料,分析结直肠癌病人社会疏离感的影响因素。结果:结直肠癌病人社会疏离总分为(54.63±3.43)分,其中社会疏离得分为(17.39±2.18)分,情感疏离得分为(37.24±3.06)分。结直肠癌病人社会疏离与疾病认知、情绪均呈明显正相关关系(P<0.01),与家庭抗逆力、家庭亲密度、家庭承担和朋友关系均呈负相关关系(P<0.05~P<0.01)。多重线性回归分析显示,造口、生活自理能力、情绪、家庭抗逆力、家庭承担、家庭亲密度均为CRC病人社会疏离水平的影响因素(P<0.05~P<0.01),共解释总变异的61.1%(F=12.107,P<0.01)。结论:结直肠癌病人社会疏离处于较高水平,需要引起临床重视,有造口、生活自理能力低、家庭抗逆力低、疾病感知中情绪维度较高、社会关系中家庭承担和家庭亲密度较差是发生社会疏离的危险因素。

       

      Abstract: Objective: To understand the current situation of social alienation in patients with colorectal cancer,explore the correlations among social alienation,disease perception,and family resilience,and analyze the related influencing factors of social alienation in patients with colorectal cancer. Methods: A total of 114 postoperative patients with colorectal cancer admitted to a tertiary hospital in Anhui Province were randomly selected as the research subjects.The social alienation of patients was evaluated using the social alienation scale for colorectal cancer survivors,and the relevant data of patients were collected to analyze the influencing factors of social alienation in colorectal cancer patients. Results: The total score of social alienation in patients with colorectal cancer was (54.63±3.43) points,among which the score of social alienation was (17.39±2.18) points,and the score of emotional alienation was (37.24±3.06) points.Social alienation in patients with colorectal cancer was significantly positively correlated with the disease cognition and emotion(P<0.01),and negatively correlated with the family resilience,family intimacy,family commitment and friendship(P<0.05 to P<0.01).The results of multivariate linear regression analysis showed that the stoma,self-care ability,emotion,family resilience,family commitment and family intimacy were the influencing factors of the social alienation level in colorecial cancer patients(P<0.05 to P<0.01),explaining a total of 61.1% of the variation(F=12.107,P<0.01). Conclusions: Social alienation in patients with colorectal cancer is at a relatively high level,which requires clinical attention.The ostomy,low self-care ability,low family resilience,high emotional dimension in disease perception and poor family commitment and family intimacy in social relationships are the risk factors of social alienation.

       

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