| 梁琢琳,李旭苗,魏荣赛,刘璟莹,李洋,马宏文.结直肠癌造口患者参与出院计划意愿的潜在剖面分析[J].上海护理,2026,26(1): |
| 结直肠癌造口患者参与出院计划意愿的潜在剖面分析 |
| Latent profile analysis of colostomy patients" willingness to participate in discharge planning |
| 投稿时间：2025-04-01 修订日期：2026-01-08 |
| DOI： |
| 中文关键词: 结直肠癌 造口患者 参与出院计划意愿 潜在剖面分析 |
| 英文关键词:Colorectal cancer Patients with stoma Willingness to participate in discharge planning Latent profile analysis |
| 基金项目:教育部人文社会科学研究项目(21YJCZH087),天津市人民医院科研项目(2024YJHL030) |
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| 中文摘要: |
| 目的：探讨肠造口患者参与出院计划意愿的潜在剖面及其影响因素。方法：采用便利抽样法，选取2024年4月~9月在天津市某三级甲等医院肛肠外科住院的261例肠造口患者作为研究对象。采用一般资料调查表、中文版病人参与出院计划意愿量表（Patient Participation Preferences Assessment，PPPA）、造口适应量表（Ostomy Adjustment Inventory，OAI）进行调查。借助Mplus 8.3软件进行潜在剖面分析，SPSS 27.0软件进行单因素分析及多元logistic回归分析。结果：按肠造口患者参与出院计划意愿水平分为低意愿组-被动适应型、中意愿组-理性协调型和高意愿组-主动配合型三个潜在类别，占比依次为23.7%、49.8%、26.5%，单因素分析结果显示：文化程度、造口类型的差异均有统计学意义（P＜0.05），多元logistic回归分析结果显示：造口适应及文化程度是肠造口患者参与出院计划意愿的影响因素（P＜0.05）。结论：肠造口患者出院计划意愿可分为３个类别，临床护理人员可以根据患者不同类别特征，采取针对性的干预措施，以提高患者参与出院计划意愿的水平。 |
| 英文摘要: |
| Objective: To explore the latent profiles of the willingness of patients with enterostomy to participate in discharge planning and the influencing factors. Methods: A convenience sampling method was used to select 261 patients with enterostomy who were hospitalized in the Department of Anorectal Surgery of a tertiary grade A hospital in Tianjin from April to September 2024 as the research subjects. General information questionnaires, the Chinese version of the Patient Participation Preferences Assessment (PPPA), and the Ostomy Adjustment Inventory (OAI) were used for the investigation. Latent profile analysis was conducted using Mplus 8.3 software, and univariate analysis and multiple logistic regression analysis were performed using SPSS 27.0 software. Results: According to the level of willingness of patients with enterostomy to participate in discharge planning, they were divided into three latent categories: low-willingness group - passive adaptation type, medium-willingness group - rational coordination type, and high-willingness group - active cooperation type, with proportions of 23.7%, 49.8%, and 26.5% respectively. Univariate analysis showed that there were statistically significant differences in educational level and type of stoma (P＜0.05). Multiple logistic regression analysis indicated that stoma adjustment and educational level were influencing factors of the willingness of patients with enterostomy to participate in discharge planning (P＜0.05). Conclusion: The willingness of patients with enterostomy to participate in discharge planning can be classified into three categories. Clinical nursing staff can take targeted intervention measures based on the characteristics of different categories of patients to improve their willingness to participate in discharge planning. |
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