标题：热带地区女性肠造口者生存质量及其影响因素分析

      作者：郭泽霞，张秀燕，庄少丽
    （海南省农垦三亚医院普外科，海南 三亚 572000）

      卷次： 2014年25卷4期

      【摘要】 目的 调查热带地区女性肠造口患者的生存质量并探讨其影响因素。方法 利用调查问卷对近
三年来在我院进行肠造口术的112例女性患者（含18例直肠癌患者）的生存质量进行研究，并对其年龄、婚姻状
况、文化程度、造口类型、疾病类型等一般资料进行单因素分析。同时采用诠释学方法对18例因直肠癌而施行肠
造口术的患者进行质性研究。结果 暂时肠造口、已婚、非直肠癌及生活可自理患者的生活质量相对较高，其差
异均有统计学意义(P＜0.05)。直肠癌患者质性研究结果表明该类患者具有对自我存在价值的否定、对情感支持
的渴求和对社会及他人的支持和理解的渴求。结论 疾病类型、造口类型、居住方式及婚姻状况均可影响热带
地区女性肠造口患者生存质量，而直肠癌肠造口患者生存质量的影响因素主要来自心理因素，需要进行更深入
的健康教育及心理疏导。

      【关键词】 热带地区；女性；肠造口患者；生存质量；直肠癌

      【中图分类号】 R656.6 【文献标识码】 D 【文章编号】 1003—6350（2014）04—0602—03


Quality of life of females with colostomy in tropical areas and the influence factors.
GUO Ze-xia, ZHANG Xiu-yan,
ZHUANG Shao-li. Department of General Surgery, Hainan Province Nongken Sanya Hospital, Sanya 572000, Hainan, CHINA

【Abstract】 Objective To investigate the quality of life in female patients with colostomy in tropical areas by
quanlitative and quantitative way and to analyze the influence factors. Methods The quality of life was investigated
by questionnaire in 112 female patients undergoing enterostomy in our hospital in the recent three years, including 18
patients of colon cancer. The general information including age, marital status, education level, colostomy type, dis-
ease type were subjected to univariate analysis. The quanlitative research on the 18 patients of colon cancer was done
by the method of hermeneutics. Results Patients that are married, with temporary colostomy, without colon cancer
and those can take care of themselves had a relatively higher quality of life, the difference was statistically significant
(P<0.05). Three common points were found in the research on the patients with colon cancer: self negation for their ex-
istence, craving for emotional support, and craving for the support and understanding of the society. Conclusion Dis-
ease types, colostomy types, living style, and marital status can affect the quality of life in females with colostomy in
tropical area. Factors affecting the quality of life of the patients are mainly psychological factors. Health education and
psychological counseling in depth are needed.

      【Key words】 Tropical area; Females; Colostomy; Quality of life; Colon cancer
基金项目：三亚市院地科技合作项目（编号：2011YD67）