结直肠癌患者造口厌恶的概念分析
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女,硕士在读,学生

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吉林省社会科学院市州分院项目(2023FY02)


Conceptual analysis of stoma disgust in colorectal cancer patients
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    目的 分析并阐明结直肠癌患者造口厌恶的概念内涵,为医护人员识别和干预造口厌恶提供参考。方法 系统检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统、PubMed、Web of Science、Scopus、Embase、psycINFO和CINAHL数据库,根据纳入和排除标准筛选文献,并采用Walker and Avant概念分析法对造口厌恶的概念进行分析。结果 共纳入造口厌恶相关文献51篇,归纳造口厌恶的概念,并确定其定义属性包括情绪体验、生理反应、行为回避和社交困扰4方面;前置因素包括暴露于厌恶刺激源、心理神经机制及个体其他因素,后果包括心理负担加重、生理功能下降、影响医疗决策及其他。结论 造口厌恶的内涵复杂,受到多种因素的影响,可能会严重影响患者的生活质量。应构建更为科学的测量工具,准确识别和评估结直肠癌造口患者的造口厌恶水平,探索有效的干预措施,以减少造口厌恶对患者带来的不良影响。

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    Objective To analyze and elucidate the conceptual connotation of stoma disgust in colorectal cancer patients, and to provide a reference for healthcare professionals to identify and intervene in stoma disgust. Methods We systematically searched the China National Knowledge Infrastructure (CNKI), Wanfang Data,VIP Database, SinoMed, PubMed, Web of Science, Scopus, Embase, psycINFO and CINAHL databases, and screened the literature according to the inclusion and exclusion criteria. The concept of stoma disgust was analyzed using Walker and Avant conceptual analysis method. Results A total of 51 articles were included related to stoma disgust. The concept of stoma disgust was summarized,and its defining attributes included 4 aspects:emotional experience, physiological response, behavioral avoidance and social distress; antecedents included exposure to aversive stimulus sources, psycho-neurological mechanisms, and other factors of the individual, and the consequences included increased psychological burden, decreased physiological functioning, and influence on medical decision-making and others. Conclusion Stoma disgust has complex connotations, is influenced by multiple factors, and may seriously affect patients′ quality of life. A more scientific measurement tool should be constructed to accurately identify and assess the level of stoma disgust in colorectal cancer patients with stoma, and effective interventions should be explored to minimize the adverse effects of stoma disgust on patients.

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鲁子涵,金英爱.结直肠癌患者造口厌恶的概念分析[J].护理学杂志,2024,39(22):98-102

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  • 收稿日期:2024-06-02
  • 最后修改日期:2024-08-20
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  • 在线发布日期: 2024-12-28