| Citation: |
SU Yanxia, MU Xiaoyan, FANG Fang, TANG Dong, WANG Aihua, LI Qin, TANG Ling, CHENG Yuefang. Establishment of a Nomogram model for predicting risk of stigma in elderly patients with colostomy after colorectal cancer surgery[J]. Journal of Clinical Medicine in Practice, 2024, 28(14): 128-132. DOI: 10.7619/jcmp.20240788
|
To establish a Nomogram model for predicting the occurrence of stigma in elderly patients with colostomy after colorectal cancer (CRC) surgery.
A total of 123 elderly patients with colostomy after CRC surgery in the Northern Jiangsu People's Hospital Affiliated to Yangzhou University from June 2022 to December 2023 were selected as research objects, and they were divided into stigma group (n=62) and non-stigma group (n=61) according to the occurrence of stigma. Logistic regression analysis was used to screen risk factors, and a Nomogram was drawn and evaluated for its discrimination and consistency.
Score of the Social Impact Scale (SIS) in 123 elderly patients with colostomy after CRC surgery ranged from 34 to 90, with an average score of (60.14±12.08) and a median score of 48. Female (95%CI, 2.467 to 20.978, P < 0.001), presence of stoma complications (95%CI, 1.766 to 10.093, P=0.001), moderate to low level of perceived social support (95%CI, 1.654 to 12.710, P=0.003), and moderate to low level of psychosocial adaptation (95%CI, 1.568 to 10.869, P=0.004) were identified as independent risk factors for stigma in elderly patients with colostomy after CRC surgery. The area under the receiver operating characteristic curve was 0.816 (95% CI, 0.744 to 0.889); the calibration curve had a slope close to 1, and the Hosmer-Lemeshow goodness-of-fit test showed better results (χ2=7.722, P=0.461).
Female, presence of stoma complications, moderate to low level of perceived social support, and moderate to low level of psychosocial adaptation are independent risk factors for stigma in elderly patients with colostomy after CRC surgery. Nomogram model established based on these factors can help identify high-risk populations for stigma, so as to obtain individualized precise intervention and reduce the incidence of stigma.
| [1] |
郑阔, 高显华, 白辰光, 等. 早发性与晚发性结直肠癌的发病趋势、临床病理特征、治疗及预后的对比研究: 一项单中心2000—2021年间34067例患者的回顾性队列研究[J]. 中华胃肠外科杂志, 2023, 9(1): 93-101. doi: 10.3760/cma.j.cn441530-20220809-00341
|
| [2] |
GROSEK J, ALES KOSIR J, SEVER P, et al. Robotic versus laparoscopic surgery for colorectal cancer: a case-control study[J]. Radiol Oncol, 2021, 55(4): 433-438. doi: 10.2478/raon-2021-0026
|
| [3] |
邱小原, 李昀昊, 林国乐, 等. 直肠癌新辅助放化疗后根治术行保护性横结肠造口与回肠造口对吻合口漏预防的相关研究[J]. 中华胃肠外科杂志, 2021, 24(6): 523-529. doi: 10.3760/cma.j.cn.441530-20210304-00100
|
| [4] |
程方方, 张欢, 李嘉宁, 等. 结直肠癌造口术后患者病耻感对心理弹性和生活质量及造口并发症的影响[J]. 中华肿瘤防治杂志, 2021, 28(11): 852-857. https://www.cnki.com.cn/Article/CJFDTOTAL-QLZL202111009.htm
|
| [5] |
王恒旭, 陈希, 刘丽华, 等. 基于CiteSpace国际病耻感领域的热点分析[J]. 湖南师范大学学报: 医学版, 2023, 20(3): 174-180. doi: 10.3969/j.issn.1673-016X.2023.03.036
|
| [6] |
HAZE T. The potential of a new nomogram for the diagnosis of primary aldosteronism[J]. Hypertens Res, 2023, 46(12): 2648-2650. doi: 10.1038/s41440-023-01406-8
|
| [7] |
李科瑾, 周建梅, 孟爱凤, 等. 淋巴瘤患者病耻感临床预测模型的构建与评估[J]. 中华现代护理杂志, 2020, 26(28): 3862-3868. doi: 10.3760/cma.j.cn115682-20200228-01164
|
| [8] |
卫生部医政司. 结直肠癌诊疗规范(2010年版)[J]. 中国医学前沿杂志: 电子版, 2011, 3(6): 130-146. doi: 10.3969/j.issn.1674-7372.2011.06.019
|
| [9] |
张帆, 朱树贞, 邓平基. 领悟社会支持量表在国内住院病人社会支持研究中的应用评价[J]. 护理研究, 2018, 32(13): 2048-2052. doi: 10.12102/j.issn.1009-6493.2018.13.015
|
| [10] |
许勤, 程芳, 戴晓冬. 中文版造口者社会心理适应量表的修订及信效度评价[J]. 江苏医药, 2010, 36(14): 1647-1649. https://www.cnki.com.cn/Article/CJFDTOTAL-YIYA201014016.htm
|
| [11] |
FIFE B L, WRIGHT E R. The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer[J]. J Health Soc Behav, 2000, 41(1): 50-67. doi: 10.2307/2676360
|
| [12] |
PAN A W, CHUNG L, FIFE B L, et al. Evaluation of the psychometrics of the Social Impact Scale: a measure of stigmatization[J]. Int J Rehabil Res, 2007, 30(3): 235-238. doi: 10.1097/MRR.0b013e32829fb3db
|
| [13] |
成海蓉, 周敏露, 单蓉蓉. 老年结直肠癌患者行永久性造口术后病耻感与心理弹性、社会支持度的相关性分析[J]. 老年医学与保健, 2023, 29(6): 1155-1159. doi: 10.3969/j.issn.1008-8296.2023.06.011
|
| [14] |
张铭, 方方, 李琴, 等. 全程赋能教育模式在永久性结肠造口患者整合护理中的应用效果[J]. 实用临床医药杂志, 2019, 23(22): 113-116. doi: 10.7619/jcmp.201922038
|
| [15] |
王勉, 孙豪, 李一丁, 等. 类Altemeier术治疗肠造口脱垂6例的初步疗效观察[J]. 空军军医大学学报, 2024, 45(3): 337-340. https://www.cnki.com.cn/Article/CJFDTOTAL-DSJY202403016.htm
|
| [16] |
葛一凡, 杨红生, 梅广红, 等. 结直肠癌永久性肠造口患者自我接受度、病耻感及负性情绪调查分析[J]. 中国医药导报, 2023, 20(21): 62-66. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202321012.htm
|
| [17] |
丁媛媛, 王银娥, 周丙梅, 等. 结直肠癌术后肠造口病人病耻感影响因素分析[J]. 蚌埠医学院学报, 2022, 8(6): 828-834. https://www.cnki.com.cn/Article/CJFDTOTAL-BANG202206030.htm
|
| [18] |
符敏, 胡少华, 王维利, 等. 消化系统肿瘤患者术后病耻感现状及影响因素研究[J]. 中国医药导报, 2020, 17(10): 98-101. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202010026.htm
|
| [19] |
朱灵芝, 刘建花, 代姗姗, 等. 结直肠癌患者住院期间造口并发症预警模型的建立与评估[J]. 现代临床护理, 2021, 20(3): 1-7. doi: 10.3969/j.issn.1671-8283.2021.03.001
|
| [20] |
陈雯妮, 陈蓉蓉, 王晓彤, 等. 5E模式下个案护理管理在结直肠癌造口患者中的应用效果[J]. 中国当代医药, 2023, 30(31): 193-196. doi: 10.3969/j.issn.1674-4721.2023.31.046
|
| [21] |
赵瑞, 刘婷. 基于循证理论的精细化干预结合造口袋更换口诀卡对结直肠癌根治术后肠造口患者病耻感及炎症因子水平的影响[J]. 临床医学研究与实践, 2023, 8(12): 138-140. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202312039.htm
|
| [22] |
车梦婷, 刘海佳. 直肠癌术后永久性结肠造口患者病耻感现状及其相关危险因素分析[J]. 牡丹江医学院学报, 2023, 44(2): 50-52, 56. https://www.cnki.com.cn/Article/CJFDTOTAL-MDJB202302012.htm
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: