Study on the status of disability acceptance and its influencing factors in patients with permanent bladder fistula [永久性膀胱造瘘患者残障接受度现状及其影响因素研究]

作者：Qiang W.; Han Z.; Hongze L.^*

来源：Chinese Journal of Practical Nursing, 2020, 36(14): 1068-1072.

DOI：10.3760/cma.j.cn211501-20190802-02169

• Bladder ostomy
• Disability acceptance
• Influencing factors

Objective To investigate the status of disability acceptance in patients with permanent bladder fistula and analyze the influencing factors. Methods Using the convenience sampling method, 218 patients who were hospitalized in urology from January 2018 to June 2019 were selected as the research subjects. A general data questionnaire, a disability acceptance scale (revised edition), a social impact scale, and a state self- esteem scale were used to investigate 218 patients with permanent cystostomy. Results The score of disability acceptance in patients with permanent bladder fistula was (82.6±6.9) points, which was moderate, and 49.5% (108/218) of patients with moderate level of disability acceptance. Multiple linear regression analysis showed that the total score of social impact, total score of state self- esteem, age, average monthly household income, postoperative time of ostomy and disability acceptance were important factors (t values were - 8.726- 5.786, P<0.05 or 0.01). Conclusion The degree of disability acceptance in patients with permanent bladder fistula is at a moderate level. It is recommended that relevant nursing staff should encourage patients to receive the effects of ostomy on the body image, and provide support to patients and families to help patients cope with the social environment.