Study on the status quo of spiritual nursing needs and its correlation with disability acceptance and stigma of patients with permanent enterostomy / 中国实用护理杂志

Objective:To investigate the status quo of spiritual nursing needs and its influencing factors of patients with permanent enterostomy, and analyze its correlation with disability acceptance and stigma, so as to provide a reference for the construction of targeted spiritual nursing intervention programs.Methods:A total of 351 patients with permanent enterostomy in Xiangya Hospital Central South University and Hunan Cancer Hospital were selected by convenience sampling from January 2021 to March 2022. A cross-section by using the self-made general information questionnaire, Nurse Spiritual Therapeutics Scale (NSTS), Acceptance of Disability Scale (ADS), and Stigma Scale for Chronic Illness (SSCI). And multiple linear regression was used to analyze the influencing factors of spiritual nursing needs of patients with permanent enterostomy.Results:The total score of spiritual nursing needs of patients with permanent enterostomy was 30.15 ± 6.46, and the average score of items was 2.51 ± 0.78. Among the five dimensions, the highest average score was creating a good atmosphere 3.10 ± 0.98, and and the lowest was helping religious practice 1.65 ± 0.70. The total score of disability acceptance was 81.94 ± 13.86; the total score of stigma was 64.03 ± 14.28. The total scores of spiritual nursing needs were positively correlated with the total scores of disability acceptance ( r=0.703, P<0.01), and negatively correlated with the total scores of stigma ( r=-0.516, P<0.01). Multivariate linear regression analysis showed that religious beliefs, educational level, residence, course of disease, disability acceptance, and stigma were the main influencing factors for the spiritual nursing needs of patients with permanent enterostomy ( t values were -13.26-13.56, all P<0.01), accounting for 52.5% of the total variation. Conclusions:The spiritual nursing needs of patients with permanent enterostomy were moderate. It is suggested that nurses can develop targeted spiritual nursing measures according to the individualized characteristics of patients, improve their disability acceptance and reduce their stigma level, so as to meet their spiritual nursing needs and realize their spiritual safety.

Correlation between alexithymia and disability acceptance in patients with spinal cord injury / 中国实用护理杂志

Objective:To explore the influencing factors of disability acceptance in patients with spinal cord injury, and analyze the correlation between alexithymia and disability acceptance.Methods:The convenience sampling method was used to select 276 patients with spinal cord injury admitted to Affiliated Hospital of Jining Medical College from October 2018 to June 2020 as the research objects. The general information questionnaire, the Toronto Alexitymia Scale (TAS-20), and the Acceptance of Disability Scale (ADS) was used to conduct the survey, Pearson correlation was used to analyze the correlation between alexitymia and disability acceptance in patients with spinal cord injury, hierarchical regression analysis was used to analyze the factors that affect the disability acceptance of patients with spinal cord injury.Results:The total score of ADS of 276 patients with spinal cord injury was (172.68 ± 37.72) points, and the total score of TAS-20 was (55.60 ± 9.49) points. The results of Pearson correlation analysis showed that all dimensions and total score of TAS-20 were negatively correlated with all dimensions and total score of ADS ( r values were -0.821--0.101, all P<0.05). The results of hierarchical regression analysis showed that gender, course of disease, post-injury working status were the risk factors of disability acceptance ( P<0.05), and alexithymia was the protective factor of disability acceptance( P<0.05), gender, course of disease, post-injury working status and alexithymia level could jointly explain the 22.1% variation in disability acceptance in patients with spinal cord injury. Conclusions:The disability acceptance of patients with spinal cord injury is at a moderate level, and alexitymia is negatively correlated with disability acceptance. alexitymia, gender, course of disease, and post-injury work status are the influencing factors of disability acceptance of patients with spinal cord injury.

Review of acceptance of disability in patients with disability / 中国实用护理杂志

This paper reviews the development of disability acceptance assessment tools for disabled patients, analyzes the status quo and impact of disability acceptance of patients with different diseases, and studies on intervention strategies to improve disability acceptance, so as to provide basis for better improving the quality of life of disabled patients.

Correlation between disability acceptance and post traumatic growth in patients with bladder cancer with urinary transestration / 中国实用护理杂志

Objective To investigate the status of disability acceptance and post traumatic growth in patients with urinary diversion of bladder cancer and to analyze the correlation between them. Methods One hundred and fourteen cases with urinary diversion of bladder cancer were investigated with Acceptance Disability Scale and Post Traumatic Growth Inventory. Results The score of total score of disability acceptance and post traumatic growth of bladder cancer patients with urinary diversion and abdominal wall ostomy were (177.49 ± 38.28) and (56.13 ± 14.56) points respectively. There was a positive correlation between the total score and each dimension (r=0.274-0.413, P <0.05). Conclusions There is a clear correlation between disability acceptance and post traumatic growth in patients with urinary diversion of bladder cancer. Targeted measures should be taken to improve patients'disability acceptance so as to enhance their post traumatic growth and promote their quality of life.

Effects of alexithymia on disability acceptance among uremia patients / 中华护理杂志

Objective To investigate the current situation of disability acceptance and alexithymia among uremia patients,and to explore the effects of alexithymia on disability acceptance.Methods Totally 342 uremia patients were recruited by convenience sampling method.Patients were investigated with general information questionnaire,Acceptance of Disability Scale (ADS) and the Toronto Alexithymia Scale (TAS-20).Results The mean scores of disability acceptance and alexithymia were 180.45±26.93 and 52.35±8.24,respectively.The affective disorder of recognition,affective disorder of description and extroverted thinking were significantly negatively correlated with each dimension of disability acceptance(P＜0.05).Multiple linear regression analysis showed that alexithymia,gender and course of disease were influencing factors of disability acceptance for uremia patients(P＜0.05).Conclusion The level of disability acceptance was in the medium level among uremia patients,and alexithymia,gender and course of disease were its influencing factors.Nursing staff could take effective measures to ameliorate alexithymia and to improve the level of disability acceptance for uremia patients.