结直肠癌永久性肠造口患者赋权感知对平静心境及生活质量影响的路径分析-现代医学

结直肠癌永久性肠造口患者赋权感知对平静心境及生活质量影响的路径分析

单位：东部战区总医院麻醉科, 江苏南京 210000

分类号：R735.3

出版年·卷·期（页码）：2025·53·第十期（1556-1561）

摘要：

目的：分析结直肠癌永久性肠造口患者赋权感知对平静心境及生活质量影响的路径。方法：选取2022年6月至2024年12月于本院接受治疗的311例结直肠癌永久性肠造口患者为研究对象。采用中文版癌症赋权问卷(CEQ)、平静心境量表(IPSS)及欧洲癌症研究与治疗组织生活质量核心30量表(EORTC QLQ-C30)评估患者的赋权感知、平静心境水平及生活质量。采用Pearson相关分析患者赋权感知与平静心境及生活质量之间的相关性；采用多元线性回归分析患者生活质量的影响因素。构建结构方程模型，探讨患者赋权感知对平静心境及生活质量的作用路径。结果：不同年龄、文化程度、家庭月收入患者的EORTC QLQ-C30评分相比，差异有统计学意义(P＜0.05)。Pearson相关分析显示，患者的CEQ评分与IPSS评分、EORTC QLQ-C30评分均呈正相关(r=0.721、0.586，P＜0.05)。多元线性回归分析显示，文化程度、IPSS评分、CEQ评分均为影响患者生活质量的影响因素(P＜0.05)。结构方程模型发现，赋权感知可直接影响患者的生活质量(效应值为0.37)，赋权感知还可通过平静心境间接影响患者的生活质量(间接效应值为0.18)。结论：赋权感知会影响结直肠癌永久性肠造口患者的生活质量，而平静心境在赋权感知对生活质量的影响过程中起中介作用。

Objective: To analyze the path of the influence of empowerment perception on peaceful state of mind and quality of life in patients with permanent colostomy for colorectal cancer. Methods: A total of 311 colorectal cancer patients with permanent colostomy who were treated in our hospital from June 2022 to December 2024 were selected. Empowerment perception, peaceful state of mind and quality of life were assessed with the Chinese version of the Cancer Empowerment Questionnaire(CEQ), the Inner Peace State Scale(IPSS), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30(EORTC QLQ-C30). Pearson correlation analysis was used to analyze the correlation between patients' empowerment perception and their peaceful state of mind as well as quality of life. Multiple linear regression analysis was employed to investigate the influencing factors of patients' quality of life. A structural equation model was constructed to explore the pathways through which patients' empowerment perception affects their peaceful state of mind and quality of life. Results: The EORTC QLQ-C30 scores of patients of different ages, educational levels, and monthly family income showed significant differences(P<0.05). Pearson correlation analysis showed that the CEQ score of the patients was positively correlated with the IPSS score and the EORTC QLQ-C30 score(r=0.721, 0.586, P<0.05). The multiple linear regression analysis showed that educational level, IPSS scores, and CEQ score were all factors influencing the quality of life of patients(P<0.05). The structural equation model showed that the perception of empowerment could directly affect the quality of life of patients(effect value=0.37), and the perception of empowerment could also indirectly influence the quality of life of patients through a peaceful state of mind(indirect effect value=0.18). Conclusion: Empowerment perception can affect the quality of life of patients with permanent colostomy due to colorectal cancer, and a peaceful state of mind plays a mediating role in the influence of perceived empowerment on the quality of life.

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