The Correlation Study Of Ruminant Thinking,Psychological Coherence And Self-perceived Burden In Patients With Enterostomy

Objective:This study describes the development of rumination thinking,psychological consistency and self-perceived burden in patients with enterostomy;The correlation indexes of rumination thinking,psychological consistency and self feeling burden were analyzed;To explore the main influencing factors of self perceived burden of enterostomy patients,so as to provide theoretical basis for improving the prognosis of enterostomy patients and guiding clinical stoma nursing.Methods:This study is a descriptive study among non-experimental studies.Convenience sampling was adopted to select 264 patients with enterostomy who met the inclusion criteria from February to September 2021 in four tertiary A-level hospitals in Shandong Province as the survey subjects for a questionnaire survey.The assessment scales include the Sense of Consistency Scale Lite,the Rumination Thinking Scale,and the Self-Perceived Burden Scale.The Chinese version of the statistical software SPSS26.0 was used to organize and analyze the data.Results:(1)The mean age of patients with enterostomy in this study was(58.19±12.04)years,and the incidence was mainly male.63.64% had high school education or below,47.73% had per capita monthly income of less than 3000,84.86% had medical insurance,68.18% had permanent colostomy,and 69.7% had stoma complications.(2)In this study,the score of rumination thinking scale for patients with enterostomy was(66.30±11.40)points,with a total score of 22 ～ 88 points..And there were significant differences in age,work status,education level,and stoma complications in patients’ rumination thinking score(P<0.05).(3)In this study,the colostomy patients’ psychological coherence scale score was(68.39±11.46)points,with a total score of 13 ～ 91 points.And there were significant differences in the patients’ psychological coherence scores in terms of age,marital status,education level,and stoma complications(P<0.05).(4)The self-perceived burden scale of patients with enterostomy in this study was(34.11±9.56)points,with a total score of 50 points.25.75% of patients with enterostomy had mild burden,40.91% had moderate burden,29.55% had severe burden,and only 3.79% of patients with enterostomy had no obvious burden.The self-perceived burden score of the research subjects was in the per capita monthly income of the family,education level,stoma complications,and type of stoma.,There was a statistically significant difference in whether the stoma could be reinstated(P<0.05).(5)In this study,there was a positive correlation between rumination thinking and self-perceived burden(r=0.809,P<0.05),and a negative correlation between psychological coherence and self-perceived burden(r=-0.816,P<0.05).There was a negative correlation between thinking and psychological coherence(r=-0.336,P<0.05).(6)Multiple linear regression analysis,family per capita monthly income,education level,stoma complications,stoma type and whether stoma can be included as the main factor that affects the patient’s self-perceived burden(P<0.05),which explained the intestinal stoma.There was a 56.8% variance in patients’ self-perceived burden(F=73.902,P<0.001).Conclusion:(1)The rumination thinking of patients with enterostomy was at a moderately high level,and the rumination thinking of the age <60 group,the retirement group,the education level of junior high school and below,and the group with stoma complications was higher than that of other groups;(2)The sense of psychological coherence is at a moderately low level,and the sense of psychological coherence in the age <60 group,the no-spouse group,the junior high school education level or below,and the group with stoma complications is lower than that of the other groups;(3)The self-perceived burden is at an upper-middle level,and the self-perceived burden of the group with per capita monthly household income < 3000,the group with education level of junior high school and below,and the permanent colostomy group is higher than that of the other groups;(4)There was a positive correlation between rumination thinking and self-perceived burden in patients with enterostomy,and a negative correlation between psychological coherence and self-perceived burden;the lower the patient’s rumination thinking and the higher the psychological coherence,the lighter the self-perceived burden.(5)The per capita monthly income of the family,education level,stoma complications,type of stoma,repayment of stoma,rumination thinking and sense of psychological coherence were the main factors affecting the patients’ self-perceived burden.