关键词: 中青年, 预防性肠造口, 自我管理, 影响因素

Abstract: Objective: To explore the current status of self-management among young and middle-aged patients with preventive colostomy and analyze influencing factors. Methods: A convenience sampling method was employed to select 175 young and middle-aged patients with preventive enterostomy who were receiving outpatient or inpatient care at three grade Ⅲ and first-class hospitals in Xuzhou from October 2023 to May 2024. Data were collected using a general information questionnaire and a self-management questionnaire for enterostomy patients. Multiple linear regression analysis was used to explore the influencing factors of self-management in these patients. Results: A total of 160 valid questionnaires were collected, with an effective response rate of 91.43%. The total score of self-management ability of young and middle-aged patients with preventive enterostomy was 88.71±8.73, indicating a moderate level of self-management. Multiple linear regression analysis revealed that education level, stoma location, time since stoma surgery, postoperative chemotherapy or radiotherapy, and stoma acceptance were significant factors influencing self-management levels(P<0.05). Conclusion: The self-management ability of young and middle-aged patients with preventive enterostomy needs to be improved. Healthcare professionals should pay particular attention to patients with low education, ileostomy, early postoperative stages, those who have undergone postoperative chemotherapy or radiotherapy, and those with poor stoma acceptance. Targeted interventions should be implemented to improve patients′ self-management knowledge and behaviors.

Key words: Young and middle-aged, Preventive enterostomy, Self-management, Influencing factors