Abstract: Objective: To investigate the status of cancer -related fatigue in patients with enterostomy and analyze its influencing factors, so as to provide reference for the clinical development of targeted nursing measures. Methods: A tatal of 104 patients with enterostomy were included and the general data questionnaire, PFS-R, CD-RISC, and Stoma-QOL-C were used in the investigation. Results: The total score of cancer-related fatigue was 97.60±21.77 and average score of items was 4.44±0.99. The incidence of moderate cancer fatigue was 86.5%. The regression analysis results showed that age, pathological stage, stoma complications, psychological resilience, and quality of life were the main influencing factors of cancer-related fatigue in patients with enterostomy (P<0.05) Conclusion: Patients with enterostomy have a moderate level of cancer fatigue. The patients with elder age, high pathological stage, stoma complications, low psychological resilience level and low quality of life should be correctly guided and targeted measures should be taken to improve their cancer fatigue, and thus enhance the quality of life of patients.

Key words: Enterostomy, Cancer-related fatigue；Psychological resilience, Quality of life, Influencing factors

摘要： 目的：了解肠造口患者癌因性疲乏的现况，并分析其影响因素，为临床制定针对性的护理措施提供参考。方法：使用一般资料调查表、修订版Piper 疲乏评估量表、心理弹性量表以及中文版造口患者生活质量量表对104 例肠造口患者进行调查。结果：肠造口患者癌因性疲乏修订量表总分为（97.60±21.77）分，条目平均分为（4.44±0.99）分，其中86.5％的患者属于中度癌因性疲乏。多元线性回归分析结果显示，年龄、病理分期、造口并发症、心理弹性以及生活质量是肠造口患者癌因性疲乏的主要影响因素（P＜0.05）。结论：肠造口患者癌因性疲乏处于中等水平。对于年龄较大、病理分期较高、有造口并发症以及心理弹性水平较低的肠造口 患者，应进行正确引导，并采取针对性措施以改善其癌因性疲乏水平，从而提高患者的生活质量。

关键词: 肠造口, 癌因性疲乏, 心理弹性, 生活质量, 影响因素