<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025060011</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>肠造口家庭照顾者病耻感的概念分析</title><url>https://artdesignp.com/journal/MRP/3/6/10.61369/MRP.2025060011</url><author>王利会,林馨蕊,金银姬</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>6</issue><history><date date-type="pub"><published-time>2025-06-20</published-time></date></history><abstract>目的：运用Rodgers演化概念分析法定义造口患者家庭照顾者病耻感的概念。方法：系统检索数据库，根据纳入和排除标准筛选文献。并以Rodgers演化概念分析法为理论依据。结果：共纳入40篇文献，其中中文文献 20篇，英文文献 20篇。概念属性包括心理羞耻、社会歧视、心理脱离3个方面。前因变量是人口学因素、患者因素、社会因素3个方面；后果主要为照顾者出现负性情绪、经济负担、性生活受限、家庭亲密度下降4 &amp;nbsp; &amp;nbsp;个方面。结论：明确了造口患者家庭照顾者病耻感的概念，为以后开展此概念的质性研究提供参考。</abstract><keywords>肠造口,家庭照顾者,病耻感,概念分析</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]许勤, 程芳, 戴晓冬, et al. 永久性结肠造口患者社会心理适应及相关因素分析[J]. 中华护理杂志, 2010, 45(10): 883-5.&amp;nbsp;[2]RODGERS B L. Concepts, analysis and the development of nursing knowledge: the evolutionary cycle [J]. J Adv Nurs, 1989, 14(4): 330-5.&amp;nbsp;[3]杜亚格, 张春梅, 窦昊颖. 应用Rodgers演化概念分析法界定老年人疏于照顾 [J]. 中国老年学杂志, 2021, 41(16): 3590-4.&amp;nbsp;[4]SCAMBLER G, HOPKINS A. Generating a model of epileptic stigma: The role of qualitative analysis [J]. Social Science &amp;amp; Medicine, 1990, 30(11): 1187-94.&amp;nbsp;[5]VASILEIOU K, BARNETT J, BARRETO M, et al. Experiences of loneliness associated with being an informal caregiver: a qualitative investigation [J]. Frontiers in psychology, 2017, 8(585.&amp;nbsp;[6]陈有娣, 韩紫音, 张艺, et al. 类风湿关节炎病人病耻感的研究进展 [J]. 全科护理, 2024, 22(14): 2633-7.&amp;nbsp;[7]吕群, 徐水琴, 孙一勤, et al. 农村老年慢性病病人家庭照顾者心理负担相关因素研究 [J]. 护理研究, 2013, 27(23): 2455-7.&amp;nbsp;[8]GAUTAM S, POUDEL A. Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy [J]. Journal of Gastrointestinal Oncology, 2016, 7(6): 938.&amp;nbsp;[9]王叶, 汤观秀, 颜萍平, et al. 失能老年人社会支持研究现状 [J]. 护理研究, 2020, 34(23): 4177-81.&amp;nbsp;[10]董万里, 宋葆云, 孙晓林, et al. 肠造口患者照顾者照顾负担及社会支持的纵向研究 [J]. 护理学杂志, 2017, 32(24): 80-1+102.&amp;nbsp;[11]DHOUIB W, IBRAHIM B, BANNOUR R, et al. The burden of Alzheimer&amp;rsquo;s caregivers and social support in the Tunisian family [J]. European Journal of Public Health,&amp;nbsp;2021, 31(Supplement_3): ckab165. 577.&amp;nbsp;[12]孙懿松, 朱茜, 徐琼峰, et al. 永久性肠造口病人主要照顾者护理负担的调查[J]. 循证护理, 2017, 3(06): 605-8.&amp;nbsp;[13]GILBERT P, PEHL J, ALLAN S. The phenomenology of shame and guilt: An empirical investigation [J]. British Journal of Medical Psychology, 1994, 67(1): 23-36.&amp;nbsp;[14]PERSSON E, SEVERINSSON E, HELLSTR&amp;Ouml;M A-L. Spouses&amp;rsquo; perceptions of and reactions to living with a partner who has undergone surgery for rectal cancer resulting&amp;nbsp;in a stoma [J]. Cancer nursing, 2004, 27(1): 85-90.&amp;nbsp;[15]宁淑艳, 殷国梁, 徐若媛, et al. 肠造口病人家庭主要照顾者孤独感现状及影响因素分析 [J]. 护理研究, 2022, 36(04): 572-9.&amp;nbsp;[16]VURAL F, HARPUTLU D, KARAYURT O, et al. The impact of an ostomy on the sexual lives of persons with stomas: a phenomenological study [J]. Journal of Wound&amp;nbsp;Ostomy &amp;amp; Continence Nursing, 2016, 43(4): 381-4.&amp;nbsp;[17]杜月娥, 张娴, 裴新荣, et al. 肠造口病人家庭亲密度与适应性的调查研究 [J]. 护理研究, 2017, 31(16): 1947-50.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
