目的 了解肠造口患者出院时、出院后第1、3、6个月造口接受度的变化轨迹及其影响因素，为提高肠造口患者造口接受度水平提供依据。 方法 选取2021年1-7月在南充市2所三级甲等医院首次行肠造口术的患者作为研究对象，采用一般资料调查问卷、造口接受度问卷、社会支持量表、健康信息素养自评问卷于出院前1 d（T1）、出院后1个月（T2）、3个月（T3）、6个月（T4）对其进行调查。 结果 肠造口患者4个时间点造口接受度得分依次为（32.57±4.51）分、（36.04±4.25）分、（39.73±3.02）分及（41.78±2.72）分。学历、性格特征、健康信息素养及社会支持是肠造口患者住院期间造口接受度的影响因素（均P＜0.05）；居住地、医疗费用支付方式和健康信息素养会影响肠造口患者造口接受度的增长速率（P＜0.05）。 结论 肠造口患者术后6个月内造口接受度水平呈上升趋势，医护人员应关注影响患者造口接受度变化趋势的因素，针对性地开展护理干预，以提高患者的造口接受度。

Objective To understand the trajectory of stoma acceptance and its influencing factors at the time of discharge and the 1st,3rd and 6th months after discharge in patients with enterostomy,and to provide a basis for improving the level of stoma acceptability in patients with enterostomy. Methods Patients who carried enterostomy for the first time from January to July 2021 in the two tertiary hospitals in Nanchong City were selected as the study subjects,and the general information questionnaire,the stoma acceptance questionnaire,social support scale,and health information literacy self-assessment questionnaire were used to survey patients at four time points:1 day before discharge (T1),1 month after discharge (T2),3 months (T3),and 6 months (T4). Results The stoma acceptance scores of patients with enterostomies at the four time points were (32.57±4.51),(36.04±4.25),(39.73±3.02) and (41.78±2.72),respectively.Education,personality traits,health information literacy and social support were factors influencing stoma acceptance of patients with enterostomy before discharge (all P＜0.05).Residence,payment method of medical expenses and health information literacy affected the growth rate of stoma acceptance by patients with enterostomy (all P＜0.05). Conclusions The level of stoma acceptance in patients with enterostomy shows an increasing trend within 6 months after surgery.Healthcare workers should pay attention to the factors influencing the trend of stoma acceptance in patients and carry out targeted nursing interventions to improve stoma acceptance in patients with enterostomy.

R473.6

南充市社科项目（NC22B298）；川北医学院附属医院院级课题（2021SK002）