目的:调查肠造口患者术后自我感受负担情况,并分析其影响因素。方法:采用自行设计的一般资料调查问卷、自我感受负担量表、医学应对问卷、造口生活质量量表,对151例肠造口术后患者进行调查。结果:肠造口患者术后自我感受负担得分为(39.62±8.81)分,处于中等水平,50.3%的患者为高水平。多重线性回归分析结果显示,回避型应对、文化程度、粪便泄漏散发臭味频率、面对型应对方式为自我感受负担的影响因素。结论:肠造口患者术后自我感受负担较为严重,护理人员应鼓励患者积极地面对困难与挑战,主动学习造口护理技能,更多地与他人进行交流。同时,护理人员应更加关注文化程度较低的患者。 Objective: To investigate the postoperative self-perceived burden of patients with enterostoma and analyze the influencing factors. Methods: A total of 151 patients with postoperative enterostomy were surveyed by self-designed general information questionnaire, self-perceived burden questionnaire, medical response questionnaire and stoma quality of life questionnaire. Results: Postoperative self-perceived burden of patients with intestinalostomy was (39.62 ± 8.81) points, at a moderate level, 50.3% of patients with high levels. Multiple linear regression analysis showed that avoidance-based coping, educational level, frequency of odor excretion, and coping style were the influencing factors of self-perceived burden. CONCLUSIONS: Patients with enterostomy have a greater self-perceived burden of postoperative self-care. Nursing staff should encourage patients to actively face the difficulties and challenges, take the initiative to learn the techniques of stoma care, and communicate more with others. At the same time, caregivers should pay more attention to patients with lower education levels.