接纳与承诺疗法对预防性肠造口患者病耻感及造口自护能力的效果观察  

Effect of acceptance and commitment therapy on the sense of shame and self-care ability of patients with preventive enterostomy

作　　者：潘海辉 左红群[1] 林小力 潘意[1] 施晶晶 PAN Haihui;ZUO Hongqun;LIN Xiaoli;PAN Yi;SHI Jingjing(Cancer Hospital of Guangxi Medical University,Nanning,530021,China)

机构地区：[1]广西医科大学附属肿瘤医院结直肠肛门病区,广西南宁市530021

出　　处：《护理实践与研究》2023年第6期794-799,共6页Nursing Practice and Research

基　　金：广西壮族自治区卫生健康委员会科研课题(编号:Z-A20220723);广西壮族自治区卫生健康委员会科研课题(编号:Z20200701)。

摘　　要：目的探讨接纳与承诺疗法干预对预防性肠造口患者病耻感及造口自护能力的影响。方法选取2021年3月—2022年3月广西医科大学附属肿瘤医院结直肠肛门科收治的预防性肠造口患者108例为研究对象,按照组间资料均衡可比的原则将患者分为观察组和对照组,每组54例。对照组行肠造口常规性护理,观察组在对照组基础上行接纳与承诺疗法干预,干预时间为3个月,比较两组患者干预前后病耻感、造口自护能力、并发症及生活质量。结果干预后与对照组比较,观察组病耻感总评分及相关维度评分下降(P<0.05);干预后与对照组比较,观察组造口自护能力评分及生活质量评分升高(P<0.05);干预后与对照组比较,观察组并发症发生率降低(P<0.05)。结论接纳与承诺疗法干预能有效减轻肠造口患者病耻感,提高患者造口自护能力,降低造口相关并发症发生,改善患者生活质量。Objective To explore the effect of acceptance and commitment therapy intervention on the sense of shame and self-care ability of patients with preventive enterostomy.Methods To select 108 patients with preventive enterostomy admitted to the colorectal and anal department of the Cancer Hospital of Guangxi Medical University from March 2021 to March 2022 as the study subjects,according to the principle of balanced and comparable data between groups,patients were divided into observation group and control group,with 54 cases in each group.The control group received routine nursing care for enterostomy,and the observation group accepted and promised therapy intervention on the basis of the control group for 3 months.The patients'sense of shame,self-care ability,complications and quality of life were compared before and after the intervention.Results Compared with the control group,the total score of stigma and related dimensions in the observation group decreased after intervention(P<0.05).After intervention,compared with the control group,the score of self-care ability and quality of life in the observation group increased(P<0.05).Compared with the control group,the incidence of complications in the observation group decreased after intervention(P<0.05).Conclusion The intervention of acceptance and commitment therapy can effectively reduce the stigma of patients with enterostomy,improve the self-care ability of patients with enterostomy,reduce the occurrence of stoma-related complications,and improve the quality of life of patients.

关 键 词：接纳与承诺疗法干预 肠造口 病耻感 造口自护能力 并发症 生活质量 

分 类 号：R473.57[医药卫生—护理学]