结直肠癌造口患者自我护理干预研究  

Study on self-care intervention for patients with colorectal cancer stoma

作　　者：陈娇[1] 钟春霞 张检秀 曾祥英 魏清风[3] 蔡玉莲[3] CHEN Jiao;ZHONG Chun-xia;ZHANG Jian-xiu;ZENG Xiang-ying;WEI Qing-feng;CAI Yu-lian(Jiangxi University of Technology,Nanchang,Jiangxi 330000;Shicheng People's Hospital,Ganzhou,Jiangxi 341000;Jiangxi Cancer Hospital/Affiliated Cancer Hospital of Nanchang University,Nanchang,Jiangxi 330000)

机构地区：[1]江西科技学院,江西南昌330000 [2]石城县人民医院,江西赣州341000 [3]江西省肿瘤医院南昌大学附属肿瘤医院,江西南昌330000

出　　处：《赣南医学院学报》2023年第4期399-405,共7页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省科技厅课题(20192BBGL70041,20203BBGL73167);江西省卫生健康委员会立项课题(202130749)。

摘　　要：目的:将适应性领导理论干预方案应用于结直肠癌造口患者中,探究其对结直肠癌患者造口自我护理、社会心理适应性及造口自我效能的影响。方法:选取76例结直肠癌造口患者作为研究对象,分为对照组和观察组,对照组进行常规护理,观察组在常规护理的基础上实施适应性领导理论干预方案,评价该方案对结直肠癌造口患者的影响。结果:共73例患者完成研究,采用重复测量方差分析,两组患者的造口自我护理能力、社会心理适应能力在时间、组间、时间和组间的交互作用差异均有统计学意义(P<0.05);两组患者的造口照护效能、社交自我效能、保持活力信心、造口自理能力、自我效能总分在时间、组间、时间和组间的交互作用差异均有统计学意义(P<0.05)。结论:基于适应性领导理论构建的干预方案能够提高结直肠癌造口患者自我护理能力和社会心理适应性,对肠造口患者自我效能的提高具有一定的作用。Objective:The adaptive leadership theory intervention program was applied to patients with colorectal cancer stoma,to explore its influence on stoma self-care,socio-psychological adaptability and stoma self-efficacy of colorectal cancer patients.Methods:Seventy-six patients with colorectal cancer stoma were selected as the research objects.They were divided into control group and observation group.The control group received routine care,and the observation group implemented an adaptive leadership theory intervention program based on routine care to evaluate the influence of the program on colorectal cancer stoma patients.Results:A total of 73 patients completed the study,using repeated measures analysis of variance,the two groups of patients'stoma self-care ability,social and psychological adaptability in time,inter-group,time and inter-group interactions were statistically significant(P<0.05),The interactions of stoma care,social self-efficacy,confidence in maintaining vitality,self-care ability of stoma,and total self-efficacy scores of the two groups of patients in time,between groups,time and interaction between the two groups were statistically significant(P<0.05).Conclusion:The intervention program based on adaptive leadership theory can improve the self-care ability and social and psychological adaptability of patients with colorectal cancer stoma.It plays a certain role in improving the self-efficacy of patients with colostomy.

关 键 词：结直肠癌 造口 适应性领导理论 德尔菲技术 

分 类 号：R473.73[医药卫生—护理学]