基于压力应对理论的护理干预对结直肠癌术后永久性肠造口患者心理压力、负性情绪及自我管理的影响  

Effects of nursing intervention based on stress and coping theory on psychological stress,negative emotions and self-management in patients with permanent enterostomy after surgery for colorectal cancer

作　　者：李疆伟 王树君 李长仔 胡宝山 焦桂梅 张卫红 LI Jiang-wei;WANG Shu-jun;LI Chang-zai;HU Bao-shan;JIAO Gui-mei;ZHANG Wei-hong(Dept.of Emergency,North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China;Dept.of Surgical Oncology,North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China;Dept.of Nursing Administration,North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China)

机构地区：[1]华北理工大学附属医院急诊科,河北唐山063000 [2]华北理工大学附属医院肿瘤外科,河北唐山063000 [3]华北理工大学附属医院护理部,河北唐山063000

出　　处：《护理学报》2025年第4期64-69,共6页Journal of Nursing(China)

基　　金：河北省医学科学研究课题计划指导性课题(20241928)。

摘　　要：目的 探讨基于压力应对理论模型的护理干预方案在结直肠癌术后永久性肠造口患者中的应用效果。方法 将96例结直肠癌术后永久性肠造口患者随机分为对照组和观察组,每组各48例。对照组给予常规住院护理及出院随访,观察组在对照组的基础上实施基于压力应对理论模型的护理干预方案,分别于干预前、干预12周末对2组结直肠癌术后永久性肠造口患者心理压力、负性情绪、自我管理进行评价。结果 干预12周末,观察组结直肠癌术后永久性肠造口患者结肠造口压力得分为(59.80±9.61)分、焦虑情绪得分为(13.53±2.55)分、抑郁情绪得分为(7.77±2.69)分,肠造口自我管理得分为(110.02±10.14)分,优于对照组[(68.47±10.82)分、(16.84±4.33)分、(11.65±3.76)分、(95.10±8.61)分],差异均有统计学意义(P<0.05)。结论 基于压力应对理论模型的护理干预方案可降低结直肠癌术后永久性肠造口患者心理压力、缓解负性情绪并提高肠造口患者自我管理能力。Objective To explore the effect of nursing intervention based on stress and coping theory in patients with permanent enterostomy after surgery for colorectal cancer.Methods A total of 96 patients with permanent enterostomy after colorectal cancer surgery were randomly divided into control group and observation group,with 48 cases in each.The control group was given routine in-patient care and follow-up at discharge.The observation group was given additional nursing intervention program based on stress and coping theory.Psychological stress,negative emotion and self-management of patients in the two groups were evaluated before and 12 weeks after intervention.Results At the end of 12-week intervention,the scores of colostomy pressure,anxiety and depression in the observation group were lower than those in the control group 59.80±9.61 vs 68.47±10.82,13.53±2.55 vs 16.84±4.33,7.77±2.69 vs 11.65±3.76,respectively;the score of self-management of enterostomy was higher 110.02±10.14 vs 95.10±8.61,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention program based on stress and coping theory can reduce psychological stress,relieve negative emotions and improve self-management ability of patients with permanent enterostomy after colorectal cancer surgery.

关 键 词：结直肠癌术后造口护理 造口心理压力 焦虑 抑郁情绪 自我管理 

分 类 号：R473.6[医药卫生—护理学]