摘要
Abstract
Objective:To investigate the effects of positive thinking support combined with adaptive skills training on disease burden,psychological resilience,and ability to appreciate social support in patients with temporary enterostomies.Method:70 cases of temporary intestinal stoma patients admitted to the First People's Hospital of Nanning City from December 2021 to November 2023 were selected as the study subjects,and were divided into the conventional intervention group and the combined intervention group by using the random number table method,with 35 cases in each group.Patients in the conventional intervention group received general clinical interventions as well as adaptive skills training,and patients in the co-intervention group were given the positive thinking support intervention on the basis of the conventional intervention group.The burden of disease scale(FBS)scores,psychological resilience scale(CD-RISC)scores,social support rating scale(SSRS)scores,nursing care satisfaction scores,and the incidence of colostomy-related complications were compared between the two groups before and after the intervention.Result:After the intervention,the FBS scores of patients in both groups were lower than those before the intervention,and the scores of combined intervention group was lower than that of the conventional intervention group,and the difference was statistically significant(P<0.05).After the intervention,the scores of CD-RISC dimensions(toughness,strength and optimism)were higher than those before the intervention in both groups,and the scores of the combined intervention group were higher than those of the conventional intervention group,and the difference was statistically significant(P<0.05).After the intervention,the scores of objective support,subjective support and utilization of support were higher in both groups than those before the intervention,and were higher in the combined intervention group than in the conventional intervention group,with a statistically significant difference(P<0.05).After the intervention,the scores of health promotion,operation demonstration,psychological guidance,and difficulty answer in the nursing satisfaction score of patients in the combined intervention group were higher than those in the conventional intervention group,and the difference was statistically significant(P<0.05).The incidence of enterostomy complications in the combined intervention group was lower than that in the conventional intervention group,and the difference was statistically significant(P<0.05).Conclusion:Positive thinking support combined with adaptive skills training applied to patients with temporary enterostomies can significantly alleviate their disease burden,improve their psychological resilience,and enhance their ability to comprehend social support,which has high application value.关键词
临时肠道造口/正念支持/适应机能训练/疾病负担/心理韧性/社会支持能力Key words
Temporary enterostomy/Mindfulness support/Adaptive function training/Disease burden/Mental toughness/Social support ability
