护理学报2025，Vol.32Issue(4)：64-69,6.DOI:10.16460/j.issn1008-9969.2025.04.064
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
摘要
Abstract
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Key words
postoperative colostomy care/colostomy psychological stress/anxiety,depression/self-management分类
临床医学引用本文复制引用
李疆伟,王树君,李长仔,胡宝山,焦桂梅,张卫红..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[J].护理学报,2025,32(4):64-69,6.基金项目
河北省医学科学研究课题计划指导性课题(20241928) （20241928）
