摘要目的? 探讨基于授权理论的干预模式对永久性肠造口患者自我效能和自我接受度的影响.方法? 采用目的抽样法,选取2018年1—12月在郑州大学第一附属医院行结直肠癌永久性肠造口手术的患者100例为研究对象.将2018年1—6月收治的50例患者设为对照组,2018年7—12月收治的50例患者设为试验组.对照组在干预的过程中共有7例患者失访,回收有效问卷43份;试验组共有2例患者失访,回收有效问卷48份.对照组患者采用常规护理方法,试验组采用基于授权理论制订的干预措施.采用永久性肠造口患者自我管理效能量表和自我接纳问卷对患者进行评价.结果? 干预后试验组患者自我管理效能量表总分及造口照护效能、社交自我效能维度得分高于对照组,差异有统计学意义(P＜0.05).干预后试验组患者自我接纳问卷总分及自我接纳维度得分高于对照组,差异有统计学意义(P＜0.05).结论? 基于授权理论的干预措施能够提高永久性肠造口患者的自我管理效能感和自我接纳水平,建议在临床推广应用.

abstractsObjective? To explore the effect of empowerment-based intervention model on self-efficacy and self-acceptance of patients undergoing permanent enterostomy. Methods? By purposive sampling, a total of 100 colorectal cancer patients undergoing permanent enterostomy operation in the First Affiliated Hospital of Zhengzhou University from January to December of 2018 were selected as the research objects. The 50 patients admitted from January to June of 2018 were taken as the control group while the other 50 patients admitted from July to December of 2018 were taken as the experimental group. During intervention, there were 7 patients lost in the control group and 43 valid questionnaire retrieved; in the experimental group, 2 patients were lost and 48 valid questionnaires were retrieved. The control group was given conventional nursing care while the experimental group was given the nursing intervention formulated based on the empowerment theory. Stoma Self-Efficacy Scale(SSES) and Self-Acceptance Questionnaire(SAQ) were used to assess the patients. Results? After intervention, the total score of SSES, the dimension scores of "stoma care efficacy" and "social self-efficacy"of the experimental group were higher than those of the control group, with statistical significances (P＜0.05). After intervention, the total score of SAQ and the score of "self-acceptance" dimension in the experimental group were higher than those in the control group, and the differences were statistically significant (P＜0.05). Conclusions? The intervention based on empowerment theory can improve the self-management efficacy and self-acceptance level of patients with permanent enterostomy. It is suggested that it should be popularized in clinical practice.