团体自我肯定训练对直肠癌肠造口患者病耻感的干预效果

Effect of group self-affirmation training on stigma in rectal cancer patients with colostomy

目的探讨团体自我肯定训练对直肠癌肠造口患者病耻感的干预效果.方法采用便利抽样法选取2017年4月-2018年4月盐城市第三人民医院直肠癌肠造口患者,将纳入研究的89例直肠癌肠造口患者用随机数字表法分为试验组45例和对照组44例.试验组在常规护理的基础上实施团体自我肯定训练护理,对照组实施常规护理.采用自行设计的一般资料调查表、社会影响量表、自尊量表评价干预前后两组患者的病耻感及自尊的水平.结果干预前两组病耻感(t=-0.323,P=0.747)及自尊水平评分(t=-0.270,P=0.788)比较差异无统计学意义,干预后试验组病耻感(t=-3.008,P<0.01)得分低于对照组,自尊评价(t=4.033,P<0.01)高于对照组,差异有统计学意义.结论团体自我肯定训练能够减轻直肠癌肠造口患者的病耻感,提高患者的自尊水平.

Objective To explore the intervention effects of the group self-affirmation training on the stigma in the rectal cancer patients with colostomy.Methods By convenience sampling,89 rectal cancer patients with colostomy in Yancheng Third People's Hospital from April 2017 to April 2018 were selected and divided into the experimental group(n=45)and control group based on the random number table(n=44).The experimental group received group self-affirmation training on the basis of the conventional nursing care while the control group received the conventional nursing care.The self-designed General Information Questionnaire,Social Impact Scale(SIS),Self-Esteem Scale(SES)were used to evaluate the stigma and level of self-esteem before and after intervention.Results Before intervention,the two groups had no statistical difference in the scores of stigma(t=-0.323,P=0.747)and level of self-esteem(t=-0.270,P=0.788);after intervention the experimental group had lower scores than the control group in stigma(t=-3.008,P<0.01)and higher scores than the control group in self-esteem(t=4.033,P<0.01)with statistical significance.Conclusions Group self-affirmation training can reduce the stigma of rectal cancer patients with colostomy and improve their self-esteem.