基于适应性领导理论的干预策略在结直肠癌造口患者中的应用效果

Application effect of intervention strategy based on adaptive leadership theory in patients with stoma of colorectal cancer

目的 观察基于适应性领导理论(ALT)的干预策略用于结直肠癌造口患者的效果。方法 选取南京医科大学第一附属医院2020年6月至2023年6月收治的110例结直肠癌造口患者,按照随机数字表法将其分为对照组和观察组,每组55例。对照组住院期间采取常规干预,观察组则采取基于ALT的干预策略。比较两组干预前后造口自我护理量表(SSCS)、造口自我效能问卷(SSES)、造口患者社会心理适应量表(OAI)评分。结果 干预前,两组SSCS评分比较,差异无统计学意义(P>0.05);干预后,两组SSCS评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组造口照护、社会功能、SSES总分比较,差异无统计学意义(P>0.05);干预后,两组造口照护、社会功能、SSES总分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组OAI总分比较,差异无统计学意义(P>0.05);干预后,两组OAI总分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论 基于ALT的干预策略能提高结直肠癌造口患者的自我护理水平、自我效能及社会心理适应水平。

Objective To observe the effect of an intervention strategy based on adaptive leadership theory(ALT)in patients with stoma of colorectal cancer.Methods A total of 110 patients with stoma of colorectal cancer admitted to the First Affiliated Hospital Nanjing Medical University from June 2020 to June 2023 were divided into control group and observation group by random number table method,with 55 cases in each group.The control group took routine intervention during hospitalization,the observation group took intervention strategy based on ALT.The scores of the early version of the ostomy self-care scale(SSCS),the ostomy self-efficacy questionnaire(SSES),and the ostomy adjustment inventory(OAI)were compared between the two groups before and after the intervention.Results Before intervention,there was no significant difference in SSCS scores between the two groups(P>0.05).After intervention,the SSCS scores of the two groups were higher than before intervention,and those in the observation group were higher than those in the the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in stoma care,social function,and SSES total score between the two groups(P>0.05).After intervention,the ostomy care,social function,and SSES total score of the two groups were higher than before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in total score of OAI between the two groups(P>0.05).After intervention,the total score of OAI in the two groups was higher than before intervention,and that in the observation group was higher than that in the the control group,the differences were statistically significant(P<0.05).Conclusion The intervention strategy based on ALT can improve the self-care level,self-efficacy,and social psychological adaptation level of patients with stoma of colorectal cancer.