Application of intervention based on adaptive leadership theory in patients with rectal cancer after permanent enterostomy
10.3760/cma.j.cn115682-20200831-05138
- VernacularTitle:以适应性领导理论为基础的干预在直肠癌永久性肠造口患者中的应用
- Author:
Qian ZHANG
1
;
Yongping YANG
;
Jihua WANG
Author Information
1. 烟台市烟台山医院运动医学科 264000
- Keywords:
Rectal neoplasms;
Enterostomy;
Adaptive leadership theory;
Knowledge, belief and behavior;
Stigma
- From:
Chinese Journal of Modern Nursing
2021;27(8):1087-1091
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of intervention based on adaptive leadership theory in rectal cancer patients with permanent enterostomy.Methods:A total of 118 rectal cancer patients who underwent radical resection and permanent enterostomy in a ClassⅢ Grade A hospital in Yantai from July 2018 to June 2019 were recruited as the research subjects by convenience sampling method. All the subjects were assigned to control group (from July to December 2018) and observation group (from January to June 2019) according to the time of hospitalization, with 59 cases in each group. The control group was given routine nursing, while the observation group was given nursing intervention based on adaptive leadership theory. The effects of interventions were compared using the Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS) and Social Impact Scale (SIS) .Results:Finally, 54 patients were included in the control group and 52 patients in the observation group. After the intervention, the scores of stoma knowledge, attitude and behavior of the observation group were (11.15±2.33) , (44.53±3.94) and (25.21±3.19) respectively, which were higher than those of the control group, and the differencs were statistically significant ( t=-5.377, -4.575, -2.422; P<0.05) . After the intervention, the scores of SIS social exclusion, intrinsic shame, and social isolation of the observation group were (17.62±3.94) , (10.78±2.49) and (15.81±3.49) points, which were lower than those of the control group, and the differencs were statistically significant ( t=3.143, 2.102, 3.024; P<0.05) . Conclusions:The intervention program based on the adaptive leadership theory can better promote the changes of patients' knowledge, attitudes and behaviors, effectively reduce the stigma of patients with enterostomy.
