2023年2月第30卷第2期临床护理路径联合认知心理干预对直肠癌肠造口患者心理状态与自护能力的影响顾琳琳，权华，周凤丽（商丘市中医院外科，河南商丘476000）【摘要】目的探讨临床护理路径联合认知心理干预对直肠癌肠造口患者心理状态与自护能力的影响。方法90例直肠癌肠造口患者随机分为观察组（临床护理路径联合认知心理干预）与对照组（常规护理）各45例，比较两组的心理状态及自护能力。结果干预后，观察组的GAD－7、PHQ－9评分均低于对照组，自我概念、自我责任、健康知识、自我护理技能评分均高于对照组（P＜0．05）。结论临床护理路径联合认知心理干预可改善直肠癌肠造口患者的焦虑、抑郁情绪，提高患者的自护能力。【关键词】临床护理路径；认知心理干预；直肠癌；肠造口中图分类号：R473.73文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0231ImpactofClinicalNursingPathwayCombinedwithCognitivePsychologicalInterventiononPsychologicalStateandSelf-CareAbilityofRectalCancerPatientswithEnterostomy//GULinlin,QUANHua,ZHOUFengli(DepartmentofSurgery,ShangqiuHospitalofTraditionalChineseMedicine,Shangqiu476000,China)[Abstract]ObjectiveToexploretheimpactofclinicalnursingpathwaycombinedwithcognitivepsychologicalinterventiononpsychologicalstateandself-careabilityofrectalcancerpatientswithenterostomy.Methods90casesofrectalcancerpatientswithenterostomywererandomlydividedintotheobservationgroup(clinicalnursingpathwaycombinedwithcognitivepsychologicalintervention)andthecontrolgroup(routinenursing),with45casesineachgroup.Thepsychologicalstateandself-careabilitywerecomparedbetweenthetwogroups.ResultsAfterintervention,thescoresofGAD-7andPHQ-9intheobservationgroupwerelowerthanthoseinthecontrolgroup,andthescoresofself-concept,self-responsibility,healthknowledgeandself-careskillswerehigherthanthoseinthecontrolgroup(P<0.05).ConclusionsClinicalnursingpathwaycombinedwithcognitivepsychologicalinterventioncanimprovetheanxietyanddepressionemotionsofrectalcancerpatientswithenterostomyandimprovetheirself-careability.[Keywords]Clinicalnursingpathway;Cognitivepsychologicalintervention;Rectalcancer;Enterostomy直肠癌是消化系统常见的恶性肿瘤，发病...
