CAJ | 학술논문

目的：探讨实施综合护理干预对直肠癌术后结肠造口患者疾病影响程度和自我概念的影响。方法：对102例术后结肠造口的直肠癌患者采用疾病影响程度量表和田纳西自我概念量表进行测试，针对存在的健康问题制定综合护理干预措施并逐项实施；于术后结肠造口6个月再次采用上述评定量表对患者进行重复测评。比较综合护理干预前后患者疾病影响程度及自我概念的变化。结果：实施综合护理干预后患者疾病影响程度及自我概念各维度得分均明显低于干预前（ P ﹤0.01）。结论：对直肠癌术后造口患者实施综合护理干预，可有效提高患者应对疾病的自我效能，完善自我概念，最大限度地减轻疾病的影响程度。
목적：탐토실시종합호리간예대직장암술후결장조구환자질병영향정도화자아개념적영향。방법：대102례술후결장조구적직장암환자채용질병영향정도량표화전납서자아개념량표진행측시，침대존재적건강문제제정종합호리간예조시병축항실시；우술후결장조구6개월재차채용상술평정량표대환자진행중복측평。비교종합호리간예전후환자질병영향정도급자아개념적변화。결과：실시종합호리간예후환자질병영향정도급자아개념각유도득분균명현저우간예전（ P ﹤0.01）。결론：대직장암술후조구환자실시종합호리간예，가유효제고환자응대질병적자아효능，완선자아개념，최대한도지감경질병적영향정도。
Objective:To explore the effect of comprehensive nursing care on the sickness impact degree and self - concept of patients with permanent colostomy in the resection of rectal cancer. Methods:102 rectal cancer patients with postoperative colostomy were tested by using sickness impact profile and Tennessee self - concept scale,and comprehensive nursing intervention was formulated and carried out ai-ming at the existed health problems. The test was done again in the 6th month after surgery by using the same methods. The change of sick-ness impact degree and self - concept of the patients was compared before and after the comprehensive nursing intervention. Results:The score of each dimension of the sickness impact degree and self - concept of the patients was significantly lower after the intervention than that before the intervention(P ﹤ 0. 01). Conclusion:The comprehensive nursing intervention on rectal cancer patients with postoperative colostomy can effectively enhance their self efficacy and self - concept so as to minimize the sickness impact.