CAJ | 학술논문

目的：探讨术后认知行为干预在直肠癌造口术患者中的应用效果。方法：将我院收治的90例直肠癌患者随机分为观察组和对照组各45例，对照组术后采用常规护理，观察组术后采用认知行为干预，比较两组的护理效果。结果：观察组的健康知识水平、自我概念、自我责任感、自我护理技能以及自我护理总分均高于对照组，观察组术后的焦虑程度和抑郁程度显著轻于对照组，护理满意度高于对照组，以上两组比较均有统计学意义（ P﹤0.05）。结论：认知行为干预重视改变患者的认知方式和认知-情感-行为三者的和谐，能够增加直肠癌造口术患者的健康知识，提高护理满意度。
목적：탐토술후인지행위간예재직장암조구술환자중적응용효과。방법：장아원수치적90례직장암환자수궤분위관찰조화대조조각45례，대조조술후채용상규호리，관찰조술후채용인지행위간예，비교량조적호리효과。결과：관찰조적건강지식수평、자아개념、자아책임감、자아호리기능이급자아호리총분균고우대조조，관찰조술후적초필정도화억욱정도현저경우대조조，호리만의도고우대조조，이상량조비교균유통계학의의（ P﹤0.05）。결론：인지행위간예중시개변환자적인지방식화인지-정감-행위삼자적화해，능구증가직장암조구술환자적건강지식，제고호리만의도。
Objective:To investigate the effect of postoperative cognitive behavior intervention on patients with ostomy for rectal cancer. Methods:90 patients with rectal cancer treated in our hospital were randomly divided into the observation group and the control group(45 cases in each group). The routine nursing care was taken after operation in the control group;the postoperative cognitive behavior interven-tion was adopted in the observation group. The nursing effects were compared between the two groups. Results:The level of health knowl-edge,self concept,self responsibility and self care skills of the patients were better in the observation group than those in the control group, the degree of anxiety and depression of the patients was significantly lower and satisfaction rate was higher in the observation group than the control group(P﹤0. 05). Conclusion:The cognitive behavior intervention focuses on changing patient′s cognitive style,and it can increase the health knowledge of patients with ostomy for rectal cancer and improve their satisfaction.