Analysis of the role of supportive nursing model based on reality shock theory in the adaptation and self-management abilities of patients undergoing colostomy for colorectal cancer
现实冲击理论的支持性护理模式对结直肠癌造口术病人适应与自我管理能力的作用分析

摘要

目的 探析现实冲击理论的支持性护理模式应用于结直肠癌造口术病人中，对其适应性与自我管理能力的作用效果。方法 自2024年12月起，本院开始收集采取造口术治疗的68例结直肠癌患者，通过盲选法平均分组。其中34例开展常规护理作为参照组；另34例在常规护理的同时开展现实冲击理论的支持性护理作为研究组。对比两组社会心理适应性、自我管理能力等情况。结果 研究组社会生活适应、正性情绪、负性情绪等社会心理适应性评分较参照组显著偏高（P<0.05）。研究组心理、症状、日常生活以及造口护理等自我管理能力评分均较参照组显著偏高（P<0.05）。结论 现实冲击理论的支持性护理应用于结直肠癌造口术患者中，能明显提高患者社会心理适应性，促使其自我管理能力得到明显提高，推广价值较高。

Abstract

Objective To explore the effect of the supportive nursing model of reality shock theory applied to patients undergoing colostomy for colorectal cancer on their adaptability and self-management ability.
Methods Starting from December 2024, our hospital began collecting 68 patients with colorectal cancer who underwent colostomy treatment and divided them into groups using a blind selection method. Among them, 34 cases received routine nursing as the reference group; Another 34 cases were included in the study group who received supportive nursing based on the theory of real-life impact while receiving routine care. Compare the social and psychological adaptability, self-management ability, and other aspects between two groups.
Results The social and psychological adaptation scores of the research group, including social life adaptation, positive emotions, and negative emotions, were significantly higher than those of the reference group (P<0.05). The self-management ability scores of the research group in terms of psychology, symptoms, daily life, and stoma care were significantly higher than those of the reference group (P<0.05).
Conclusion   The supportive nursing application of reality shock theory in patients undergoing colostomy for colorectal cancer can significantly improve their social and psychological adaptability, promote their self-management ability, and have high promotion value.