作者：周维云1,2,3，向霞3，刘浩2，甄莉2，张广清2，邓建中3，吴贞华3，李国新2

单位：1.南方医科大学护理学院，广东 广州 510515；2.南方医科大学南方医院 普外科，广东 广州 510515；3.佛山市第一人民医院 普外科，广东 佛山 528000

Authors: Zhou Weiyun1, 2, 3, Xiang Xia3, Liu Hao2, Zhen Li2, Zhang Guangqing2, Deng Jianzhong3, Wu Zhenhua3, Li Guoxin2

Unit：1.Nursing College of Southern Medical University, Guangzhou 510515, Guangdong, China；2.General Surgery Department, Southern Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China；3.General Surgery Department, the First People's Hospital of Foshan, Foshan 528000, Guangdong, China

摘要：

目的  探讨基于Heider平衡理论的延续性护理干预对结直肠癌术后肠造口患者生活质量的影响。方法  选取2023年1月至2024年1月佛山市第一人民医院收治的符合纳入标准的102例结直肠癌术后肠造口患者作为研究对象，将患者按干预方式的不同分为接受基于Heider平衡理论的延续性护理干预的试验组和接受常规护理管理的对照组，每组各51例患者。收集患者的生理和心理状态数据，比较两组患者在自护能力、负性情绪、社会适应及生活质量等方面的差异。结果  试验组患者的自我护理能力评估表项目包括自我护理概念评分、自我护理技能评分、健康知识水平评分[（28.89±5.17）分、（40.56±7.56）分、56.14±8.61）分]均高于对照组患者[（20.49±3.11）分、（33.45±5.28）分、48.08±6.56）分]（P<0.05）。试验组患者的汉密尔顿焦虑和抑郁量表评分[（11.15±2.65）分、（13.54±2.98 分）]均低于对照组患者[（17.19±3.89）分、（18.65±4.16）分]（P<0.05）。试验组患者的造口者适应量表项目包括社会心理适应评分和社会生活适应评分[（62.56±6.09）分、（29.77±3.18）分]均高于对照组患者[（45.17±5.14）分、（20.11±3.98）分]（P<0.05）。试验组患者的欧洲癌症研究与治疗组织生活质量问卷的量表总分低于对照组患者[（70.65±14.17）分比（91.47±10.23）分，P<0.05]。结论  基于Heider平衡理论的延续性护理干预在改善结直肠癌术后肠造口患者生活质量方面发挥了积极作用，能够有效提高患者的自护能力，改善患者的负性情绪，帮助患者更快地适应社会。

关键词：Heider平衡理论；延续性护理；结直肠癌；肠造口；生活质量 

Abstract：

Objective  To investigate the impact of continuous care intervention based on Heider balance theory on the quality of life of postoperative enterostomy patients with colorectal cancer. Method  102 patients with colorectal cancer who were admitted to the First People's Hospital of Foshan from January 2023 to January 2024 were selected, and the patients were divided into an experimental group of continuation care intervention based on Heider balance theory and a control group of conventional care management, with 51 patients in each group. Physical and psychological status data were collected to compare the differences in autonomy, negative emotions, social adaptation and quality of life between the two groups. Result  The exercise of self-care agency scale of the experimental group showed higher scores in various items, including self-care concept score, self-care skills score, and health knowledge level score [(28.89±5.17) points, (40.56±7.56) points, (56.14±8.61) points], while compared to the control group [(20.49±3.11) points, (33.45±5.28) points, (48.08±6.56) points](P<0.05). Scores of the Hamilton anxiety and depression scale of the experimental group [(11.15±2.65) points, (13.54±2.98) points]were lower than those of the control group [(17.19±3.89) points, (18.65±4.16) points](P<0.05). The scores of ostomy adjustment inventory-20 including social psychological adaptation and social life adaptation scores [(62.56±6.09) points, (29.77±3.18) points]of the experimental group were higher than those of the control group [(45.17±5.14) points, (20.11±3.98) points] (P<0.05). The total score of European Organization for Research and Treatment of Cancer quality of life questionnaire-C30 for patients in the experimental group was lower than that in the control group [(70.65±14.17) points vs. (91.47 ±10.23) points, P<0.05]. Conclusion  The continuous care intervention based on Heider balance theory plays a positive role in improving the quality of life of postoperative enterostomy patients with colorectal cancer, which can effectively improve the self-care ability, improve the negative mood of patients, and help patients to adapt to the society faster.

Key Words:  Heider balance theory; Continuous care; Colorectal cancer; Enterostomy; Quality of life

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