Clinical Research
Application of intervention based on adaptive leadership theory in patients with rectal cancer after permanent enterostomy
Zhang Qian, Yang Yongping, Wang Jihua
Published 2021-03-16
Cite as Chin J Mod Nurs, 2021, 27(8): 1087-1091. DOI: 10.3760/cma.j.cn115682-20200831-05138
Abstract
ObjectiveTo explore the effect of intervention based on adaptive leadership theory in rectal cancer patients with permanent enterostomy.
MethodsA total of 118 rectal cancer patients who underwent radical resection and permanent enterostomy in a ClassⅢ Grade A hospital in Yantai from July 2018 to June 2019 were recruited as the research subjects by convenience sampling method. All the subjects were assigned to control group (from July to December 2018) and observation group (from January to June 2019) according to the time of hospitalization, with 59 cases in each group. The control group was given routine nursing, while the observation group was given nursing intervention based on adaptive leadership theory. The effects of interventions were compared using the Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS) and Social Impact Scale (SIS) .
ResultsFinally, 54 patients were included in the control group and 52 patients in the observation group. After the intervention, the scores of stoma knowledge, attitude and behavior of the observation group were (11.15±2.33) , (44.53±3.94) and (25.21±3.19) respectively, which were higher than those of the control group, and the differencs were statistically significant (t=-5.377, -4.575, -2.422; P<0.05) . After the intervention, the scores of SIS social exclusion, intrinsic shame, and social isolation of the observation group were (17.62±3.94) , (10.78±2.49) and (15.81±3.49) points, which were lower than those of the control group, and the differencs were statistically significant (t=3.143, 2.102, 3.024; P<0.05) .
ConclusionsThe intervention program based on the adaptive leadership theory can better promote the changes of patients' knowledge, attitudes and behaviors, effectively reduce the stigma of patients with enterostomy.
Key words:
Rectal neoplasms; Enterostomy; Adaptive leadership theory; Knowledge, belief and behavior; Stigma
Contributor Information
Zhang Qian
Department of Sports Medicine, Yantaishan Hospital, Yantai 264000, China
Yang Yongping
Department of General Surgery, Yantaishan Hospital, Yantai 264000, China
Wang Jihua
Department of OncologyⅠ, Yantai Hospital of Traditional Chinese Medicine, Yantai 264000, China
