Application Of Nursing Intervention Based On Self-efficacy Theory On Postoperative Quality Of Life In Patients With Rectal Cancer Undergoing Temporary Colostomy

Objective:To explore the effects of nursing interventions based on self-efficacy theory on postoperative self-efficacy and quality of life in patients with temporary enterostomy for rectal cancer.Methods:Using the method of convenient sampling,106 patients with temporary ostomy for rectal cancer from the Department of Gastrointestinal Surgery of a tertiary hospital in Anhui Province from December 2021 to July 2022 were selected according to the inclusion exclusion criteria.According to the hospitalization,patients were divided into intervention group and control group,and the control group used routine care,including preoperative and postoperative education,guidance and discharge follow-up;The intervention group further adopted nursing interventions based on selfefficacy theory on the basis of usual care.Before discharge,one month after surgery and three months after surgery,the patients’ self-efficacy and quality of life were scored using the general information sheet for temporary enterostomy patients,the Stoma SelfEfficacy Scale(SSES)and the Chinese version of the Stoma Quality of Life(StomaQOL).SPSS 25.0 software was used for data analysis,and descriptive statistical analysis,t-test,χ2 test and repeated measure ANOVA were used for data description and analysis.The difference was statistically significant based on P<0.05.Results:Before discharge,the self-efficacy scores of the intervention group and the control group were(42.62±4.62)and(41.18±2.15),and the quality of life scores were(33.94±5.50)and(32.55±2.89),respectively,with no significant difference(P>0.05).One month after surgery,the self-efficacy scores of the intervention group and the control group were(53.32±4.12)and(48.82±2.44),and the Quality of Life scores were(40.34±4.81)and(38.46±2.81),respectively,with significant differences(P<0.05).Three months after surgery,the self-efficacy scores of the intervention group and the control group were(66.16±3.91)and(57.05±3.15),and the Quality of Life scores were(50.50±4.85)and(46.34±3.04),respectively,with statistically significant differences(P<0.05).Conclusion : Nursing interventions based on self-efficacy theory can enhance postoperative self-efficacy in patients with temporary ostomy for rectal cancer and significantly improve their postoperative quality of life.