摘要

摘要：
目的 探讨智谋理论心理护理对肠癌肠造口患者焦虑、抑郁及希望水平的影响。

方法 纳入2023年3月-2025年1月84例肠癌肠造口患者，数字表法随机分组，对照组41例，观察组43例，对照组采用常规心理护理，观察组采用智谋理论心理护理，干预4周。比较两组患者干预前后汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）、汉密尔顿抑郁量表（Hamilton depressed scale，HAMD）、Herth希望指数(Herth hope index，HHI)。

结果 与护理前相比，两组HAMA评分、HAMD评分均明显下降，但护理后观察组2项评分显著低于对照组，（P<0.05）；与护理前相比，两组HHI指数中积极态度、行动、与外界亲密关系评分均明显上升，但护理后观察组3项评分显著高于对照组，（P<0.05）。

结论 智谋理论心理护理能够有效降低直肠癌肠造口患者焦虑、抑郁情绪，提升其希望水平。

关键词：关键词：智谋理论；心理护理；直肠癌；肠造口；焦虑；抑郁；希望水平

ABSTRACT

[Abstract]
Objective To investigate the effect of intellectual theory psychological care on anxiety, depression and hope levels in bowel cancer enterostomy patients.

Methods Eighty-four patients with intestinal cancer enterostomy from March 2023 to January 2025 were included. Numerical table method randomized grouping, 41 cases in the control group, 43 cases in the observation group. The control group used conventional psychological care, and the observation group used intellectual theory psychological care with 4 weeks of intervention. Compare the two groups of patients before and after the intervention Hamilton anxiety scale (HAMA), Hamilton depressed scale (Hamilton depressed scale, HAMD), Herth hope index (Herth hope index, HHI).

Results Compared with the pre-nursing period, the HAMA score and HAMD score decreased significantly in both groups, but the 2 scores in the observation group were significantly lower than those in the control group after nursing (P<0.05). Compared with the pre-care period, the positive attitude, action, and intimacy with the outside world scores in the HHI index increased significantly in both groups, but the 3 scores in the observation group were significantly higher than those in the control group after care (P<0.05).

Conclusion   Wisdom theory psychological care can effectively reduce anxiety and depression and raise the level of hope in rectal cancer enterostomy patients.

Key words: Key words Wisdom Theory; Psychological Care; Rectal Cancer; Colostomy; Anxiety; Depression; Hope Level