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[目的]探讨基于激励理论的动机性访谈对直肠癌术后肠造口患者疾病认知水平及自我管理能力的影响.[方法]选择2015年6月至2016年6月于本院接受直肠癌术后肠造口患者84例为研究对象,采用随机数表法分为观察组和对照组各42例,对照组给予常规护理干预,观察组采用基于激励理论的动机性访谈的护理干预模式,随访3个月,比较两组患者疾病认知水平、自我管理能力、并发症等指标.[结果]随访3个月,观察组粪袋清洁与更换、造口周围皮肤护理、训练规律排便、合理饮食、观察并发症等评分均明显高于对照组;造口护理技能、日常生活能力、社交能力、功能锻炼、自我管理能力总分均明显高于对照组(P <0.05);造口内感染等并发症为4.76% 明显低于对照组的19.05%(χ2=4.086,均 P <0.05).[结论]基于激励理论的动机性访谈可显著提高直肠癌术后肠造口患者疾病认知水平及自我管理能力,降低并发症发生率.“,”[Objective]To explore the effect of motivation interview based on motivation theory on the cog-nitive level and self-management ability of patients with rectal cancer after operation.[Methods]From June 2015 to June 2016,84 patients with postoperative rectal cancer were divided into two groups:observation group(n =42)and control group(n =42).Routine nursing intervention was performed in the control group. The patients in the observation group were followed up for 3 months with motivation interview based on moti-vation theory to compare the disease cognitive level,self-management ability and complications between the two groups.[Results]After 3 months follow-up,the scores of cleaning and replacement of fecal bags,skin nursing,regular defecation training,proper diet and observation of complications in the observation group were significantly higher than those in the control group.The total scores of stoma nursing skills,daily life a-bility,social ability,functional exercise and self management were significantly higher than those of the con-trol group(P <0.05).The total scores of stoma nursing skills,daily life ability,social ability,functional ex-ercise and self management were significantly higher than those of the control group(P <0.05).The compli-cations such as infection in the stoma were 4.76%,which was significantly lower than that of the control group (19.05%)(χ2=4.086,mean P <0.05).[Conclusion]Motivational interview based on incentive theory can sig-nificantly improve the cognitive level and self-management ability of the patients with intestinal stoma after rectal cancer surgery,and reduce the incidence of complications.