目的研究在永久性结肠造口术患者中应用延续性自我管理教育对术后早期社会心理适应能力的影响。方法 68例接受永久性结肠造口手术治疗患者,按照随机数字表法分为研究组与对照组,每组34例。对照组术后接受常规治疗与护理,研究组在对照组的基础上实施延续性自我管理教育。对比两组术后社会心理适应能力及自我护理能力。结果护理干预3个月后,两组的自我护理能力实施量表(ESCA)评分较干预前显著性提高,且研究组显著高于对照组,差异均具有统计学意义(均P<0.05);干预后研究组社会心理适应能力评分的负性情绪、正性情绪、社会适应能力评分分别为(16.87±2.23)、(23.87±3.69)、(27.12±5.18)分,均高于对照组的(13.02±2.14)、(20.01±3.72)、(24.14±4.96)分(P<0.05)。结论延续性自我管理教育能够增强永久性结肠造口术患者的自我管理能力,促进其社会心理适应能力的提高,值得临床推广应用。 Objective To study the effect of continuous self-management education on the postoperative early social psychological adaptability in patients with permanent colostomy. Methods A total of 68 patients undergoing permanent colostomy were divided into study group and control group according to random number table method, with 34 cases in each group. The control group received routine treatment and nursing after operation, and the research group implemented continuous self-management education on the basis of the control group. The postoperative psychosocial adaptability and self-care ability were compared between the two groups. Results After 3 months of nursing intervention, ESCA score of both groups increased significantly compared with those before intervention, and the scores of ESCA in study group were significantly higher than those in control group (all P <0.05). The score of negative emotion, positive emotion and social adaptability of the scores of social psychological adaptability in the study group after intervention were (16.87 ± 2.23), (23.87 ± 3.69) and (27.12 ± 5.18) points, respectively, which were higher than those in the control group 13.02 ± 2.14), (20.01 ± 3.72) and (24.14 ± 4.96) points respectively (P <0.05). Conclusion Continuous self-management education can enhance self-management ability of patients with permanent colostomy and promote their ability to adapt to social psychology, which is worthy of clinical application.