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| Effect of Motivation Interview Based on Motivation Theory on The Cognitive Level and Self-management Ability of Patients with Rectal Cancer after Operation |
| HAN Zheng-feng, PEI Qi, SHAO Lin-jing |
| Gastrointestinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China |
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Abstract 【Objective】To explore the effect of motivation interview based on motivation theory on the cognitive 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 motivation 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 ability, social ability, functional exercise and self management were significantly higher than those of the control group (P<0.05). The total scores of stoma nursing skills, daily life ability, social ability, functional exercise and self management were significantly higher than those of the control group (P<0.05). The complications 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 significantly improve the cognitive level and self-management ability of the patients with intestinal stoma after rectal cancer surgery, and reduce the incidence of complications.
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Received: 12 January 2017
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2018, Vol. 35 
