Abstract：Objective To explore the impact of group cognitive behavioral therapy on the psychology and self management efficacy of colorectal cancer patients with permanent colon stoma.Methods 80 patients with low rectal cancer who conducted Miles operation from January 2015 to January 2016 were randomly divided into intervention group and control group，each group was 40 cases.Patients in control group were given routine nursing method，and patients in intervention group were given group cognitive behavioral（GCBT）intervention nursing on the basis of control group.Treatment compliance，mentality and self management efficacy in two groups were compared after different nursing.Results Before nursing，the SAS and SDS score in two groups had no obvious difference（P＞0.05）；After nursing，the score decreased compared with before nursing，and the SAS and SDS score were respectively（34.52±4.16）and（31.01±4.5）in intervention group，better than that were respectively（48.12±5.01）and（46.12±5.15）in control group，and the difference was statistical significance（P＜0.05）；Before nursing intervention，various stoma related efficacy scale between two groups had no obvious difference；After different nursing，all score increased and the stoma related efficacy scale，social competence score，diet selection score，life confidence score and total score of this group in intervention group were respectively （58.24± 3.34），（38.25±2.63），（4.52±0.75），（11.56±1.11）and（113.6±7.59），which were respectively（54.44±3.18），（31.05±2.53），（3.56± 0.72），（9.56±1.02）and （97.3±7.26）in control group，the data between two groups had obvious difference，and the difference was statistical significance（P＜0.05）.Conclusion GCBT therapy can effective enhance the self management efficacy of colorectal cancer patients with permanent colon stoma，improve the anxiety and depression of patients，it is worth to popularize and using in clinical nurse.
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