目的:探讨以适应性领导理论为框架的干预在直肠癌永久性肠造口患者中的应用效果。方法:采用便利抽样法，选取2018年7月—2019年6月在烟台市某三级甲等医院接受直肠癌根治手术及永久性肠造口术的118例直肠癌患者为研究对象。按照住院时间将其分为对照组（2018年7—12月）与观察组（2019年1—6月），每组各59例。对照组采用常规护理方式，观察组采用以适应性领导理论为框架的护理干预。采用肠造口患者造口知信行量表（CPCKAPS）、社会影响量表（SIS）比较干预效果。结果:最终纳入对照组54例，观察组52例。干预1个月后，观察组患者造口知识、态度、行为得分分别为（11.15±2.33）、（44.53±3.94）、（25.21±3.19）分，均高于对照组，差异有统计学意义（n t值分别为-5.377、-4.575、-2.422；n P<0.05）；干预后观察组患者SIS量表社会排斥、内在羞耻感、社会隔离维度得分分别为（17.62±3.94）、（10.78±2.49）、（15.81±3.49）分，均低于对照组，差异有统计学意义（n t值分别为3.143、2.102、3.024；n P<0.05）。n 结论:以适应性领导理论为框架的干预方案，可更好促进患者造口知识、态度、行为改变，有效降低肠造口患者的病耻感。“,”Objective:To explore the effect of intervention based on adaptive leadership theory in rectal cancer patients with permanent enterostomy.Methods:A total of 118 rectal cancer patients who underwent radical resection and permanent enterostomy in a ClassⅢ Grade A hospital in Yantai from July 2018 to June 2019 were recruited as the research subjects by convenience sampling method. All the subjects were assigned to control group (from July to December 2018) and observation group (from January to June 2019) according to the time of hospitalization, with 59 cases in each group. The control group was given routine nursing, while the observation group was given nursing intervention based on adaptive leadership theory. The effects of interventions were compared using the Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS) and Social Impact Scale (SIS) .Results:Finally, 54 patients were included in the control group and 52 patients in the observation group. After the intervention, the scores of stoma knowledge, attitude and behavior of the observation group were (11.15±2.33) , (44.53±3.94) and (25.21±3.19) respectively, which were higher than those of the control group, and the differencs were statistically significant (n t=-5.377, -4.575, -2.422; n P<0.05) . After the intervention, the scores of SIS social exclusion, intrinsic shame, and social isolation of the observation group were (17.62±3.94) , (10.78±2.49) and (15.81±3.49) points, which were lower than those of the control group, and the differencs were statistically significant (n t=3.143, 2.102, 3.024; n P<0.05) .n Conclusions:The intervention program based on the adaptive leadership theory can better promote the changes of patients' knowledge, attitudes and behaviors, effectively reduce the stigma of patients with enterostomy.