Abstract:Objective To explore the influence of intervention management based on ABC-X model on the psychological states and self-care ability of elderly patients with colostomy for colorectal cancer.Methods A total of 120 elderly colorectal cancer patients with colostomy in the Second Affiliated Hospital of Air Force Military Medical University from February 2020 to January 2022 were selected as research subjects, and they were divided into observation group and control group according to the random number table method, with 60 cases in each group. The control group was given routine nursing intervention, while the observation group was additionally given ABC-X model-based intervention management based on control group. The psychological states ［self-rating anxiety scale (SAS), self-rating depression scale (SDS), connor-davidson resilience scale (CD-RISC)］, self-efficacy ［general self-efficacy scale (GSES)］, coping styles ［simplified coping style questionnaire (SCSQ)］, self-care ability［exercise of self-care agency scale (ESCA)］ and quality of life ［generic quality of life inventory-74 (GQOL-74)］ were compared between two groups after 3 months of intervention. Results After the intervention, SAS, SDS scores and SCSQ negative coping scores of the two groups were lower than those before the intervention, and those of the observation group were lower than those of the control group (P<0.01); CD-RISC, GSES, SCSQ positive coping score, ESCA and GQOL-74 scores of the two groups were higher than those before the intervention, and those of the observation group were higher than those of the control group (P<0.01).Conclusions Intervention management based on ABC-X model can significantly improve the psychological states and coping styles of elderly patients with colorectal cancer colostomy, enhance the self-efficacy and self-care ability, and improve the quality of life of patients, which is worthy of recommendation.