Chun Feng1, Beilei Chen2*
1Department of Nursing, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No.2 Hospital), Ningbo, 315010, Zhejiang Province, China -2Anorectal Surgery Colorectaland Anal Disease Diagnosis and Teatment Center, Hwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No.2 Hospital), Ningbo, 315010, Zhejiang Province, China
Introduction: Enterostomy is a surgical method to connect the intestinal cavity with abdominal wall, which is extensively used in the treatment of colorectal cancer. However, there is no sphincter at the stoma of enterostomy, and patients are unable to control defecation by themselves. If postoperative nursing is improper, complications may occur, which seriously affect the quality of life of patients.
Materials: From October 1, 2020 to January 2, 2022, 220 patients with ileostomy who were treated in the department of anus and intestine surgery of Hwa Mei Hospital, University of Chinese Academy of Sciences were selected as research objects. Methods: These objects were randomly divided into test group and control group, with 110 cases in each one. The control group was given routine nursing intervention, while the test group was treated with whole-course nursing management (WCNM). The surgical conditions, complications, anxiety scores, and quality of life scores of the two groups were recorded.
Results: The anxiety scores of the test group were lower significantly than those of the control group 2 weeks and 1 month after intervention (P<0.05). The negative coping scores of patients in the test group 2 weeks and 1 month after intervention were greatly lower than those in the control group, and the positive coping scores were significantly higher than those in the control group. The scores of symptom-dimensional fatigue, nausea and vomiting, pain, dyspnea, insomnia, anorexia, constipation, diarrhea, and economic difficulties, as well as the scores of skin complications, fecal dermatitis, and stomal mucocutaneous separation were all significantly lower in the test group than those in the control group 2 weeks and 1 month after intervention (P<0.05).
Conclusion: WCNM could effectively relieve the anxiety of enterostomy patients, reduce the incidence of postoperative complications, and ultimately improve the long-term quality of life of patients.
whole-course nursing management, enterostomy; quality of life, anxiety, routine nursing.