Qian Huang1, Yufen Zhuang2, Xiaoyi Ye3, Minxiang Li4, Zan Liu5, Jifang Li3, Zhaoyan Pan6. 1. Department of General Surgery/Wound Stoma Care Clinic, The Second Affiliated Hospital of Hainan Medical University Haikou, Hainan 570311, China. 2. Department of Surgery, Donghu Branch of The Second Affiliated Hospital of Hainan Medical University Haikou 570100, Hainan, China. 3. Department of General Surgery, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China. 4. Department of Nursing, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China. 5. Department of Tropical Diseases/Department of Infectious Diseases, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China. 6. Department of Thyroid and Breast Surgery/Department of Gastrointestinal Tumor Surgery, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China.
Abstract
OBJECTIVE: The study explored and analyzed the effects of online training based continuous nursing care on the health-related life quality and self-care ability of rectal cancer patients undergoing permanent colostomy. METHODS: A total of 119 patients who were hospitalized and underwent permanent colostomy due to rectal cancer from January 2018 to December 2019 were collected as research subjects and were divided into the control group (n=57) and the observation group (n=62) based on their admission time. The control group received routine nursing, while the observation group was treated with online training based continuous nursing care in addition to routine nursing. Both groups' self-efficacy, self-care ability, quality of life, psychological status and complications within 6 months after discharge were compared. RESULTS: Both groups had increased scores in self-efficacy, and their dimensional scores and total scores of self-care ability after intervention were higher compared with pre-intervention (P<0.05), and the indexes of the observation group after intervention were significantly higher than that of the control group (P<0.05). The two groups had remarkably increased SF-36 scores of each dimension after intervention compared with pre-intervention (P<0.05), and the observation group had apparently higher SF-36 scores than the control group after intervention (P<0.05). The two groups had increased SAS and SDS grades in post-intervention compared with pre-intervention (P<0.05), and the observation group had notably higher SAS and SDS scores than the control group (P<0.05). The complication rate within 6 months after discharge in the observation group was obviously lower than which in the control group (P<0.05). CONCLUSION: An online training based continuous caring model can effectively improve the self-care ability and self-efficacy of rectal cancer patients with permanent enterostomy, thus promoting better life quality and psychological states, and effectively reducing the incidence of complications after discharge. AJTR
RCT Entities:
OBJECTIVE: The study explored and analyzed the effects of online training based continuous nursing care on the health-related life quality and self-care ability of rectal cancerpatients undergoing permanent colostomy. METHODS: A total of 119 patients who were hospitalized and underwent permanent colostomy due to rectal cancer from January 2018 to December 2019 were collected as research subjects and were divided into the control group (n=57) and the observation group (n=62) based on their admission time. The control group received routine nursing, while the observation group was treated with online training based continuous nursing care in addition to routine nursing. Both groups' self-efficacy, self-care ability, quality of life, psychological status and complications within 6 months after discharge were compared. RESULTS: Both groups had increased scores in self-efficacy, and their dimensional scores and total scores of self-care ability after intervention were higher compared with pre-intervention (P<0.05), and the indexes of the observation group after intervention were significantly higher than that of the control group (P<0.05). The two groups had remarkably increased SF-36 scores of each dimension after intervention compared with pre-intervention (P<0.05), and the observation group had apparently higher SF-36 scores than the control group after intervention (P<0.05). The two groups had increased SAS and SDS grades in post-intervention compared with pre-intervention (P<0.05), and the observation group had notably higher SAS and SDS scores than the control group (P<0.05). The complication rate within 6 months after discharge in the observation group was obviously lower than which in the control group (P<0.05). CONCLUSION: An online training based continuous caring model can effectively improve the self-care ability and self-efficacy of rectal cancerpatients with permanent enterostomy, thus promoting better life quality and psychological states, and effectively reducing the incidence of complications after discharge. AJTR