Volume 19 Issue 2
Feb.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 332-335
WANG Jie, WANG Chun-liang. Application of hospital-family continuous nursing-intervention model in patients with enterostomy after Miles operation[J]. Chinese Journal of General Practice, 2021, 19(2): 332-335. doi: 10.16766/j.cnki.issn.1674-4152.001802
Citation: WANG Jie, WANG Chun-liang. Application of hospital-family continuous nursing-intervention model in patients with enterostomy after Miles operation[J]. Chinese Journal of General Practice, 2021, 19(2): 332-335. doi: 10.16766/j.cnki.issn.1674-4152.001802
shu

Application of hospital-family continuous nursing-intervention model in patients with enterostomy after Miles operation

doi: 10.16766/j.cnki.issn.1674-4152.001802

  • Emergency Ward, the First People's Hospital of Fuyang District, Hangzhou, Zhejiang 311400, China

Funds:

 2018KY659

  • Received Date: 2020-08-09
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the influence of hospital-family continuous nursing-intervention model on the physiological and psychological status, stoma self-care efficacy and quality of life of patients with enterostomy after Miles.  Methods  Fifty-three patients with rectal cancer who underwent Miles surgery in our hospital from January 2017 to September 2018 were selected as the control group, and another 54 patients with rectal cancer who underwent Miles surgery in our hospital from October 2018 to December 2019 were selected as the observation group. The control group received routine nursing intervention, whereas the observation group received routine nursing intervention and hospital-family continuous nursing intervention. The anxiety self-rating scale (SAS), depression self-rating scale (SDS), Pittsburgh sleep quality index (PSQI), quality of life, postoperative intestinal function recovery, complication rate, and postoperative stoma adjustment were observed and compared before and after intervention.  Results  After the intervention, the SAS, SDS, and PSQI scores of the observation group were significantly lower than those of the control group (P < 0.05). The recovery time of bowel sounds [(13.45±4.82) h] and the first anal exhaust time [(25.63±5.21) h] in the observation group were significantly lower than those in the control group [(19.85±5.24) h, (33.84±6.87) h, P < 0.05]. The incidence of complications in the observation group (5.56%) was significantly lower than that in the control group (18.87%, P < 0.05). The physiological function, mental state, social interaction, and total score of the observation group after intervention (171.83±25.64) were significantly higher than those of the control group (129.53±22.43, P < 0.05). The quality-of-life score of the observation group was significantly higher than that of the control group (P < 0.05).  Conclusion  Hospital-family continuous nursing intervention can significantly improve the anxiety and depression of patients after Miles by improving the quality of sleep, enhancing the ability to cope with the stoma, promoting the postoperative recovery of intestinal function, reducing the incidence of complications, and improving the quality of life.

     

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