Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma

ZHOU Jie; BAO Xiang-ying

doi:10.16766/j.cnki.issn.1674-4152.002437

Volume 20 Issue 4

Apr. 2022

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2022 > 20(4): 713-717

ZHOU Jie, BAO Xiang-ying. Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma[J]. Chinese Journal of General Practice, 2022, 20(4): 713-717. doi: 10.16766/j.cnki.issn.1674-4152.002437

Citation:

ZHOU Jie, BAO Xiang-ying. Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma[J]. Chinese Journal of General Practice, 2022, 20(4): 713-717. doi: 10.16766/j.cnki.issn.1674-4152.002437

Citation:

ZHOU Jie, BAO Xiang-ying. Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma[J]. Chinese Journal of General Practice, 2022, 20(4): 713-717. doi: 10.16766/j.cnki.issn.1674-4152.002437

PDF( 481 KB)

Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma

doi: 10.16766/j.cnki.issn.1674-4152.002437

ZHOU Jie
, BAO Xiang-ying^,

Department of Colorectal Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, China

Funds:

2019zb070

Received Date: 2021-04-21
Available Online: 2022-08-20

Abstract

Abstract

Objective To explore the impact of the nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma in order to provide a reference for clinical colorectal cancer stoma care. Methods From April 30, 2017 to December 1, 2019, 120 patients with permanent colostomy for colorectal cancer in the Second Affiliated Hospital of Zhejiang University School of Medicine were selected. Amongst them, the patients admitted from April 30, 2017 to July 31, 2018 were set as the control group, and the patients admitted from August 1, 2018 to December 1, 2019 were set as the observation group, with 60 cases in each group. Patients in the control group were given routine nursing measures for colorectal cancer stoma, and patients in the observation group were given innovative nursing measures based on homogeneous medical services. The adverse emotion score, health hope level, quality of life, complications and nursing satisfaction were compared between the two groups before and after the intervention. Results After the intervention, the scores of patient health questionnaire-9 and generalised anxiety disorder-7 in the observation group [(10.53±2.27) points, (9.73±1.91) points] were significantly lower than those in the control group [(11.85±2.73) points, (11.03±2.03) points, all P < 0.05], and the scores of health hope inventory and quality of life in the observation group [(29.59±7.38) points, (60.02±6.73) points] were significantly higher than those in the control group [(25.69±5.87) points, (76.48±7.39) points, all P < 0.05]. During the intervention, the incidence of complications in the observation group was significantly lower than that in the control group (P < 0.05), and the nursing satisfaction was significantly higher than that in the control group (P < 0.05). Conclusion The implementation of homogeneous medical-based intervention care for patients with permanent colorectal cancer stoma can effectively alleviate patients' bad mood, improve the level of health hope and reduce the occurrence of stoma complications. It will help to promote the harmony between doctors and patients and has a positive effect in improving the quality of life of patients.
- Homogeneous medical service,
- Innovation,
- Colorectal cancer stoma,
- Bad mood,
- Quality of Life

FullText(HTML)

References(20)

References

[1]	张忠涛, 杨盈赤. 结直肠癌外科临床研究进展及展望[J]. 中国实用外科杂志, 2020, 40(1): 65-69. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK202001013.htm ZHANG Z T, YANG Y C. Clinical research progress and prospect of colorectal cancer surgery[J]. Chinese Journal of Practical Surgery, 2020, 40(1): 65-69. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK202001013.htm
[2]	王少华, 路遥, 李曼林, 等. 基于循证的围术期护理在腹腔镜下结直肠癌根治术中的应用[J]. 中华全科医学, 2020, 18(2): 325-328. doi: 10.16766/j.cnki.issn.1674-4152.001237 WANG S H, LU Y, LI M L, et al. Application of evidence-based perioperative nursing in laparoscopic radical resection of colorectal cancer[J]. Chinese General Medicine, 2020, 18(2): 325-328. doi: 10.16766/j.cnki.issn.1674-4152.001237
[3]	于军辉, 金岚, 姚宏伟, 等. 结直肠癌患者的临床病理特征及预后分析[J]. 中华普通外科杂志, 2020, 35(4): 273-276. doi: 10.3760/cma.j.cn113855-20190920-00562 YU J H, JIN L, YAO H W, et al. Clinicopathological features and prognosis of patients with colorectal cancer[J]. Chinese Journal of General Surgery, 2020, 35(4): 273-276. doi: 10.3760/cma.j.cn113855-20190920-00562
[4]	夏婷婷, 王淑云, 杨富国, 等. 永久性结肠造口患者造口相关压力状况及其影响因素分析[J]. 中国护理管理, 2018, 18(11): 1480-1484. doi: 10.3969/j.issn.1672-1756.2018.11.010 XIA T T, WANG S Y, YANG F G, et al. Stoma-related pressure status and its influencing factors in patients with permanent colostomy[J]. China Nursing Management, 2018, 18(11): 1480-1484. doi: 10.3969/j.issn.1672-1756.2018.11.010
[5]	付东云. 个性化延续性护理对永久性结肠造口患者的影响[J]. 现代医药卫生, 2018, 34(16): 2569-2571. doi: 10.3969/j.issn.1009-5519.2018.16.047 FU D Y. Influence of personalized continuous nursing on patients with permanent colostomy[J]. Modern Medicine and Health, 2018, 34(16): 2569-2571. doi: 10.3969/j.issn.1009-5519.2018.16.047
[6]	AYALON R, BACHNER Y G. Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma[J]. Eur J Oncol Nurs, 2019, 38(3): 50-56.
[7]	赖少清. 癌症的现状与困境、希望与出路: 基于2017年、2018年全球癌症发病与防控态势分析[J]. 医学与哲学, 2019, 40(12): 20-23. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX201912005.htm LAI S Q. The status quo and dilemma, hope and way out of cancer: Based on the analysis of the global cancer incidence and prevention and control in 2017 and 2018[J]. Medicine and Philosophy, 2019, 40(12): 20-23. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX201912005.htm
[8]	乐革芬, 易汉娥, 李素云, 等. 同质医疗工作模式对护士工作及护理质量的影响[J]. 护理学杂志, 2017, 32(24): 65-67. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201724024.htm LE G F, YI H E, LI S Y, et al. The influence of homogeneous medical work mode on nurses' work and nursing quality[J]. Journal of Nursing, 2017, 32(24): 65-67. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201724024.htm
[9]	刘松桥, 邱海波, 杨毅. 基于互联网+的重症医学规范化-同质化管理平台建设迫在眉睫[J]. 中华内科杂志, 2019, 58(5): 346-348. doi: 10.3760/cma.j.issn.0578-1426.2019.05.003 LIU S Q, QIU H B, YANG Y. The construction of a standardized and homogenized management platform for critical care medicine based on Internet + is imminent[J]. Chinese Journal of Internal Medicine, 2019, 58(5): 346-348. doi: 10.3760/cma.j.issn.0578-1426.2019.05.003
[10]	SMITH F M, NGAKONGWA F, LIU Y, et al. Validating the Patient Health Questionnaire-9 (PHQ-9) for screening of depression in Tanzania[J]. Neurol Psychiatry Brain Res, 2019, 31(1): 9-14.
[11]	ANNE T, PAUL H, ANTJE G, et al. Sensitivity to change and minimal clinically important difference of the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7)[J]. J Affect Disord, 2020, 265(1): 395-401.
[12]	朱丽, 赵引丽, 陶媛. 恶性淋巴瘤患者灵性健康、希望水平现状及其影响因素分析[J]. 中华现代护理杂志, 2018, 24(17): 2059-2062. ZHU L, ZHAO Y L, TAO Y. Analysis of the status quo of spiritual health, hope level and its influencing factors in patients with malignant lymphoma[J]. Chinese Journal of Modern Nursing, 2018, 24(17): 2059-2062.
[13]	万崇华, 杨铮, 吴婷, 等. 癌症患者生命质量测定量表体系的测量学特性与应用[J]. 中华行为医学与脑科学杂志, 2020, 29(3): 277-278, 283. https://www.cnki.com.cn/Article/CJFDTOTAL-WRKX201911006.htm WAN C H, YANG Z, WU T, et al. Measurement characteristics and application of the quality of life measurement scale system for cancer patients[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2020, 29(3): 277-278, 283. https://www.cnki.com.cn/Article/CJFDTOTAL-WRKX201911006.htm
[14]	李小林, 张德雪, 赵海燕, 等. 认知行为疗法对结直肠癌永久性肠造口患者创伤后成长的影响[J]. 安徽医学, 2020, 41(2): 204-207. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202002026.htm LI X L, ZHANG D X, ZHAO H Y, et al. The effect of cognitive behavioral therapy on posttraumatic growth in patients with colorectal cancer with permanent colostomy[J]. Anhui Medicine, 2020, 41(2): 204-207. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202002026.htm
[15]	邱佩红, 谢红艳, 戎放. 肠造口患者自我感受负担与自我效能及生活质量相关性研究[J]. 中华全科医学, 2018, 16(9): 1570-1574. doi: 10.16766/j.cnki.issn.1674-4152.000427 QIU P H, XIE H Y, RONG F. Correlation between self-perceived burden, self-efficacy and quality of life in patients with enterostomy[J]. Chinese General Medicine, 2018, 16(9): 1570-1574. doi: 10.16766/j.cnki.issn.1674-4152.000427
[16]	李小峰, 陈晓娟, 陈腊年, 等. "六心"护理理念教育对护生人文素养的影响[J]. 护理学杂志, 2018, 33(13): 55-57. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201813021.htm LI X F, CHEN X J, CHEN L N, et al. The influence of "six heart" nursing concept education on nursing students ' humanistic quality[J]. Journal of Nursing, 2018, 33(13): 55-57. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201813021.htm
[17]	陈瑾, 刘燕, 刘俊琰. 多中心同质化医疗质量管理在体外循环科中的应用[J]. 中国体外循环杂志, 2019, 17(4): 211-214. https://www.cnki.com.cn/Article/CJFDTOTAL-TWXH201904008.htm CHEN J, LIU Y, LIU J Y. Application of multi-center homogenized medical quality management in cardiopulmonary bypass department[J]. Chinese Journal of Cardiovascular Circulation, 2019, 17(4): 211-214. https://www.cnki.com.cn/Article/CJFDTOTAL-TWXH201904008.htm
[18]	ABELSON J S, CHAIT A, SHEN M J, et al. Sources of distress among patients undergoing surgery for colorectal cancer: A qualitative study[J]. J Sur Res, 2018, 226(2): 140-149.
[19]	FORSMO H M, PFEFFER F, RASDAL A, et al. Pre- and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery[J]. Int J Surg, 2016, 36(1A): 121-126.
[20]	吕熙秀. 基于同质医疗理念的护理策略对慢性阻塞性肺疾病患者肺功能、生活质量以及自我效能的影响[J]. 现代医学, 2018, 46(9): 1077-1080. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX201809028.htm LYU X X. Effects of nursing strategies based on the concept of homogeneous medical care on pulmonary function, quality of life and self-efficacy in patients with chronic obstructive pulmonary disease[J]. Modern Medicine, 2018, 46(9): 1077-1080. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX201809028.htm

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(6)

Get Citation

PDF

XML

Article Metrics

Article views (155) PDF downloads(0)

Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma

doi: 10.16766/j.cnki.issn.1674-4152.002437

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Effect of nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma

doi: 10.16766/j.cnki.issn.1674-4152.002437

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content