Volume 29 Issue 10
Oct.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(10): 1808-1812
HU Yu, FENG Yibing, ZHOU Xiaoli, SUN Jingyi. Application effect of 5A mode combined with knowledge, belief and action theory in Miles postoperative patients with colostomy complicated infection[J]. Chinese Journal of General Practice, 2025, 23(10): 1808-1812. doi: 10.16766/j.cnki.issn.1674-4152.004234
Citation: HU Yu, FENG Yibing, ZHOU Xiaoli, SUN Jingyi. Application effect of 5A mode combined with knowledge, belief and action theory in Miles postoperative patients with colostomy complicated infection[J]. Chinese Journal of General Practice, 2025, 23(10): 1808-1812. doi: 10.16766/j.cnki.issn.1674-4152.004234
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Application effect of 5A mode combined with knowledge, belief and action theory in Miles postoperative patients with colostomy complicated infection

doi: 10.16766/j.cnki.issn.1674-4152.004234
  • 1.

    Department of Infectious Diseases, Longyou County People's Hospital, Quzhou, Zhejiang 324400, China

Funds:

 2023XY079

  • Received Date: 2025-01-22
    Abstract
  •   Objective  The present study applied the 5A model in conjunction with the theory of knowledge-attitude-practice (KAP) nursing program was applied to patients with colostomy complicated by infection subsequent to Miles operation. The impact on enhancing the self-care capability and quality of life of patients was examined. This analysis provides a foundation for optimizing colostomy nursing.  Methods  A total of 146 patients with colostomy complicated with infection after Miles operation who were admitted to Longyou County People's Hospital from August 2021 to July 2024 were selected as the research objects. The patients were then divided into two groups: a control group and an observation group. The random number table method was used to assign each patient to their respective group. The control group received routine nursing care, while the observation group received 5A mode combined with knowledge, belief and action theory nursing care. A comparative analysis will be conducted to assess the levels of PCT, CRP expression, colostomy pressure, and self-management behavior between two groups of patients before and after intervention.  Results  Following the intervention, the expression levels of PCT and CRP in the observation group were (0.16±0.08) ng/mL and (7.14±1.86) μg/mL, respectively, which were lower than those in the control group (0.23±0.10) ng/mL and (10.05±2.73) μg/mL, respectively. A statistically significant difference was observed between the two groups (P < 0.05). Following the implementation of an intervention, the stress levels experienced by patients in the observation group due to physical conditions, self-concept changes and colostomy nursing on the Colostomy Stress Scale were found to be lower in comparison to those in the control group (P < 0.05). Following the implementation of the intervention, the scores on the self-management scale and the quality of life scale for patients with colostomy in the observation group were found to be (107.64±10.42) points and (53.26±7.18) points, respectively. These values were higher than those of the control group, which were (92.73±10.15) points and (47.49±6.23) points (F=7.467, 4.942, P < 0.001).  Conclusion  The 5A model, when integrated with the theory of knowledge, belief, and action, has demonstrated efficacy in enhancing the infection control outcomes for postoperative colostomy patients treated with conventional methods. This approach contributes to the mitigation of pressure associated with colostomy and the enhancement of colostomy management skills.

     

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