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Application of cluster-based continuity nursing intervention in patients with permanent stoma after surgery for colorectal cancer

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Author:
No author available
Journal Title:
World Chinese Journal of Digestology
Issue:
29
DOI:
10.11569/wcjd.v25.i29.2654
Key Word:
集束化延续性护理;直肠癌患者;永久性造口;自我效能;自护能力;Cluster-based continuity care;Postoperative colorectal cancer;Permanent stoma;Self-efficacy;Self-healing ability

Abstract: AIM To investigate the effect of cluster-based continuity nursing intervention in patients with permanent colostomy after surgery for colorectal cancer.METHODS One hundred and twenty-eight patients with colorectal cancer were randomly divided into two groups:an intervention group and a control group.The intervention group was given clusterbased continuity nursing intervention,and the control group was given routine nursing and discharge guidance.Self-efficacy and self-care ability scores and the incidence of complications were compared between the two groups.RESULTS In this study,128 patients aged from 48 to 76 (52.1+ 7.3) years were investigated.There was no significant difference in gender,age,marriage,educational level,place of residence,or family income between the two groups (P > 0.05).The self-efficacy score was significantly higher in the observation group than in the control group (115.7 + 9.8 vs 70.5 + 7.5,t =29.213,P <0.001).The difference in self-care ability was also statistically significant between the two groups (t =2.484,P =0.014).The complication rate was 6.3% in the observation group and 17.2% in the control group,and the difference was statistically significant (x2 =4.384,P =0.036).CONCLUSION Cluster-based continuity care for patients with permanent stoma after surgery for colorectal cancer can improve the self-efficacy and self-care ability of patients,enhance patient's confidence,and reduce the incidence of complications.

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