Pan Pan, Chen Lei, Zhang Dan, Rao Shuang, Tao Ying, Fan Lin
Department of Gastrointestinal Surgery, Hubei Cancer Hospital, Wuhan, Hubei, China.
Evid Based Complement Alternat Med. 2022 Aug 8;2022:4065886. doi: 10.1155/2022/4065886. eCollection 2022.
A continuing care bundle can achieve a better outcome than a single implementation after discharge. This study aims to investigate the effect of this intervention in elderly patients with rectal cancer after radical resection with a permanent stoma.
Elderly patients diagnosed with rectal cancer underwent radical resection with permanent stoma, they were divided into the control group ( = 42) and bundle group ( = 42). The control group received the conventional care, and the bundle group received the continuing care bundle in addition to the conventional care. At 1- and 3-month after discharge, self-efficacy, self-care knowledge, ability to change stoma appliances, negative emotions, quality of life, and patient satisfaction were observed.
The increased levels of self-efficacy, self-care knowledge, and ability to change stoma appliances were displayed in the bundle group after discharge as compared with that in the control group, along with the enhanced score of SF-36 subscales, including physical function (PF), role physical (RP), global health (GH) and vitality (V), social function (SF), and mental health (MH). Furthermore, patients showed alleviated depression and anxiety after the continuing care bundle as compared to those after conventional care. Besides, the bundle groups had higher patient satisfaction than the control group.
Continuing care bundle can serve as an effectiveness intervention in elderly rectal cancer patients after radical resection with permanent stoma via increasing self-efficacy and self-care knowledge, enhancing the ability to change stoma appliance, reliving the negative emotion, and improving quality of life and patient satisfaction.
延续性护理组合方案比出院后单一实施某种措施能取得更好的效果。本研究旨在探讨该干预措施对老年直肠癌根治性切除并永久性造口患者的影响。
将诊断为直肠癌的老年患者行根治性切除并永久性造口，分为对照组（n = 42）和组合方案组（n = 42）。对照组接受常规护理，组合方案组在常规护理基础上接受延续性护理组合方案。在出院后1个月和3个月时，观察自我效能感、自我护理知识、更换造口器具的能力、负面情绪、生活质量及患者满意度。
与对照组相比，组合方案组出院后自我效能感、自我护理知识及更换造口器具的能力水平升高，同时SF-36量表各维度得分提高，包括生理功能（PF）、生理职能（RP）、总体健康（GH）、活力（V）、社会功能（SF）及精神健康（MH）。此外，与常规护理后相比，延续性护理组合方案实施后患者的抑郁和焦虑情绪减轻。而且，组合方案组患者满意度高于对照组。
延续性护理组合方案可作为老年直肠癌根治性切除并永久性造口患者的有效干预措施，通过提高自我效能感和自我护理知识、增强更换造口器具的能力、缓解负面情绪以及提高生活质量和患者满意度来实现。
