Xue Yan, Lv Kaili, Yuan Chenye, Fan Guidi, Yu Ping
Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Nursing Department, Wuxi No. 2, People's Hospital (JUMC), Wuxi, China.
Support Care Cancer. 2025 May 15;33(6):474. doi: 10.1007/s00520-025-09530-6.
This study aimed to describe the real experiences and needs of stoma self-care in elderly colorectal cancer patients, providing a theoretical basis for healthcare professionals to develop effective intervention measures.
Semi-structured, in-depth interviews were conducted with the thirteen elderly colorectal cancer patients with stomas. These interviews were audio-recorded and transcribed verbatim. The interview data were then organized, analyzed, and thematically refined using Colaizzi's 7-step analysis method.
This study extracted three overarching themes and seven corresponding sub-themes. Theme one, actively seeking help, encompassed pre-rehabilitation needs, social support needs, and continuity of care needs. Theme two, new challenges posed by stomas, included sub-themes related to changes in daily life and psychological burdens. Theme three, courageous acceptance and proactive coping, comprised cognitive changes and behavioral changes as its sub-themes.
The study's findings suggest that inadequate in-hospital stoma care education and a lack of continuity of care at home can result in heightened challenges for elderly patients. Healthcare professionals should implement a personalized, full-process education program tailored to geriatric patients' specific needs, ensuring seamless care transition and coordinated management between hospital and home environments.
本研究旨在描述老年结直肠癌造口患者造口自我护理的真实体验和需求，为医护人员制定有效的干预措施提供理论依据。
对13名老年结直肠癌造口患者进行了半结构化的深入访谈。访谈进行了录音，并逐字转录。然后使用Colaizzi的7步分析法对访谈数据进行整理、分析和主题提炼。
本研究提炼出三个总体主题和七个相应的子主题。主题一，积极寻求帮助，包括康复前需求、社会支持需求和护理连续性需求。主题二，造口带来的新挑战，包括与日常生活变化和心理负担相关的子主题。主题三，勇敢接受和积极应对，包括认知变化和行为变化作为其子主题。
研究结果表明，住院期间造口护理教育不足以及家庭护理缺乏连续性会给老年患者带来更大的挑战。医护人员应实施针对老年患者特定需求的个性化、全过程教育计划，确保医院和家庭环境之间的护理无缝过渡和协调管理。
