Mei Cheng-Yan, Zou Fei, Deng Jun-Min, Gong Huan
Department of Cadre Health Care, The First Hospital of Nanchang, Nanchang 330008, Jiangxi Province, China.
Department of Gastrointestinal Surgery, The First Hospital of Nanchang, Nanchang 330008, Jiangxi Province, China.
World J Gastrointest Surg. 2025 Jun 27;17(6):103998. doi: 10.4240/wjgs.v17.i6.103998.
Patients undergoing rectal cancer surgery frequently encounter challenges in their self-care abilities, disease knowledge, and emotional well-being postoperatively. Effective nursing interventions are critical for improving the quality of life and minimizing complications. This study explored the clinical implications of integrating health education guided by problem management with positive incentive nursing to address these challenges.
To evaluate the effect of this combined nursing model on postoperative self-care ability, disease knowledge, mood state, and complication rates in patients undergoing rectal cancer surgery.
Eighty patients who underwent rectal cancer surgery between October 2021 and August 2024 were allocated into reference (routine care) and experimental (problem management-guided health education combined with positive incentive nursing) groups. The outcomes included exercise of self-care agency scale, disease knowledge (hospital-specific questionnaire), mood state (profile of mood states), and complication rates.
The experimental group demonstrated significant improvements in self-care ability ( < 0.05), with higher scores for health knowledge, self-concept, self-care skills, and self-care responsibility than the reference group. Disease knowledge scores also improved markedly in the experimental group ( < 0.05). Mood state scores showed a significant decrease in the negative dimensions (, anxiety and depression) and an increase in energy vitality ( < 0.05). Additionally, the experimental group exhibited a lower complication rate than the reference group (7.5% 27.5%, < 0.05).
The integration of problem management-guided health education with positive incentive nursing significantly enhanced postoperative self-care abilities, disease knowledge, and emotional well-being while reducing complication rates. This model demonstrated potential for widespread adoption in clinical practice by offering a structured approach to improve patient outcomes and quality of life.
接受直肠癌手术的患者在术后自我护理能力、疾病知识和情绪健康方面经常面临挑战。有效的护理干预对于提高生活质量和减少并发症至关重要。本研究探讨了将以问题管理为导向的健康教育与积极激励护理相结合以应对这些挑战的临床意义。
评估这种联合护理模式对直肠癌手术患者术后自我护理能力、疾病知识、情绪状态和并发症发生率的影响。
将2021年10月至2024年8月期间接受直肠癌手术的80例患者分为对照组（常规护理）和试验组（以问题管理为导向的健康教育与积极激励护理相结合）。结果包括自我护理能力量表、疾病知识（医院特定问卷）、情绪状态（情绪状态剖面图）和并发症发生率。
试验组在自我护理能力方面有显著改善（<0.05），在健康知识、自我概念、自我护理技能和自我护理责任方面的得分高于对照组。试验组的疾病知识得分也有显著提高（<0.05）。情绪状态得分在消极维度（紧张、焦虑和抑郁）显著降低，精力活力增加（<0.05）。此外，试验组的并发症发生率低于对照组（7.5%对27.5%，<0.05）。
以问题管理为导向的健康教育与积极激励护理相结合显著提高了术后自我护理能力、疾病知识和情绪健康，同时降低了并发症发生率。该模式通过提供一种结构化方法来改善患者预后和生活质量，显示出在临床实践中广泛应用的潜力。
