早期适应干预策略结合激励式护理在结直肠癌永久性肠造口患者中的应用效果OA

Objective To investigate the application effect of early adaptive intervention strategy combined with incentive nursing in patients with permanent enterostomy for colorectal cancer.Methods A total of 100 patients with permanent enterostomy for colorectal cancer diagnosed and treated at the First Affiliated Hospital of Xiamen University from January 2023 to December 2024 were selected as the subjects of study.They were randomly divided into an observation group and a control group using a random number method,with 50 cases in each group.The control group received a routine nursing plan,while the observation group received an early adaptive intervention strategy combined with incentive nursing on the basis of nursing given to the control group.The indicators such as knowledge,attitude and practice on stoma,and the incidence of stoma complications were compared between the two groups.Results After 1 month and 2 months of intervention,the stoma maintenance behavior,maintenance attitude and stoma knowledge scores,the Ostomy Adjustment Inventory-20(OAI-20)and the Stoma Acceptance Questionnaire(SAQ)scores,as well as the score of the Stoma Quality of Life Scale(Stoma-QOL)in the observation group were all higher than those in the control group.The scores of the Social Impact Scale(SIS)in the observation group were lower than those in the control group in the same period(P<0.05).The incidence of stoma complications in the observation group was lower than that in the control group(P<0.05).Conclusion Early adaptive intervention strategy combined with incentive nursing can effectively improve the stoma knowledge,attitude and practice level,psychosocial adaptation level and stoma acceptance of colorectal cancer patients with permanent enterostomy,and reduce the stigma and the incidence of stoma complications.