关键词: 直肠癌, 肠造口, 循证理念, 护理干预, 出院准备

Abstract:

Objective To explore the effect of evidence-based nursing intervention on discharge readiness in postoperative enterostomy patients with rectal cancer. Method 80 patients with postoperative enterostomy for rectal cancer were selected from the patients admitted to Hezhou Guangji Hospital from September 2022 to August 2023, and were randomly divided into 2 groups with 40 cases in each group. The control group received traditional intervention, and the observation group received nursing mode intervention based on evidence-based concept. Discharge readiness score, self-care ability and self-esteem were compared between the two groups. Result The discharge readiness scores of the observation group patients, including physical and mental status (7.98±1.35) points, disease knowledge (7.68±1.12) points, social support (8.98±0.5) points, and coping ability (8.34±1.02) points, were signifi cantly higher than those of the control group (P ＜ 0.05). There was no signifi cant diff erence in self-care ability scores between the two groups before intervention (P ＞ 0.05); After intervention, the self-care ability scores of the observation group, including self responsibility (28.65±3.52), self-concept (30.62±4.35), self-care ability (31.45±4.69), and health knowledge (30.26±4.36), were signifi cantly higher than those of the control group (P ＜ 0.05). There was no signifi cant diff erence in self-esteem scores between the two groups before intervention (P ＞ 0.05), but after intervention, the self-esteem scores of the observation group were signifi cantly higher than those of the control group (P ＜ 0.05). Conclusion The intervention effect of nursing mode based on evidence-based concept in postoperative enterostomy patients with rectal cancer is obvious, patients are well prepared for discharge, improve their self-care ability, and make patients satisfi ed with self-esteem, which can be used for reference and promotion in clinical practice.

Key words: Rectal cancer, Enterostomy, Evidence-based concept, Nursing intervention, Discharge preparation