Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1959-1968
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1959
Effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy
Li Xu, Mei-Zhen Zhou
Li Xu, Department of Public Health, Dongtai Hospital Affiliated to Jiangsu Vocational College of Medicine, Yancheng 224200, Jiangsu Province, China
Li Xu, Department of Public Health, People’s Hospital of Dongtai City, Yancheng 224200, Jiangsu Province, China
Mei-Zhen Zhou, Department of Gynaecology and Obstetrics, Dongtai Hospital Affiliated to Jiangsu Vocational College of Medicine, Yancheng 224200, Jiangsu Province, China
Mei-Zhen Zhou, Department of Gynaecology and Obstetrics, People’s Hospital of Dongtai City, Yancheng 224200, Jiangsu Province, China
Author contributions: Xu L initiated the project and designed the experiment, conducted clinical data collection and performed postoperative follow-up and recorded data; Zhou MZ conducted a number of collation and statistical analysis, wrote the original manuscript and revised the paper; Both authors reviewed and approved the paper; All authors read and approved the final manuscript.
Supported by Clinical Teaching Base of Jiangsu Medical Vocational College, No. 20219141.
Institutional review board statement: This study was approved by the Ethics Committee of People’s Hospital of Dongtai City.
Informed consent statement: The study was approved by the institutional review board at each participating site. The data are anonymous, and the requirement for informed consent was therefore waived.
Conflict-of-interest statement: The authors declare having no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mei-Zhen Zhou, MM, Doctor, Department of Gynaecology and Obstetrics, Dongtai Hospital Affiliated to Jiangsu Vocational College of Medicine, No. 2 Kangfu West Road, Yancheng 224200, Jiangsu Province, China. zhengzhi152@163.com
Received: May 31, 2023
Peer-review started: May 31, 2023
First decision: June 14, 2023
Revised: July 7, 2023
Accepted: August 2, 2023
Article in press: August 2, 2023
Published online: September 27, 2023
Processing time: 114 Days and 10.5 Hours
Abstract
BACKGROUND

Patients with colorectal cancer may need postoperative nursing to improve prognosis, and conventional nursing is not effective. Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.

AIM

To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.

METHODS

Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups, A (n = 62), B (n = 62) and C (n = 63), according to different intervention methods. Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care. Group B received internet multiple linkage mode-based extended care. Group C received usual care intervention. Complications were compared among the three groups. The stoma self-efficacy scale, Hamilton Anxiety Scale, Hamilton Depression Scale, Brief Fatigue Inventory and City of Hope-quality of Life-ostomy Questionnaire before and after intervention were compared among the three groups.

RESULTS

The complication rate of group A, B and C (16.13%, 20.97% and 60.32%, respectively) was significantly different (all P < 0.05). The incidence of complications in groups A and B was lower than that in group C, and there was no significant difference between groups A and B (P > 0.05). After intervention, the scores of ostomy care, social contact, diet choice, confidence in maintaining vitality, confidence in self-care of ostomy, confidence in sexual life, confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention, and the scores of groups A and B were higher than those of group C, with statistical significance (P < 0.05). The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention. The scores of groups A and B were lower than those of group C, and the score of group A was lower than that of group B, all with statistical significance (all P < 0.05). There was a statistically significant difference in cancer-induced fatigue among the three groups (P < 0.05). After intervention, the scores of physical health, psychological health, social health and mental health of the three groups were lower than before the intervention. The scores of group A and B were lower than that of group C; and the score of group A was lower than that of group B, all with statistical significance (all P < 0.05).

CONCLUSION

Internet multiple linkage mode-based extended care combined with in-hospital comfort care can effectively improve self-efficacy, bad mood, cancer-related fatigue and life quality of colorectal cancer patients undergoing colostomy.

Keywords: Internet multiple linkage mode; Extended care; In-hospital comfort care; Colorectal cancer patients; Patients undergoing colostomy

Core Tip: Comfort care and continuous care are widely used in patients with colorectal cancer. The internet multiple linkage model was introduced into the continuous nursing of patients with colorectal cancer ostomy, and the traditional nursing methods were integrated into the internet multiple linkage model. The purpose of this study was to compare the nursing effect of the combined comfort nursing in the hospital based on the internet multiple linkage model, the traditional conventional nursing and the internet multiple linkage model of the extended nursing. The internet multiple linkage mode-based extended care combined with in-hospital comfort care had a good effect.