Effects of high-quality nursing on surgical site wound infections after colostomy in patients with colorectal cancer

doi:10.4240/wjgs.v16.i12.3835

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Dec 27, 2024 (publication date) through Feb 16, 2026

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Randomized Controlled Trial

World J Gastrointest Surg. Dec 27, 2024; 16(12): 3835-3842
Published online Dec 27, 2024. doi: 10.4240/wjgs.v16.i12.3835

Effects of high-quality nursing on surgical site wound infections after colostomy in patients with colorectal cancer

Yu Cheng, Yuan-Xing Chen

Yu Cheng, Yuan-Xing Chen, Department of Colorectal and Anal Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei Province, China

Author contributions: Cheng Y and Chen YX designed and coordinated the study; Cheng Y and Chen YX performed the experiments, acquired and analyzed data; Chen YX interpreted the data; Cheng Y wrote the manuscript; all authors approved the final version of the article.

Institutional review board statement: The study was reviewed and approved by the Institutional Review Board at The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture.

Clinical trial registration statement: The study was not clinically registered.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All authors have nothing to disclose.

Data sharing statement: No additional data are available.

CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.

Corresponding author: Yuan-Xing Chen, BM BCh, Nurse, Department of Colorectal and Anal Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, No. 158 Wuyang Avenue, Enshi 445000, Hubei Province, China. cy19890213@163.com

Received: September 12, 2024
Revised: October 12, 2024
Accepted: October 23, 2024
Published online: December 27, 2024
Processing time: 76 Days and 1.1 Hours

Abstract

BACKGROUND

Colostomy is important in the treatment of colorectal cancer. However, surgical site wound infections after colostomy seriously affect patients’ physical recovery and quality of life.

AIM

To investigate the ability of high-quality nursing care to prevent surgical site wound infections and reduce post-colostomy complications in patients with colorectal cancer.

METHODS

Eighty patients with colorectal cancer who underwent colostomy at our hospital between January 2023 and January 2024 were selected as research subjects. The random number table method was used to divide the participants into control and research groups (n = 40 each). The control group received routine nursing care, while the research group received high-quality nursing care. The differences in indicators were compared between groups.

RESULTS

The baseline characteristics did not differ between the research (n = 40) and control (n = 40) groups (P > 0.05). The incidences of wound infection, inflammation, and delayed wound healing were significantly lower in the research (5.00%) vs control (25.00%) group (P = 0.028). The incidence of postoperative complications, including fistula stenosis, fistula hemorrhage, fistula prolapse, peristome dermatitis, urinary retention, pulmonary infection, and intestinal obstruction, was significantly lower in the research (5.00%) vs control (27.50%) group (P = 0.015). In addition, the time to first exhaust (51.40 ± 2.22 vs 63.80 ± 2.66, respectively; P < 0.001), time to first bowel movement (61.30 ± 2.21 vs 71.80 ± 2.74, respectively; P < 0.001), and average hospital stay (7.94 ± 0.77 vs 10.44 ± 0.63, respectively; P < 0.001) were significantly shorter in the research vs control group. The mean Newcastle satisfaction with nursing scale score was also significantly higher in the research (91.22 ± 0.96) vs control (71.13 ± 1.52) group (P < 0.001).

CONCLUSION

High-quality nursing interventions can effectively reduce the risk of wound infections and complications in patients undergoing colostomy, promote their postoperative recovery, and improve their satisfaction with the nursing care received.

Keywords: Colorectal cancer; Colostomy; High-quality nursing; Surgical site wound infection; Complication

Core Tip: Colostomy is important for the treatment of colorectal cancer. Surgical site wound infections after colostomy seriously affect patients' physical recovery and quality of life. Here we investigated the effect of high-quality nursing care on postoperative wound infection and complication rates among patients with colorectal cancer treated with colostomy and found that it can effectively reduce their risk of postoperative wound infection and complications, promote their postoperative recovery, and improve their nursing care satisfaction.