Retrospective analysis of the effectiveness of self-care education for intestinal stoma in patients after colorectal cancer surgery

doi:10.4240/wjgs.v18.i7.118937

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Publication Name

World Journal of Gastrointestinal Surgery

ISSN

1948-9366

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

Retrospective Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jul 27, 2026; 18(7): 118937
Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.118937

Retrospective analysis of the effectiveness of self-care education for intestinal stoma in patients after colorectal cancer surgery

Man-Man Liu, Xiao-Ming Zhang, Dong-Ai Jin, Rong-Rong Zhang

Man-Man Liu, Xiao-Ming Zhang, Dong-Ai Jin, Rong-Rong Zhang, Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China

Co-corresponding authors: Dong-Ai Jin and Rong-Rong Zhang.

Author contributions: Liu MM and Jin DA conceptualized the study, developed the methodology, performed software analysis, validated the results, conducted formal analysis and investigation, acquired resources, and curated the data; Jin DA prepared the original draft, reviewed and edited the manuscript, performed visualization, supervised the study, administered the project, and acquired funding; Jin DA and Zhang RR optimized research design, guided clinical follow-up, assisted in manuscript revision, reviewed the outcomes, and conducted academic communication, they contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors reviewed and approved the final published version of the manuscript.

AI contribution statement: The authors declare that no AI tools or AI-assisted technologies were used in the preparation of this manuscript.

Institutional review board statement: This study was approved by the Medical Ethics Committee of the Sir Run Run Shaw Hospital, Zhejiang University School, approval No. 2026-0205.

Informed consent statement: All participants signed the informed consent for this study.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: No additional data are available.

Corresponding author: Dong-Ai Jin, Chief Nurse, Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 368 Xiasha Road, Qiantang District, Hangzhou 310009, Zhejiang Province, China. 3203068@zju.edu.cn

Received: February 10, 2026
Revised: March 12, 2026
Accepted: May 14, 2026
Published online: July 27, 2026
Processing time: 167 Days and 1 Hours

Abstract

BACKGROUND

Colorectal cancer patients often require an intestinal stoma after surgery, but face difficulties in self-care. Systematic education aims to enhance their caregiving abilities and improve rehabilitation outcomes.

AIM

To explore the impact of systematic self-care education on the nursing effectiveness of patients with intestinal stoma following colorectal cancer surgery.

METHODS

A retrospective analysis was conducted on the medical records of 100 patients who underwent colorectal cancer surgery with intestinal stoma creation at Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, from May 2022 to May 2025. The patients were divided into two groups: A systematic education group (n = 50) and a routine nursing group (n = 50). The systematic education group received a structured educational program that included preoperative assessment, staged postoperative training, discharge planning, and continuous follow-up support. In contrast, the routine nursing group received standard postoperative care. The study compared differences in postoperative self-care ability, stoma quality of life (Stoma-QOL) scores, incidence of stoma-related complications, readmission rates, and nursing satisfaction between the two groups.

RESULTS

The self-care ability scores of the systematic education group at 1 month, 3 months, and 6 months post-surgery were significantly higher than those of the routine nursing group (P < 0.05). Similarly, the Stoma-QOL scores of the systematic education group at 1 week, 1 month, 3 months, and 6 months post-surgery were also significantly higher than those of the routine nursing group (P < 0.05). Repeated measures analysis of variance revealed statistically significant differences in self-care ability scores and Stoma-QOL scores between the two groups, considering time effects, inter-group effects, and interaction effects (P < 0.05). The total incidence of complications, including irritant dermatitis, parastomal hernia, and stoma prolapse, was 16.00% in the systematic education group, significantly lower than the 40.00% observed in the routine nursing group (P < 0.05). The stoma-related readmission rate in the systematic education group was 4.00%, compared to 18.00% in the routine nursing group (P < 0.05). Additionally, the total nursing satisfaction rate in the systematic education group was 96.00%, higher than the 80.00% in the routine nursing group (P < 0.05).

CONCLUSION

Systematic self-care education significantly improves the self-care ability of patients with intestinal stoma following colorectal cancer surgery. It reduces the incidence of complications and readmission rates while enhancing quality of life and nursing satisfaction. This approach is worthy of clinical promotion and application.

Keywords: Colorectal cancer; Intestinal stoma; Self-care; Nursing education; Retrospective analysis; Quality of life; Complications

Core Tip: This retrospective study verifies that systematic self-care education markedly boosts colorectal cancer patients’ intestinal stoma self-care ability, elevates stoma quality of life scores and nursing satisfaction, and reduces stoma-related complication incidence and readmission rates, warranting wide clinical adoption for stoma care.