Impact of problem management-guided health education with positive incentive nursing after rectal cancer surgery

Table 1 General data comparison

General characteristics	Experimental group (n = 40)	Control group (n = 40)	t/χ2 value	P value
Age (year)	48.80 ± 6.32	49.55 ± 7.28	0.492	0.624
Sex
Male	28	21	2.581	0.108
Female	12	19
BMI (kg/m2)	20.34 ± 1.28	20.28 ± 1.35	0.204	0.839
Educational qualification
Primary school	11	10	0.210	0.901
Junior and senior high school	14	13
College degree or above	15	17
Adjunctive treatment mode (radiotherapy/chemotherapy)	18/22	17/23	0.051	0.822
Tumor stage
Ib-IIa	27	26	0.056	0.813
IIb	13	14

Data are presented as mean ± SD or n (%). BMI: Body mass index.

Table 2 Self-care ability scores before and after intervention

Group	Case	Health knowledge level (points)		Self-concept (points)		Self-care skills (points)		Self-care responsibility (points)
		Before	After	Before	After	Before	After	Before	After
Experimental group	40	46.25 ± 5.11	69.44 ± 3.28a	28.12 ± 2.85	45.67 ± 4.12a	17.24 ± 2.77	26.34 ± 2.85a	21.34 ± 2.27	28.66 ± 2.44a
Control group	40	46.37 ± 5.08	58.46 ± 5.02a	28.24 ± 2.77	38.74 ± 3.58a	17.34 ± 2.89	22.33 ± 2.74a	21.52 ± 2.34	24.24 ± 2.31a
t value		0.105	11.581	0.191	8.030	0.158	6.415	0.349	8.320
P value		0.916	< 0.001	0.849	< 0.001	0.875	< 0.001	0.728	< 0.001

^aP < 0.05. P calculated compared with the condition prior to care in this group. Data are presented as mean ± SD.

Table 3 Disease knowledge scores before and after intervention

Group	Case	Basic concept of rectal cancer (points)		Etiological symptoms (points)		Diagnosis and treatment (points)		Prognostic assessment (points)
		Before	After	Before	After	Before	After	Before	After
Experimental group	40	15.44 ± 1.24	20.89 ± 1.41a	17.48 ± 1.36	20.96 ± 1.17a	18.13 ± 1.32	22.89 ± 0.54a	17.33 ± 1.28	22.12 ± 1.24a
Control group	40	15.22 ± 1.31	18.23 ± 1.08a	17.74 ± 1.44	19.58 ± 1.20a	18.28 ± 1.34	21.34 ± 0.49a	17.42 ± 1.21	20.08 ± 1.11a
t value		0.771	9.472	0.830	5.208	0.504	13.444	0.323	7.753
P value		0.443	< 0.001	0.409	< 0.001	0.615	< 0.001	0.747	< 0.001

^aP < 0.05. P calculated compared with the condition prior to care in this group. Data are presented as mean ± SD.

Table 4 Mood state scores before and after intervention

Items	Time	Experimental group (n = 40)	Control group (n = 40)	t value	P value
Nervous-anxiety	Before	21.04 ± 3.89	20.96 ± 3.94	0.091	0.927
	After	8.14 ± 1.82a	11.69 ± 1.95a	8.417	< 0.001
Depressed-dispirited	Before	40.25 ± 4.84	39.81 ± 4.96	0.402	0.689
	After	13.52 ± 2.47a	16.98 ± 2.58a	6.127	< 0.001
Anger-hostility	Before	19.02 ± 2.87	18.73 ± 3.01	0.441	0.660
	After	6.15 ± 1.52a	8.98 ± 1.67a	7.926	< 0.001
Tired-slow	Before	15.05 ± 2.08	14.92 ± 2.12	0.277	0.783
	After	5.24 ± 1.28a	7.18 ± 1.35a	6.595	< 0.001
Confusion-confusion	Before	16.38 ± 2.15	16.10 ± 2.25	0.569	0.571
	After	6.89 ± 1.30a	8.52 ± 1.49a	5.213	< 0.001
Energy-energy	Before	9.08 ± 3.14	8.89 ± 3.20	0.268	0.789
	After	17.52 ± 1.68a	13.24 ± 1.82a	10.929	< 0.001

^aP < 0.05. P calculated compared with the condition prior to care in this group. Data are presented as mean ± SD.

Table 5 Complication rates between groups

Group	Case	Electrolyte disturbances	Parastomal hernia	Hemorrhage	Peristomal dermatitis	Incidence of complications
Experimental group	40	1 (2.50)	1 (2.50)	1 (2.50)	0 (0.00)	3 (7.50)
Control group	40	3 (7.50)	2 (5.00)	4 (10.00)	2 (5.00)	11 (27.50)
χ2 value						5.541
P value						0.019

Data are presented as n (%).