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

Table 1 Baseline characteristics of patients in the two groups, n (%)

Variable	Systematic education group (n = 50)	Routine nursing group (n = 50)	Statistical	P value
Age (years), mean ± SD	62.34 ± 10.53	64.12 ± 11.24	t = 0.819	0.415
Gender			χ2 = 0.164	0.685
Male	28 (56.00)	30 (60.00)
Female	22 (44.00)	20 (40.00)
BMI (kg/m2), mean ± SD	22.81 ± 3.14	23.22 ± 3.37	t = 0.631	0.529
Tumor location			χ2 = 0.164	0.685
Rectum	32 (64.00)	30 (60.00)
Colon	18 (36.00)	20 (40.00)
TNM stage			χ2 = 0.221	0.638
Stage II	34 (68.00)	36 (72.00)
Stage III	16 (32.00)	14 (28.00)
Stoma type			χ2 = 0.381	0.537
Ileostomy	32 (64.00)	29 (58.00)
Colostomy	18 (36.00)	21 (42.00)
Stoma nature			χ2 = 0.373	0.541
Temporary	25 (50.00)	28 (56.00)
Permanent	25 (50.00)	22 (44.00)
Complicated with diabetes mellitus			χ2 = 0.251	0.616
Yes	11 (22.00)	13 (26.00)
No	39 (78.00)	37 (74.00)

BMI: Body mass index; TNM: Tumor-node-metastasis.

Table 2 Comparison of stoma self-care ability scores at different time points between two patient groups, mean ± SD

Group	Case	On the day of discharge	1 month postoperatively	3 months postoperatively	6 months postoperatively
Systematic education	50	35.24 ± 8.12	68.57 ± 9.36	78.95 ± 8.47	85.64 ± 7.23
Routine nursing	50	34.83 ± 7.95	52.48 ± 10.74	60.16 ± 11.59	63.85 ± 12.02
t	-	0.251	8.278	9.126	10.843
P value	-	0.802	< 0.001	< 0.001	< 0.001
Time main effect		F = 320.157, P < 0.001
Main effect of group		F = 85.625, P < 0.001
Time × group interaction		F = 18.346, P < 0.001

Table 3 Comparison of incidence of stoma-related complications between two patient groups, n (%)

Group	Number of cases	Irritant dermatitis	Parastomal hernia	Stoma prolapse	Stoma retraction	Stoma stenosis	Others (hemorrhage, etc.)	Total complications (rate)
Systematic education group	50	2 (4.00)	1 (2.00)	1 (2.00)	2 (4.00)	1 (2.00)	1 (2.00)	8 (16.00)
Routine nursing group	50	7 (14.00)	4 (8.00)	2 (4.00)	3 (6.00)	2 (4.00)	2 (4.00)	20 (40.00)
χ2	-	-	-	-	-	-	-	7.111
P value	-	-	-	-	-	-	-	0.008

Table 4 Comparison of readmission rates and nursing satisfaction between two patient groups, n (%)

Group	Case	Stoma-related readmission rate	Nursing satisfaction
			Very satisfied	Satisfied	Unsatisfy	Overall satisfaction rate
Systematic education group	50	2 (4.00)	38 (76.00)	10 (20.00)	2 (4.00)	48 (96.00)
Routine nursing group	50	9 (18.00)	22 (44.00)	18 (36.00)	10 (20.00)	40 (80.00)
t	-	5.128	-	-	-	6.061
P value	-	0.024	-	-	-	0.014