| ObjectiveTo investigate the status of hope and quality of life in patients with colorectal cancer.To explore the effect of ADOPT nursing model on the hope level and quality of life of patients with colostomy.MethodsIn this study,124 patients with colostomy after rectal cancer surgery were randomly divided into control group and experimental group,each group of 62 cases.Patients in the control group were given routine nursing care.The patients in the experimental group were treated by 6 months ADOPT nursing mode on the basis of routine nursing care by the nursing backbone after ostomy and psychological counseling training.The model includes personalized guidance,patient group intervention,colostomy self-care manual,telephone follow-up,outpatient follow-up and home visits.The two groups of patients were statistically evaluated and evaluated using the Herth hopeindex,the Quality of Life Scale,the Ostomy Adjustment Scale,and the Ostibility Assessment Table at the first day of operation,at discharge and 6 months after discharge.Results1.There was no significant difference in gender,age,education,marital status,occupation,family monthly income,medical payments,religious beliefs,family relationships,living categories,clinical stage,tumor metastasis or not,due to hospitalization of two groups of patients(P>0.05).2.There was no statistically significant difference between the control group and the experimental group in the stomatal skin complications,stoma retraction and stomatal mucosal separation(P>0.05).At 6 months after discharge,the skin lesions,stenosis and stoma prolapse scales were significantly higher in the control group than in the control group(P <0.05).3.There were significant differences between the two groups in the body adaptation,psychological adaptation,social adaptation for different time periods and the intervention mode(P <0.05).And there was a significant difference between the two groups in terms of total score and three adaptation(P <0.05).4.There was no significant difference in the level of hope index between the two groups(P>0.05).At the time of discharge,the hope levels of the two groups were improved,but the experimental group was higher than the control group(P<0.05).After 6 months of ADOPT nursing intervention,the level of hope in the experimental group was significantly higher than the control group(P <0.05).5.There was no significant difference between the two groups in the 15 items of the quality of life assessment(P>0.05).After 6 months of nursing intervention,we found that the 14 quality of life scores in the experimental group were significantly improved,and significantly better than the control group(P<0.05).There were no significant changes in the economic difficulties between the two groups before and after the intervention.Conclusion1.Hospitalized rectal cancer colostomy patients with low levelsof adaptation and hopepostoperative.2.ADOPT nursing mode is conducive to improve the level of colostomy patients and reduce stomatal complications.3.ADOPT nursing mode is conducive to improve the level of hope and quality of life of patients with colostomy. |
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