Effects of hospital‐family holistic care model on the health outcome of patients with permanent enterostomy based on the theory of ‘Timing It Right’

Xi Zhang, Rui Gao, Jin Ling Lin, Ning Chen, Qin Lin, Gui Fang Huang, Long Wang, Xiao Huan Chen, Fang Qin Xue and Hong Li

Journal of Clinical Nursing, 2020, vol. 29, issue 13-14, 2196-2208

Abstract: Aims and objectives To explore the effects of hospital‐family holistic care model based on ‘Timing It Right’ on the health outcome of patients with permanent colostomy. Background Colorectal cancer is a common malignant tumour of digestive system, which seriously threatens human life and health. Colostomy is one of the main treatments for colorectal cancer, which effectively improves the 5‐year survival rate of patients. However, the postoperative psychological and physiological rehabilitation nursing is still faced with great challenges due to the change of body image and defecation pathway caused by colostomy. Methods A randomised controlled trial was conducted, and 119 patients with permanent enterostomy were randomly divided into two groups, with 60 cases in the intervention group and 59 cases in the control group. The intervention group received routine care follow‐up and hospital‐family holistic care intervention based on ‘Timing It Right’, while the control group received routine care and follow‐up. The resilience, self‐care ability, complications and life quality of patients with permanent enterostomy were compared between two groups before intervention, at discharge, 3 months and 6 months after discharge. CONSORT checklist was applied as the reporting guideline for this study (see Appendix S1). Results A total of 108 patients with permanent enterostomy completed the study (90.76%). At 3 months and 6 months after discharge, the resilience and quality of life in the intervention group were significantly better than those in the control group (t = 4.158 vs. 7.406, t = 4.933 vs. 8.611, p

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:29:y:2020:i:13-14:p:2196-2208

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