A qualitative study of diet management in patients with colorectal cancer after stent-based diverting technique based on information-motivation-behavioral skills model
10.3760/cma.j.cn211501-20231129-01152
- VernacularTitle:基于信息-动机-行为技巧模型探讨直肠癌支架法肠转流术后患者饮食管理现状的质性研究
- Author:
Xue WANG
1
;
Dingyuan WEI
;
Mengxing WANG
;
Jiayan WANG
;
Yuanyuan KUANG
;
Binbin HUANG
;
Didi XU
;
Xuemei XIAN
Author Information
1. 浙江大学医学院附属邵逸夫医院护理部，杭州 310016
- Keywords:
Rectal neoplasms;
Qualitative research;
Diet;
Stent-based diverting technique;
IMB model
- From:
Chinese Journal of Practical Nursing
2024;40(16):1268-1274
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current situation of diet management in patients with colorectal cancer after stent-based diverting technique, and to provide basis for formulating relevant nursing intervention strategies.Methods:Objective sampling method was used to conduct semi-structured interviews on 15 patients who underwent stent-based diverting technique for colorectal cancer and had the bypass tube removed from Sir Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University from March to July 2023. The interview outline was established based on information-motivation-behavioral skills(IMB) model, and the data were analyzed, summarized and extracted by Colaizzi 7-step analysis method.Results:There were 10 males and 5 females, aged 34-76 years old. According to the three elements of the IMB model, the current situation of diet management was summarized into nine themes. The information included the difficulty in obtaining effective diet guidance information, the lack of specific diet guidance content, the need for individualized diet information guidance mode, and the poor continuity of information exchange after discharge. The motivations included ignoring the importance of diet management, dislike the taste of oral nutritional preparations, and weak support from family members. Behavioral skills include inadequate tube care skills and lack of oral nutrition preparation skills.Conclusions:There are many problems in the diet management of patients after colorectal cancer stent-based diverting technique. Medical staff should optimize the diet education information of colorectal cancer patients after surgery, provide multi-level, multi-time and multi-form continuous care, mobilize the active participation of family members, improve the motivation of patients′ diet management, refine the nursing process of the bypass tube, strengthen the application guidance of oral nutrition preparation skills, and improve patients′ diet management ability.
