Objective:To describe the family resilience experience of colorectal cancer patients′ spouses in the process of care, and to provide reference for making effective clinical nursing interventions.Methods:Objective sampling method was used to select the spouses of colorectal cancer patients who were hospitalized in Shanghai East Hospital from March to April 2023. A phenomenological research was used. Semi-structured, in-depth interviews were conducted with 10 spouses of colorectal cancer patients undergoing colostomy. Data was transcribed and analyzed using Colaizzi′s method.Results:Three themes were extracted: family crisis and coping pressure including increased burden of care, accompanying emotional internal friction, heavy economic pressure; internal adjustment and adaptation within the family including positive family beliefs, timely adjustment of family roles, clear and effective communication and interaction; integration and utilization of external resources including active access to information, medical professional support, social external support.Conclusions:With the help of the perspective of family advantage, medical staff should pay attention to the evaluation of care needs and family resilience of colorectal cancer patients′ spouses, to fully mobilize advantage resources and give effective intervention measures to improve the family and social adaptation level of patients and their spouses.

This paper summarizes the main content, application effect, application characteristics and limitations of the colostomy complication assessment tool, analyzes the problems of the existing assessment tools, and proposes practical solutions, so as to provide a reference for the evaluation and management of colostomy complications.

Objective:To construct a nursing evaluation system for patients with enterostomy to provide a basis for formulating individualized nursing programs for patients with enterostomy.Methods:From November 2020 to June 2021, based on the conceptual framework of health-related quality of life proposed by the World Health Organization and the cross-cultural nursing theory as theoretical guidance, the first draft plan was formed through the extraction of evidence-based evidence and the results of qualitative interviews. Using the purposeful sampling method, 20 medical and nursing experts in enterostomy-related fields were selected to carry out Delphi expert letter inquiries, the first draft plan was revised, and a nursing evaluation system for colostomy patients was established.Results:The effective recovery rate of the two rounds of expert letter questionnaires was 100.00%. Expert authority coefficients were both 0.89. Kendall's coordination coefficients were 0.23 and 0.32, respectively ( P<0.01) . Finally, a nursing evaluation system for enterostomy patients was formed, including 4 first-level indexes, 22 second-level indexes and 102 third-level indexes. Conclusions:The framework of the nursing evaluation system for patients with enterostomy is complete, the construction process is scientific and reliable, and it has guiding value for the overall nursing evaluation of patients with enterostomy.