Objective To study how to shorten the time of preoperative fasting and forbidding drink in clinical practice and the clinical application of its reconstructed process.Methods A total of 226 elective surgery patients,from the Department of Surgical Oncology of the First Affiliated Hospital of Wenzhou Medical University from November 1st,2015 to November 20th,2015 and from December 10th,2015 to December 30th, 2015,were selected by convenient sampling method as the research object. They were divided into the control group (n=117) and the experimental group (n=109) by using the before-and-after study method. In the control group,traditional preoperative fasting and forbidding drink process was adopted. In the experimental group,the new reconstructed preoperative fasting and forbidding drink process was adopted. The actual time of preoperative fasting and forbidding drink and the incidence of preoperative related adverse events were compared between two groups.Results The actual time of preoperative fasting was (7.60±0.98) h in the experimental group,which was significantly shorter than that in the control group (14.48±5.08)h(t=13.849,P<0.01). The actual time of preoperative forbidding drink was (3.39±0.97) h in the experimental group,which was significantly shorter than that in the control group (11.47±4.99)h(t=19.545,P<0.01). In the experimental group,the total incidence of adverse responses such as thirst and hunger before operation was 14.7%(16/109),which was significantly lower compared to the control group 35.9%(42/117)(χ2=13.317,P<0.01). There was no intraoperative aspiration in both groups.Conclusions The standard implementation of the new preoperative fasting and forbidding drink process can effectively shorten the preoperative fasting and forbidding drink time and improve the preoperative discomfort of elective surgery patients.

Objective:To construct a health education program for patients with permanent enterostomy based on the information motivation behavioral skills model, and to test its effectiveness in improving patient readiness for discharge and reducing the incidence of early ostomy complications after discharge.Methods:From February 2021 to January 2022, convenience sampling was used to select 68 patients with low rectal cancer who were diagnosed by the Colorectal Surgery Department at the First Affiliated Hospital of Wenzhou Medical University and underwent abdominal perineal combined radical resection of rectal cancer (Miles) as research subjects. Randomized number series were generated using the digital table method, and the subjects were randomly divided into control group (33 cases) and intervention group (35 cases) using the envelope method. The control group was housed in the first ward, while the intervention group was housed in the second ward. The control group implemented the conventional health education, while the intervention group carried out the health education based on the information motivation behavioral skills model. The discharge readiness scores, ostomy self-efficacy and ostomy complications were compared between the two groups on the day of discharge and one month after discharge.Results:Patients in the intervention group had higher discharge readiness scores and higher discharge readiness levels than those in the control group, with statistical differences ( P<0.01) . The intervention group had higher levels of ostomy self-efficacy than the control group one month after discharge, with statistically significant difference ( P<0.01) . At the time of discharge for one month, the overall incidence of ostomy complications in the intervention group was 11.43% (4/35) , lower than 42.42% (14/33) in the control group, with a statistically significant difference ( P<0.01) . Conclusions:The health education program based on the information motivation behavioral skills model can effectively increase the readiness of patients with permanent enterostomy for discharge, reduce the incidence of complications of the ostomy and surrounding skin, improve the ostomy self-efficacy and promote patient rehabilitation.