Objective? To explore the effects of need-based nursing practice in elderly patients with radical resection surgery for rectal cancer. Methods? From 1 February 2017 to 3 May 2018, we selected 80 elderly patients with radical resection for rectal cancer in colon-rectum-anus surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of the patients were randomly divided into control group (n=40) and observation group (n=40) with the method of random number table. Control group carried out routine nursing care. Apart from the routine nursing, observation group provided need-based nursing care. We compared the post-operative recovery, scores of pain, anxiety, depression and quality of life as well as satisfaction after intervention among patients between the two groups. Results? The time for the first exhaust, ambulation and the removal of sutures as well as hospital stay in the observation group were shorter than those in the control group with statistical differences (P＜ 0.05). There were statistical differences in the scores of pain, anxiety and depression of patients after surgery between the two groups (P＜ 0.01). After intervention, the scores of pain, vitality, social functioning, emotional function, mental health and general health of quality of life in observation group were higher than those of control group with statistical differences (P＜0.05). After intervention, the patient satisfaction of observation group was higher than that of control group with statistical difference (P＜0.05). Conclusions? Need-based nursing approach can improve the postoperative recovery of elderly rectal cancer patients, alleviate pain, anxiety and depression, reduce the incidence of adverse events, improve the quality of life and satisfaction of patients, hence is worthy of being widely used in clinical practice.

Objective? To investigate the current status and influencing factors of anxiety and depression in rectal cancer patients with permanent intestinal orifice. Methods? By convenience sampling, we selected the rectal cancer patients with permanent intestinal orifice who were admitted to Department of Colorectal and Anal Surgery in the First Affiliated Hospital of Zhengzhou University from January 2016 to December 2018 as our participants in the study. They were investigated by Anxiety Self-Rating Scale and Depression Self-Rating Scale. Totally 165 questionnaires were distributed with 157 valid ones retrieved. Results? In the 157 patients, 74 patients (47.13%) suffered from anxiety: 32 of them had mild anxiety and 42 patients had moderate anxiety. In the 157 patients, 95 (60.51%)of them suffered from depression:54 patients had mild depression, 36 patients had moderate depression and 5 patients had severe depression. Patients who were females, working staff, have low income, impaired ability of self-care, have not received the preoperative education, or have postoperative complications tend to develop anxiety and depression(P＜0.05). Conclusions? There is a higher proportion of rectal cancer patients with permanent intestinal orifice who had anxiety and depression. The influencing factors are various and complex,and targeted intervention has positive significance in improving the patients＇ negative mood.