Preoperative prehabilitation experiences of colorectal cancer ostomy patients: a qualitative study
10.3760/cma.j.cn115682-20241120-06380
- VernacularTitle:结直肠癌造口患者术前预康复体验的质性研究
- Author:
Caijie XU
1
;
Peili XU
;
Aihong PAN
;
Yue WANG
;
Qi AO
;
Yun ZHANG
Author Information
1. 安徽中医药大学护理学院，合肥 230001
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Enterostomy;
Prehabilitation;
Content analysis;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(27):3641-3647
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore in depth the real experiences of preoperative prehabilitation among colorectal cancer patients undergoing stoma surgery, in order to provide a reference for the development of preoperative prehabilitation protocols.Methods:This study was a descriptive qualitative research. Using purposive sampling, 18 colorectal cancer ostomy patients who were hospitalized in the Department of Anorectal Surgery of the Third Affiliated Hospital of Anhui Medical University from March to August 2024 were selected for semi-structured in-depth interviews. Thematic analysis was conducted using content analysis methods.Results:The experiences of colorectal cancer ostomy patients with preoperative prehabilitation were summarized into four major themes: cognition and attitudes toward prehabilitation (willingness to actively participate, expectations for prehabilitation outcomes, psychological barriers), positive effects of prehabilitation (promoting postoperative recovery, improving adverse outcomes, enhancing stoma adaptation), challenges of prehabilitation (poor physical condition, negative emotions, inadequate preparation time) and suggestions and needs regarding prehabilitation (availability of information resources, refinement of individualized programs, need for psychological support) .Conclusions:Colorectal cancer ostomy patients generally hold a positive attitude toward preoperative prehabilitation, which helps accelerate postoperative recovery. Medical staff should enhance patient compliance and engagement by constructing an information support and shared decision-making model. Meanwhile, a tripartite psychological support system involving hospitals, communities, and families should be established, and a personalized and tiered prehabilitation program should be developed to ensure the safe and effective implementation of prehabilitation protocols, thereby improving the overall effectiveness of prehabilitation.
