Out-of-hospital self-management experience in patient with temporary colostomy after colorectal cancer surgery:a qualitative study
10.3969/j.issn.1671-8283.2024.11.005
- VernacularTitle:结直肠癌术后临时性肠造口患者院外自我管理体验的质性研究
- Author:
Weiyun ZHOU
1
;
Xia XIANG
;
Hao LIU
;
Jianzhong DENG
;
Wei LIAO
;
Guoxin LI
Author Information
1. 南方医科大学护理学院,广东广州,510515;南方医科大学南方医院,广东广州,510515
- Publication Type:Journal Article
- Keywords:
colorectal cancer;
temporary colostomy;
self-management;
descriptive qualitative study
- From:
Modern Clinical Nursing
2024;23(11):33-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the experience of out-of-hospital self-management in patients with temporary enterostomy after colorectal cancer surgery,aiming to provide a guidance for developing an effectively continuous nursing plan. Methods In this descriptive qualitative study,the purpose sampling method was applied to include 11 patients with temporary enterostomy discharged after colorectal cancer surgery as the study participants between January and October 2023. NVivo12 software and content analysis method were used to analyse the data acquired from interview and to extract the themes. Results Totally,4 themes and 8 sub-themes were extracted,including the lack of stoma management skills and low willingness to learn the skills ( lack of stoma management skills and unwillingness to actively learn skills for stoma management),difficulty in living with stoma (difficulty in living with changes of daily life brought by stoma,and expectations for the life advices of care providers),insufficient psychological and social support (negative emotions towards the life with stoma and lack of psychological support from family,friends and medical staff),and a gap between patients' expectations and actual effects on continuous nursing management (poor effectiveness of continuity of care and the high expectations for continuity of care). Conclusion Further improvement are required for the out-of-hospital self-management skills for the patients with temporary colostomy after colorectal cancer surgery. The skills can be improved by taking multiple measures such as education of nursing skills,advice on daily life,psychological support,and improvement of nursing effectiveness,therefore to enhance the out-of-hospital self-management behaviour of patients with colostomy.
