Effects of comprehensive care on psychological emotions, postoperative rehabilitation and complications of colorectal cancer patients after colostomy

Am J Transl Res. 2021 Jun 15;13(6):6889-6896. eCollection 2021.

Abstract

Objective: This study aimed to explore the impacts of comprehensive care on psychological emotion, postoperative rehabilitation and complications of colorectal cancer patients after colostomy.

Methods: From August 2018 to February 2020, a total of sixty colorectal cancer patients undergoing colostomy in our hospital were collected and randomly assigned to a control group to receive conventional care and a research group to receive comprehensive care, with 30 patients in each group. The two groups of patients were compared for postoperative recovery, complications, adverse psychological emotions, self-care ability, quality of life, and nursing satisfaction.

Results: The first time of exhaust, food intake and the recovery of bowel sound in the research group were markedly earlier than those in the control group. Besides, the research group had notably lower incidence of postoperative complications, lower self-anxiety scale (SAS) and self-depression scale (SDS) scores at discharge, and higher average self-care ability than the control group, as well as higher quality of life score and nursing satisfaction.

Conclusion: Comprehensive care intervention can promote postoperative recovery of colorectal cancer patients after colostomy, relieve their negative emotions, reduce postoperative complications, improve quality of life and nursing satisfaction, which are all important and make this type of care worthy of promotion in clinical practice.

Keywords: Comprehensive nursing; colorectal cancer; colostomy; complication.