Application value of nursing intervention combined with early nutritional support in preventive stoma reversion of low rectal cancer

Abstract

Application value of nursing intervention combined with early nutritional support treatment in preventive stoma reversion of low rectal cancer was explored. Ninety-two cases of low rectal cancer patients undergoing preventive stoma reversion from January 2014 to December 2016 were retrospectively analyzed. All the patients had closed fistula 3 months after neostomy. Forty-four cases with routine nursing care were the control group; 48 cases with early nutritional support and nursing intervention were the experimental group. Nutritional status, psychological status, incidence of adverse reactions, wound infection rate, number of shaped and regular defecation were compared in the two groups. The levels of albumin, prealbumin and serum total protein in the experimental group were significantly higher than those in the control group after operation (P<0.05); the levels of albumin in the two groups after operation were significantly lower than those before operation (P<0.001). The SAS and SDS scores in the experimental group were significantly lower than those in the control group after operation (P<0.001); the SAS and SDS scores in the two groups after operation were significantly lower than those before operation (P<0.001). The number of abdominal pain, abdominal distention, diarrhea, incision infection and abdominal infection in the experimental group were less than those in the control group (P<0.05). The number of shaped and regular defecation cases in the experimental group was more than that in the control group (P<0.05). Nursing intervention combined with early nutritional support can improve the nutritional status, psychological anxiety-depression of the patients undergoing preventive stoma reversion, decrease the incidence of adverse reactions, and wound infection rate. It can also increase the shaped and regular defecation cases and is helpful for the recovery of intestinal function.

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

“…As we know, the stoma patients have serious psychosocial problems owing to the insufficient psychological preparation for ostomy surgeries and the stoma-related complications [ 38 , 39 ]. Moreover, using the combination of nursing intervention and early nutritional support could alleviate the psychological anxiety-depression of the patients who underwent preventive stoma reversion by evaluating SDS and SAS scores [ 40 ]. In the study, the attenuated depression and anxiety in older rectal cancer patients with a permanent stoma was found after given the continuing care bundle with the reduced SDS and SAS scores at 1 and 3 months after discharge, suggesting the continuing care bundle after discharge could effectively improve the adverse emotions of patients with a permanent stoma accompanied by increased patient satisfaction.…”

The comparison between experimental nursing and routine nursing interventions on the quality of life of stoma patients: A systematic review and meta‐analysis

“…The benefits of experimental nursing intervention on the stoma patients have been published in recent years, such as reducing readmission, increasing cost‐effectiveness, 30 decreasing the probability of delayed discharge, 31 improving the quality of life, 32 enhancing stoma proficiency, decreasing hospital stay length, 12,33 increasing patient's satisfaction, reducing the amount of clinical investigation, 34 offering more physical, psychological, and spiritual needs, 35 delivering better care for the patients in the rural area (the telecom‐based nursing) 36 and less anxiety or depression 19,27,37 . Our meta‐analysis results showed significant improvements in stoma quality of life for the experimental nursing intervention, which might be linked with the benefits mentioned above.…”

“…The experimental nursing intervention is usually not limited to the hospital and mostly is based on the home or community nursing care model. The experimental nursing intervention might be superior to routine nursing intervention in improving the scores of the stoma quality of life‐related scales or the skin complications due to the advanced model implantation within the nursing intervention model 1,4,7,19,21,22 . Therefore the differences in effects between the experimental and routine nursing interventions on the stoma quality of life‐related field might be an intriguing issue in recent years.…”

“…Therefore the experimental nursing intervention arises and becomes the research focus. The experimental nursing intervention include any atypical nursing care, such as hospital‐family holistic care based on “timing is right” dynamic theory, 7 evidence‐based continuing care bundle in a specific population of patients with a high compliance, 6 home‐based nursing intervention based on health belief model to enhance the motivation to facilitate the initiatives, 4 home nursing intervention, 18 teleconsultation 3 , 13 based on social learning theory to improve the self‐efficacy, nurse‐led multicomponent intervention, 8 nursing intervention combined with early nutritional support, 19 self‐efficacy nursing intervention (direct experience, alternative experience, verbal persuasion, social and psychological support, and adjustment of the intervention measures according to the patients' feedback), 20 home care mobile app nursing, 18 and multimedia learning education nursing intervention. 21 The experimental nursing intervention is usually not limited to the hospital and mostly is based on the home or community nursing care model.…”

Intervenciones de Enfermería en la reversión del estoma intestinal: revisión integrativa

“…Del mismo modo, la edad del paciente y el rechazo son las principales razones para la no reversión 8 . Es fundamental que el profesional de Enfermería reconozca su actuar en el cuidado de la reversión del estoma y el impacto que genera en la persona, así como es necesario aplicarlo de forma específica y personalizada en cada sujeto con la finalidad de atenuar el riesgo de complicaciones como de su incidencia y de su morbimortalidad 9 . Por lo anterior, es importante identificar las intervenciones de Enfermería en la atención de la persona con reversión del estoma intestinal mediante una revisión de la literatura.…”