Effects of Integrated Intervention Mode of Self-Care plus Assisted Care Based on Multidisciplinary Cooperation Combined with Remote Support on Self-Care Ability and Quality of Life of Colorectal Cancer Stoma Patients
LI Hong, NIE Xizhi, ZUO Xiaofan, PENG Qiaoling, LUO Yuxiang, LU Jing, XUN Meimei, HE Ling
Abstract：【Objective】 To explore the effect of the integrated intervention mode of self-care plus assisted care based on multidisciplinary cooperation combined with remote support on self-care ability and quality of life in patients with colorectal cancer stoma. 【Methods】 A total of 60 patients with colorectal cancer who underwent enterostomy in the Department of Gastrointestinal Surgery of our hospital from March 2024 to June 2025 were selected and divided into the control group and the observation group by random number table method, with 30 cases in each group. The control group received routine nursing, while the observation group adopted the integrated intervention mode of self-care plus assisted care based on multidisciplinary cooperation combined with remote support on the basis of routine nursing. The self-care ability [Exercise of Self-Care Agency Scale (ESCA)], quality of life [Chinese Version of Colorectal Ostomy Health Scale (C-COH)], anxiety emotion [Self-Rating Anxiety Scale (SAS)] and nutritional status [Patient-Generated Subjective Global Assessment (PG-SGA)] were compared between the two groups at discharge, 1 month and 3 months after discharge. 【Results】 At 1 month and 3 months after discharge, the ESCA and C-COH scores of both groups were higher than those at discharge, while the SAS and PG-SGA scores were lower than those at discharge. At discharge, 1 month and 3 months after discharge, the SAS and PG-SGA scores of the observation group were lower than those of the control group, and the ESCA and C-COH scores were significantly higher than those of the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). 【Conclusion】 The integrated intervention mode of self-care plus assisted care based on multidisciplinary cooperation combined with remote support can significantly improve patients' self-care ability and nutritional status, enhance quality of life and relieve anxiety, which is worthy of clinical promotion.
李红, 聂稀枝, 左晓凡, 彭巧玲, 罗玉香, 鲁静, 寻美梅, 何玲. 基于多学科协作联合远程支持的自我护理及协助护理一体化干预对结直肠癌造口患者自我护理能力及生活质量的影响*[J]. 医学临床研究, 2026, 43(5): 754-757.
LI Hong, NIE Xizhi, ZUO Xiaofan, PENG Qiaoling, LUO Yuxiang, LU Jing, XUN Meimei, HE Ling. Effects of Integrated Intervention Mode of Self-Care plus Assisted Care Based on Multidisciplinary Cooperation Combined with Remote Support on Self-Care Ability and Quality of Life of Colorectal Cancer Stoma Patients. JOURNAL OF CLINICAL RESEARCH, 2026, 43(5): 754-757.
[1] BRAY F, LAVERSANNE M, SUNG H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2024, 74(3): 229-263. [2] FU M, LI Y, WANG J. Incidence and Mortality of Colorectal Cancer in Asia in 2022 and Projections for 2050[J].J Gastroenterol Hepatol,2025,40(5):1143-1156. [3] 侯素颖, 楚鑫, 徐小红, 等. 结直肠癌患者手术部位感染风险预测模型的系统评价[J].中国感染控制杂志, 2025, 24(12): 1818-1828. [4] 魏雪岩, 张宝珍, 汤利萍, 等. 肠造口患者病耻感体验质性研究的Meta整合[J].军事护理, 2025, 42(7): 12-15. [5] 杨春艳, 吴敏, 张作华, 等. 基于围术期多维度变量预测老年结直肠癌患者手术部位感染的模型构建及验证[J].中华医院感染学杂志, 2026, 36(1): 62-67. [6] 国家卫生健康委员会医政司, 中华医学会肿瘤学分会. 中国结直肠癌诊疗规范(2025版)[J].中华消化外科杂志, 2025, 24 (12): 1353-1359. [7] WONG C L, IP W Y, SHIU T Y. Translation and validation of the Chinese-Cantonese version of the Exercise of Self-Care Agency Scale[J].Int J Nurs Stud,2012, 49(9): 1122-1137. [8] GAO W, YUAN C, WANG J, et al. A Chinese version of the City of Hope Quality of Life-Ostomy Questionnaire: validity and reliability assessment[J].Cancer Nurs,2013, 36(1): 41-51. [9] FIORINDI C, BALDINI G, TESTA G D, et al. Patient-generated subjective global assessment (PG-SGA) better identifies malnourished patients and better correlates with functional capacity than global leadership initiative on malnutrition (GLIM) criteria[J].Clin Nutrition ESPEN,2023, 58: 525. [10] 关萍, 王慕蕴, 杨苗苗. 多学科协作式延续性护理在直肠癌造口术后的应用效果观察[J].中国肛肠病杂志, 2024, 44(10): 67-70. [11] 聂德萍, 陈冰, 王映冰, 等. “互联网+”背景下的多学科协作护理在结直肠癌肠造口患者中的应用效果[J].中国社区医师, 2025, 41(23): 103-105. [12] 黄唯一, 李天天. 永久性肠造口患者延续性护理需求的研究进展[J].护理与康复, 2026, 25(2): 89-91. [13] 贾燕琴. 时效性激励护理对提升结直肠癌造口患者自我护理能力的效果观察[J].中国典型病例大全, 2025, 19(4): 964-968. [14] 王冰, 张婷婷. 肠造口周围潮湿相关性皮肤损伤危险因素和护理研究进展[J].全科护理, 2025, 23(21): 4075-4080. [15] 万俊楠. Orem自护理论的护理模式干预对结直肠癌造口患者自我护理能力及心理负担的影响[J].山西医药杂志, 2025, 54(17): 1343-1346.
2026, Vol. 43 
