行动导向宣教与快速康复护理模式对结直肠癌造口患者的影响

The Impact of Action-Oriented Education and Rapid Rehabilitation Nursing Model on Patients with Colorectal Cancer Stoma

摘要: 目的：观察行动导向宣教与快速康复护理模式对结直肠癌造口患者胃肠功能、预后效果的影响。方法：选择2024年3月至2025年12月期间，和田地区人民医院肛肠外科收治的68例结直肠癌造口患者，根据护理模式的不同划分为两组，对照组行常规护理模式，研究组开展行动导向宣教联合快速康复护理模式，比较两组护理效果。结果：研究组患者在经过行动导向宣教和快速康复护理后，首次的排气、排便和进食时间均短于对照组，且预后(胃管拔除、住院时间等)效果更加明显(P < 0.05)；研究组护理后ESCA和各项生活质量维度评分更高于对照组(P < 0.05)；研究组并发症总发生率较对照组更低(P < 0.05)。结论：给予结直肠癌造口患者行动导向宣教联合快速康复护理，能够有效改善患者胃肠功能、提升预后。

Abstract: Objective: To observe the effects of action-oriented education and rapid rehabilitation nursing models on gastrointestinal function and prognosis in colorectal cancer stoma patients. Methods: A total of 68 patients with colorectal cancer stoma admitted to the Colorectal Surgery Department of Hotan People’s Hospital from March 2024 to December 2025 were selected and divided into two groups based on the nursing model: the control group received conventional nursing, while the study group underwent action-oriented education combined with rapid rehabilitation nursing. The nursing outcomes of both groups were compared. Results: After action-oriented education and rapid rehabilitation nursing, the study group exhibited shorter times for first flatus, first defecation, and first meal compared to the control group, with more significant improvements in prognosis (such as tube removal and hospitalization duration; P < 0.05). The study group also achieved higher ESCA scores and quality-of-life dimension ratings than the control group (P < 0.05). Additionally, the study group had a lower total complication rate than the control group (P < 0.05). Conclusion: Implementing action-oriented education combined with rapid rehabilitation nursing for colorectal cancer stoma patients can effectively improve gastrointestinal function and enhance prognosis.