Application of case management of patients with rectal cancer with stoma during perioperative period

Abstract

Objective To implement the nursing process of case management to rectal cancer patients who received surgical procedure of ostomy and evaluate the effect of this nursing process. Methods The control group included 38 patients who underwent the surgery of Miles and received regular nursing care between January 2016 and June 2016, while the experimental group included 36 patients underwent the same surgery but received the nursing process of case management between July 2016 and December 2016. Both groups were followed from admission till 3 months after discharge. Data of anxiety scores, depression scores, adjustment scores and satisfaction scores were compared between two groups. Results The anxiety and depression scores were not statistically significant between two groups by the time of admission(P >0.05), while the anxiety scores of the experimental group dropped from (53.65±5.34) points down to (36.43±6.55) points, and the depression scores decreased from (52.33±9.34) points to (35.43±9.85) points. The anxiety and depression scores of the experimental group differed significantly from the control group(t=-3.893,-2.637, P<0.05). The data of adjustment scores and satisfaction scores indicated significant differences between two groups (t=6.584-13.787, P<0.05). Conclusions Nursing process of case management improves the level of anxiety, depression, adjustment and satisfaction. Key words: Anus neoplasm; Quality of life; Ostomy; Perioperation; Case management