Application of mobile health education platform in continuous nursing for rectal cancer patients with preventive colostomy

Abstract

Objective To investigate the effect of mobile education platform in the continuous nursing after discharge for rectal cancer patients with preventive colostomy. Methods From January to December 2017, 60 rectal cancer patients with preventive colostomy in the Department of Gastrointestinal Surgery in the First Affiliated Hospital of University of Science and Technology of China were selected as the subjects by convenient sampling. Patients were divided into two groups: observation group (n=30) and control group (n=30) . The control group received regular education and continuous nursing of telephone follow-up after discharge, apart from which the observation group received nursing based on the mobile education platform. One month after discharge, the two groups were compared in terms of the effects of intervention by the use of Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS) , Ostomy Adjustment Inventory (OAI) , and Patients' Satisfactory Questionnaire. Results One month after surgery, the observation group were higher than the control group in the knowledge on stoma (11.80±3.13) , health belief (51.70±11.72) and health behavior (31.73±7.19) with statistical significances (t=3.76, 2.90, 3.05; P<0.05) . There were statistical significance in the score of OAI between the observation group (43.23±11.90) and the control group (37.43±6.33) ; the observation group was higher than the control group in the overall satisfaction degree towards continuous care (76.67% vs. 43.33%) with statistical significance (χ2=7.69, P<0.05) . Conclusions Compared with conventional continuous nursing mode, continuous nursing based on mobile education platform can improve the knowledge, belief and behavior of colostomy for rectal cancer patients with preventive colostomy, and improve the patients' adaptability on colostomy, as well as their satisfaction. Key words: Rectal cancer; Colostomy; Continuous nursing; Mobile education platform; Preventive colostomy; Knowledge-belief-behavior; Ostomy adjustment