Abstract

Objective To explore the bundle nursing impacting on self concept among rectal cancer patients with permanent colostomy, and provide evidence for clinical health education and psychological nursing for patients with permanent colostomy. Methods A total of 100 permanent colostomy patients admitted and measured by self-concept scale and them received bundle nursing. After 4 weeks intervention, the self-concept scale was used again. We compared the change of self-concept in each dimensions before and after interventions and analyzed by SPSS 17.0, and t test for group comparison. Results Through nursing bundle intervention, the each dimensions of self-concept in rectal cancer patients with permanent colostomy improve except self-criticism decreased, including self-identity, self-satisfaction, self-behavior, self-physiology, self-ethic, self-psychology, self-family, and self-society (t=10.12, 9.02, 7.82, 6.98, 7.37, 6.18, 8.34, 7.16, 7.40, respectively; P<0.01). Conclusions Bundle nursing contributes to self-concept level of rectal cancer patients with permanent, and enhances the level of psychological health and quality of life effectively. Key words: Rectal tumor; Colostomy; Self-concept; Bundle nursing

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