The Differences in Postoperative Nursing Between Temporary Ileostomy and Temporary Colostomy: A Retrospective Cohort Study.

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2025-03-01 DOI:10.1002/nop2.70189
Mei Wang, Lihong Dai, Xia Fang, Yan Zheng, Yuanhao Shen, Yang Yu
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引用次数: 0

Abstract

Background: Ileostomy and colostomy are two effective clinical methods for intestinal diversion, but both have disadvantages. It is necessary to adopt corresponding nursing interventions for stoma patients to improve their quality of life.

Aim: The study explored the recovery status and nursing differences of patients who underwent temporary ileostomy and temporary colostomy.

Design: A retrospective cohort study.

Methods: Patients who underwent temporary ostomy were divided into the ileostomy group and colostomy group according to the surgical method. Relevant clinical data of patients were collected, and differences in postoperative nursing were explored through a chi-square test. Meanwhile, a Quality-of-Life (QOL) assessment was compiled to assess the impact of different ostomy types on patients' postoperative quality of life. The study was conducted according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. The research question of the study focuses on how to evaluate the patient's recovery status and provide a basis for targeted nursing care for post-ostomy patients.

Results: The postoperative regular defecation rate of the ileostomy group was significantly lower than that of the colostomy group (p = 0.031), and the anastomotic healing rate of the ileostomy group was significantly higher than that of the colostomy group 1 week postoperatively (p = 0.037). According to the analysis of the QOL assessment, the ileostomy group showed significantly higher tolerance to ostomy faeces odour than the colostomy group (p = 0.002), and postoperative appetite in the ileostomy group was significantly better than that in the colostomy group (p = 0.002).

Conclusions: Compared with the colostomy group, the ileostomy group had a higher anastomotic healing rate 1 week postoperatively, a faster recovery of intestinal peristalsis, a better appetite after surgery, an easier tolerance to the odour of stoma faeces and a higher comprehensive postoperative quality of life.

Relevance to clinical practice: Nurses and other healthcare professionals should be aware of the differences in surgical techniques for stoma patients. Nursing work should strengthen attention to postoperative diet and ostomy hygiene care for colostomy patients.

Patient or public contribution: Fifty patients consented and were enrolled. The stoma surgeries were carried out by the surgical team, while the nursing team was responsible for postoperative care, data collection, analysis and interpretation.

临时回肠造口术与临时结肠造口术的术后护理差异:回顾性队列研究。
背景:回肠造口术和结肠造口术是临床上治疗肠分流的两种有效方法,但两者均存在不足。有必要对造口患者采取相应的护理干预措施,以提高其生存质量。目的:探讨临时回肠造口术与临时结肠造口术患者的康复状况及护理差异。设计:回顾性队列研究。方法:根据手术方法将临时造口患者分为回肠造口组和结肠造口组。收集患者的相关临床资料,通过卡方检验探讨术后护理差异。同时编制生活质量(quality -of- life, QOL)评估,评估不同造口方式对患者术后生活质量的影响。该研究是根据加强流行病学观察性研究报告(STROBE)声明进行的。本研究的研究问题集中在如何评价患者的康复状况,为造口术后患者的针对性护理提供依据。结果:术后回肠造瘘组正常排便率显著低于结肠造瘘组(p = 0.031),术后1周回肠造瘘组吻合口愈合率显著高于结肠造瘘组(p = 0.037)。根据生活质量评估分析,回肠造口组对造口粪便气味的耐受性明显高于结肠造口组(p = 0.002),术后食欲明显优于结肠造口组(p = 0.002)。结论:与结肠造口组相比,回肠造口组术后1周吻合口愈合率更高,肠蠕动恢复更快,术后食欲更好,对造口粪便气味的耐受性更强,术后综合生活质量更高。与临床实践的相关性:护士和其他医疗保健专业人员应该意识到造口患者手术技术的差异。护理工作中应加强对结肠造口患者术后饮食及造口卫生护理的重视。患者或公众贡献:50名患者同意并入组。造口手术由手术组进行,护理组负责术后护理、数据收集、分析和解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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