Effect of Nursing Model Based on the Concept of Homogeneous Medical Service on Mood and Quality of Life of Patients with Colorectal Cancer Stoma

Abstract

Objective: To explore the impact of the nursing model based on the concept of homogeneous medical service on the mood and quality of life of patients with colorectal cancer stoma, in order to provide a reference for clinical colorectal cancer stoma care. Methods: From April 30, 2017 to December 1, 2019, 120 patients with permanent colostomy for colorectal cancer in Second Affiliated Hospital of Zhejiang University School of Medicine were selected. Among them, the patients admitted from April 30, 2017 to July 31, 2018 were set as the control group, and the patients admitted from August 1, 2018 to December 1, 2019 were set as the observation group, with 60 cases in each group. Patients in the control group were given routine nursing measures for colorectal cancer stoma, and patients in the observation group were given innovative nursing measures based on homogeneous medical services. The adverse emotion score, health hope level, quality of life, complications and nursing satisfaction were compared between the two groups before and after the intervention. Results: After the intervention, the scores of patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder-7 (GAD-7) in the observation group (10.53 ± 2.27, 9.73 ± 1.91) were significantly lower than those in the control group (11.85 ± 2.73, 11.03 ± 2.03, p < 0.05), and the scores of health hope inventory (HHI) and quality of life in the control group were significantly higher than those in the control group (p < 0.05). During the intervention, the incidence of complications in the observation group (29.59 ± 7.38, 60.02 ± 6.73) was significantly lower than that in the control group (25.69 ± 5.87, 76.48 ± 7.39, p < 0.05), and the nursing satisfaction was significantly higher than that in the control group (p < 0.05). Conclusion: The implementation of homogeneous medical-based intervention care for patients with permanent colorectal cancer stoma can effectively alleviate the patients’ bad mood, improve the level of health hope, and reduce the occurrence of stoma complications. It will help to promote the harmony between doctors and patients, and is helpful. It has a positive effect to improve the quality of life of patients.