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©The Author(s) 2023.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1959-1968
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1959
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1959
Table 1 Comparison of complication rate among the three groups
Item | Group A, n = 62 | Group B, n = 62 | Group C, n = 63 | χ2value | P value |
Stomal necrosis | 0 (0.00) | 1 (1.61) | 1 (1.59) | N/A | N/A |
Stomal bleeding | 1 (1.61) | 0 (0.00) | 1 (1.59) | N/A | N/A |
Stomal edema | 1 (1.61) | 0 (0.00) | 9 (14.29) | N/A | N/A |
Parastomal hernia | 1 (1.61) | 1 (1.61) | 5 (7.94) | N/A | N/A |
Stomal infection | 3 (4.84) | 3 (4.84) | 8 (12.70) | N/A | N/A |
Stomal stenosis | 3 (4.84) | 5 (8.06) | 11 (17.46) | N/A | N/A |
Stomal prolapse | 1 (1.61) | 3 (4.84) | 3 (4.76) | N/A | N/A |
Total complication rate | 10 (16.13) | 13 (20.97) | 38 (60.32) | 33.490 | < 0.001 |
Table 2 Comparison of self-efficacy among the three groups
Item | Intervention timing status | Group A, n = 62 | Group B, n = 62 | Group C, n = 63 | t value | P value |
Stoma care | Before | 37.97 ± 6.58 | 37.39 ± 5.47 | 37.41 ± 4.85 | 0.209 | 0.811 |
After | 48.47 ± 7.48a | 46.21 ± 6.63a | 40.67 ± 5.18a,b,c | 23.918 | < 0.001 | |
Social contact | Before | 24.19 ± 6.59 | 24.40 ± 5.72 | 23.83 ± 6.05 | 0.138 | 0.871 |
After | 35.63 ± 5.27a | 31.66 ± 3.96a,b | 27.94 ± 6.68a,b,c | 31.388 | < 0.001 | |
Diet choice | Before | 2.06 ± 0.70 | 2.02 ± 0.78 | 1.92 ± 0.77 | 0.577 | 0.562 |
After | 3.74 ± 0.79a | 3.40 ± 0.93a,b | 2.92 ± 0.77a,b,c | 15.311 | < 0.001 | |
Confidence in maintaining vitality | Before | 1.82 ± 0.80 | 1.65 ± 0.75 | 1.62 ± 0.63 | 1.360 | 0.259 |
After | 3.65 ± 0.79a | 3.34 ± 0.87a,b | 2.63 ± 0.66a,b,c | 28.313 | < 0.001 | |
Confidence in stoma self-care | Before | 1.97 ± 0.79 | 2.05 ± 0.88 | 1.95 ± 0.81 | 0.255 | 0.775 |
After | 3.90 ± 0.78a | 3.55 ± 0.88a,b | 2.95 ± 0.81a,b,c | 21.257 | < 0.001 | |
Confidence in sexual life | Before | 1.95 ± 0.84 | 1.90 ± 0.69 | 1.75 ± 0.76 | 1.157 | 0.317 |
After | 3.32 ± 0.85a | 3.24 ± 0.80a | 2.75 ± 0.76a,b,c | 9.232 | < 0.001 | |
Confidence in sexual satisfaction | Before | 1.56 ± 0.59 | 1.45 ± 0.59 | 1.43 ± 0.59 | 0.876 | 0.418 |
After | 3.05 ± 0.58a | 2.79 ± 0.68a,b | 2.42 ± 0.59a,b,c | 16.408 | < 0.001 | |
Confidence in physical labor | Before | 1.18 ± 0.43 | 1.15 ± 0.36 | 1.21 ± 0.48 | 0.309 | 0.734 |
After | 3.66 ± 0.85a | 3.37 ± 1.00a,b | 2.57 ± 0.86a,b,c | 24.330 | < 0.001 |
Table 3 Comparison of anxiety and depression among the three groups
Item | Intervention timing status | Group A, n = 62 | Group B, n = 62 | Group C, n = 63 | t value | P value |
HAMA score | Before | 43.15 ± 3.97 | 43.58 ± 4.63 | 43.51 ± 4.91 | 0.162 | 0.851 |
After | 23.42 ± 4.44 | 29.45 ± 4.44a,b | 35.38 ± 6.48a,b,c | 82.105 | < 0.001 | |
HAMD score | Before | 52.74 ± 5.32 | 52.05 ± 7.90 | 52.08 ± 5.98 | 0.224 | 0.799 |
After | 30.06 ± 2.22 | 34.68 ± 5.73a,b | 38.60 ± 3.46a,b,c | 68.965 | < 0.001 |
Table 4 Comparison of cancer-induced fatigue among the three groups
Table 5 Comparison of quality of life among the three groups
Group | Intervention timing status | Group A, n = 62 | Group B, n = 62 | Group C, n = 63 | t value | P value |
Physical health | Before | 47.61 ± 4.61 | 48.21 ± 3.46 | 47.54 ± 4.04 | 0.511 | 0.601 |
After | 32.19 ± 1.80 | 37.37 ± 2.79a,b | 42.76 ± 4.86a,b,c | 150.346 | < 0.001 | |
Psychological health | Before | 61.89 ± 5.31 | 62.44 ± 5.22 | 62.62 ± 5.27 | 0.325 | 0.723 |
After | 47.23 ± 5.04 | 52.35 ± 5.64a,b | 57.16 ± 4.69a,b,c | 58.414 | < 0.001 | |
Social health | Before | 51.60 ± 6.08 | 51.21 ± 5.20 | 52.37 ± 5.05 | 0.732 | 0.483 |
After | 38.18 ± 2.56 | 43.22 ± 4.44a,b | 47.38 ± 6.10a,b,c | 62.401 | < 0.001 | |
Mental health | Before | 25.03 ± 2.30 | 25.18 ± 2.22 | 25.87 ± 2.74 | 2.125 | 0.122 |
After | 14.13 ± 3.36 | 18.10 ± 2.06a,b | 21.02 ± 3.29a,b,c | 84.898 | < 0.001 |
- Citation: Xu L, Zhou MZ. Effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy. World J Gastrointest Surg 2023; 15(9): 1959-1968
- URL: https://www.wjgnet.com/1948-9366/full/v15/i9/1959.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i9.1959