Effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy

doi:10.4240/wjgs.v15.i9.1959

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 15, Issue 9

This Article

Academic Content and Language Evaluation of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Number of Hits and Downloads for This Article

Total Article Views (2451)

All Articles published online

The chart showing PDF series, WORD series, HTML series, Tables (1-5) series.

Item

Count

PDF

WORD

HTML

1379

Tables (1-5)

195

Sum=1701

Publishing Process of This Article

The chart showing Browse series, Download series.

Item

Count

Browse

143

Download

476

Sum=619

Sep 27, 2023 (publication date) through Jan 19, 2025

Times Cited of This Article

Times Cited (2)

Journal Information of This Article

Publication Name

World Journal of Gastrointestinal Surgery

ISSN

1948-9366

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastrointest Surg. Sep 27, 2023; 15(9): 1959-1968
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

Data are presented as n (%). Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care; Group B received internet multiple linkage mode-based extended care; Group C received usual care intervention. N/A: Not applicable.

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
Stoma care	After	48.47 ± 7.48^a	46.21 ± 6.63^a	40.67 ± 5.18^a^,^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
Social contact	After	35.63 ± 5.27^a	31.66 ± 3.96^a^,^b	27.94 ± 6.68^a^,^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
Diet choice	After	3.74 ± 0.79^a	3.40 ± 0.93^a^,^b	2.92 ± 0.77^a^,^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
Confidence in maintaining vitality	After	3.65 ± 0.79^a	3.34 ± 0.87^a^,^b	2.63 ± 0.66^a^,^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
Confidence in stoma self-care	After	3.90 ± 0.78^a	3.55 ± 0.88^a^,^b	2.95 ± 0.81^a^,^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
Confidence in sexual life	After	3.32 ± 0.85^a	3.24 ± 0.80^a	2.75 ± 0.76^a^,^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
Confidence in sexual satisfaction	After	3.05 ± 0.58^a	2.79 ± 0.68^a^,^b	2.42 ± 0.59^a^,^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
Confidence in physical labor	After	3.66 ± 0.85^a	3.37 ± 1.00^a^,^b	2.57 ± 0.86^a^,^b^,^c	24.330	< 0.001

Data are presented as mean ± SD.

^aP < 0.05, compared with the same group before intervention.

^bP < 0.05, compared with group A.

^cP < 0.05, compared with group B.

Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care; Group B received internet multiple linkage mode-based extended care; Group C received usual care intervention.

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 ± 4.44^a^,^b	35.38 ± 6.48^a^,^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 ± 5.73^a^,^b	38.60 ± 3.46^a^,^b^,^c	68.965	< 0.001

Data are presented as mean ± SD.

^aP < 0.05, compared with the same group before intervention.

^bP < 0.05, compared with group A.

^cP < 0.05, compared with group B.

Table 4 Comparison of cancer-induced fatigue among the three groups

Item	Group A, n = 62	Group B, n = 62	Group C, n = 63	z value	P value
No fatigue	18 (29.03)	12 (19.35)	8 (12.70)^b	N/A	N/A
Mild fatigue	30 (48.39)	24 (38.71)	17 (26.98)^b	N/A	N/A
Moderate fatigue	11 (17.74)	18 (29.03)	25 (39.68)^b	N/A	N/A
Severe fatigue	3 (4.84)	8 (12.90)	13 (20.63)^b	17.510	< 0.001

Data are presented as n (%).

^bP < 0.05, compared with group A.

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 ± 2.79^a^,^b	42.76 ± 4.86^a^,^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 ± 5.64^a^,^b	57.16 ± 4.69^a^,^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 ± 4.44^a^,^b	47.38 ± 6.10^a^,^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 ± 2.06^a^,^b	21.02 ± 3.29^a^,^b^,^c	84.898	< 0.001

Data are presented as mean ± SD.

^aP < 0.05, compared with the same group before intervention.

^bP < 0.05, compared with group A.

^cP < 0.05, compared with group B.

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