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

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Sep 27, 2023 (publication date) through Dec 20, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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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