Whole-process Standardized Nursing Colorectal Cancer Enterostomy Management Practice
南京医科大学党的建设研究会立项课题（23NYDJ0311）
目的：探讨全程标准化护理流程在结直肠癌肠造口患者管理中的实践效果，为优化临床护理提供依据。方法：选取 2023 年 1月至 2024 年 12 月我院收治的结直肠癌行肠造口患者 120例，采用随机数表法分为对照组（n=60）和观察组（n=60）。对照组实施常规护理，观察组实施全程标准化护理流程。比较两组患者的护理效果，包括并发症发生率、焦虑评分（SAS评分）、住院时间护理满意度。结果：观察组患者的并发症发生率显著低于对照组（3.33% vs 20.00%，P＜0.05），护理后焦虑评分显著低于对照组（30.22±2.64 vs 49.16±2.46分，P＜0.05），护理满意度显著高于对照组（95.00% vs 81.67%，P＜0.05）。结论：全程标准化护理流程可显著降低结直肠癌肠造口患者的并发症发生率，改善心理状态，提高护理满意度，具有重要临床意义。
Objective：To investigate the efficacy of whole-process standardized nursing with colorectal cancer and enterostomy，and to provide evidence for enhancing clinical nursing practices. Methods：A total of 120 patients with colorectal cancer who underwent enterostomy and were admitted to our hospital between January 2023 and December 2024 were recruited for this study. These patients were randomly allocated into a control group（n=60）and an observation group（n=60）using the random number table method. The control group received routine care，while the observation group was given a whole-process standardized nursing. The nursing effects of the two groups were compared，including the incidence of complications，Self-Rating Anxiety Scale（SAS），hospital stay and nursing satisfaction. Results：The incidence of complications in the observation group was significantly lower than that in the control group（3.33% vs. 20.00%，P < 0.05），The anxiety score after nursing in the observation group was significantly lower than that in the control group（30.22 ± 2.64 vs. 49.16 ± 2.46 points，P < 0.05）. The satisfaction rate of nursing in the observation group was significantly higher than that in the control group（95.00% vs. 81.67%，P < 0.05）. Conclusion：The whole-process standardized nursing significantly reduce the incidence of complications in patients with colorectal cancer and colostomy，improve their psychological status and enhance the satisfaction with nursing care，presenting significant clinical significance.