Effects of nursing intervention based on stress and coping theory on psychological stress, negative emotions and self-management in patients with permanent enterostomy after surgery for colorectal cancer

LI Jiang-wei; WANG Shu-jun; LI Chang-zai; HU Bao-shan; JIAO Gui-mei; ZHANG Wei-hong

doi:10.16460/j.issn1008-9969.2025.04.064

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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (4) : 64-69. DOI: 10.16460/j.issn1008-9969.2025.04.064

Effects of nursing intervention based on stress and coping theory on psychological stress, negative emotions and self-management in patients with permanent enterostomy after surgery for colorectal cancer

LI Jiang-wei^a, WANG Shu-jun^a, LI Chang-zai^b, HU Bao-shan^b, JIAO Gui-mei^b, ZHANG Wei-hong^c

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Objective To explore the effect of nursing intervention based on stress and coping theory in patients with permanent enterostomy after surgery for colorectal cancer. Methods A total of 96 patients with permanent enterostomy after colorectal cancer surgery were randomly divided into control group and observation group, with 48 cases in each. The control group was given routine in-patient care and follow-up at discharge. The observation group was given additional nursing intervention program based on stress and coping theory. Psychological stress, negative emotion and self-management of patients in the two groups were evaluated before and 12 weeks after intervention. Results At the end of 12-week intervention, the scores of colostomy pressure, anxiety and depression in the observation group were lower than those in the control group 59.80±9.61 vs 68.47±10.82, 13.53±2.55 vs 16.84±4.33, 7.77±2.69 vs 11.65±3.76, respectively; the score of self-management of enterostomy was higher 110.02±10.14 vs 95.10±8.61, and the differences were statistically significant (P<0.05). Conclusion Nursing intervention program based on stress and coping theory can reduce psychological stress, relieve negative emotions and improve self-management ability of patients with permanent enterostomy after colorectal cancer surgery.

Key words

postoperative colostomy care / colostomy psychological stress / anxiety / depression / self-management

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LI Jiang-wei, WANG Shu-jun, LI Chang-zai, HU Bao-shan, JIAO Gui-mei, ZHANG Wei-hong. Effects of nursing intervention based on stress and coping theory on psychological stress, negative emotions and self-management in patients with permanent enterostomy after surgery for colorectal cancer[J]. Journal of Nursing. 2025, 32(4): 64-69 https://doi.org/10.16460/j.issn1008-9969.2025.04.064

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