Enhanced recovery after surgery nursing program, a protective factor for stoma-related complications in patients with low rectal cancer

Abstract

Background This study aimed to investigate the association between enhanced recovery after surgery (ERAS) nursing program and stoma-related complications (SRCs) and prognosis in patients with low rectal cancer (LRC) undergoing abdominoperineal resection with sigmoidostomy. Methods LRC patients who underwent elective abdominoperineal resection with sigmoidostomy between May 2016 and May 2019 were retrospectively enrolled. The occurrence of early major or minor SRCs (within postoperative 30 days) was set as the primary end-point. Clinicopathological variables and laboratory tests were compared between patients with or without SRCs. The univariate and multivariate logistic regression analyses were performed to investigate risk factors for SRCs. Hospitalization satisfaction-related and prognosis-related variables were compared between LRC patients with or without ERAS nursing program. Results A total of 288 patients were enrolled and the incidence of SRCs was 26.7% (77/288). ERAS nursing program was the only independent risk factor for SRCs in LRC patients (OR 2.04, 95%CI 1.31–3.12, P = 0.016) by the multivariate logistic regression analysis. Moreover, ERAS nursing program was associated with higher hospitalization satisfaction rate, faster bowel function recovery, better psychological status, and higher quality of life. Conclusions ERAS nursing program was a protective factor for SRCs and associated with improved prognosis in LRC patients undergoing elective abdominoperineal resection with sigmoidostomy.

Application of Operating Room Nursing Intervention to Incision Infection of Patients Undergoing Gastrointestinal Surgery Can Reduce Complications and Improve Gastrointestinal Function

“…However, there are still many patients with different degrees of incision infection after operation. This seriously affects the treatment quality and work efficiency and thereby increases the incidence of medical disputes ( 12 , 13 ). Therefore, finding suitable operating room nursing measures that can reduce complications, such as incision infection, is the focus of the current clinical research.…”

The comparison between experimental nursing and routine nursing interventions on the quality of life of stoma patients: A systematic review and meta‐analysis

“…Therefore the experimental nursing intervention in the stoma care has been the research focus in recent years. A study showed that advanced nursing program will have protective effects on the stoma‐related complications and the prognosis of low rectal cancer patients with stoma after abdominoperineal resection with sigmoidostomy 2 . The experimental nursing intervention also evolves to the telecom‐based phase.…”

“…The stoma means the opening formed on the skin surface, which usually represents the consequence of ostomy. The ostomy will usually be applied by extracting the colon, rectum, ileum, or bladder or part of each of them to the abdominal surface, which might cause the inability to control stool and urine flow from the ostomy 1,2 . There are various reasons for the creation of stoma in clinical practice.…”

“…From the point of view of patients, the inability to control the urine and stool will significantly influence the quality of life of the patients with stoma. The complications of stoma include the bleeding from the stoma, irritant dermatitis around the stoma, stoma retraction, incontinence, prolapse of the stoma mucosa, faecal dermatitis, infection of the stoma, and fungal infection, parastomal hernia and stenosis, etc 2,4‐8 . Therefore the stoma care will be an important issue for the nursing care, which may bring beneficial effects on the quality of life of stoma patients.…”

Plan‐Do‐Check‐Action Circulation Combined with Accelerated Rehabilitation Nursing under Computed Tomography in Prevention and Control of Hospital Infection in Elderly Patients Undergoing Elective Orthopedic Surgery

“…Through systematic meta-analysis, Rao et al [ 11 ] concluded that compared with conventional nursing, accelerated rehabilitation nursing could effectively reduce the occurrence of complications such as deep vein thrombosis and infection. Additionally, Shao et al [ 12 ] found that accelerated rehabilitation nursing could effectively reduce the surgical trauma of patients who underwent the laparoscopic radical resection of rectal cancer and reduce the surgical inflammatory stress response, thus promoting the postoperative rehabilitation. At present, the main reason for accelerated rehabilitation nursing is providing intervention measures for various risk factors, and effectively reducing the hospitalization time and the risk of iatrogenic infection.…”