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Supportive Care Needs of Patients With Temporary Ostomy in Enhanced Recovery After Surgery: A Mixed-Methods Study
Jieman Hu1, Xiuling Zhang2, Jianan Sun3
1PhD, RN, Lecturer, School of Nursing, Nanjing Medical University, Nanjing, China.
The Journal of Nursing Research : JNR
|May 10, 2024
Summary
Patients undergoing enhanced recovery after surgery (ERAS) for rectal cancer have unmet needs in health system information and care support. Enhanced stoma care education and post-discharge services are crucial for these patients.
Area of Science:
- Colorectal Surgery
- Oncology Nursing
- Patient Support Systems
Background:
- Enhanced Recovery After Surgery (ERAS) protocols aim to shorten hospital stays.
- Rectal cancer patients with temporary stomas require complex, prolonged care.
- Shorter hospital stays challenge traditional stoma care pathways and patient support.
Purpose of the Study:
- To explore the supportive care needs of rectal cancer patients with temporary stomas under ERAS.
- To provide a foundation for developing effective ERAS nursing care plans for ostomy patients.
Main Methods:
- Convergent parallel mixed-methods design.
- Quantitative data from 140 patients via questionnaires.
- Qualitative data from 13 patients via semistructured interviews.
- Data collected from two tertiary hospitals in China.
Main Results:
- Significant unmet needs identified in "health system and information needs" and "care and support needs".
- Patients require focused, understandable stoma care instructions.
- Access to continued post-discharge services and professional attention are essential.
Conclusions:
- ERAS protocols create unmet supportive care needs for rectal cancer stoma patients.
- Shorter hospital stays limit opportunities for essential ostomy education and care.
- Clinical nurses must enhance perioperative care and post-discharge support to ensure quality stoma management.
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