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Effect of ADOPT model-based nursing intervention on self-management ability in patients with middle and low rectal
Xiaojuan Yuan1, Xiaosong Cui1, Yuxia Wang2
1Department of Surgery, Hebei Engineering University Affiliated Hospital, Handan City, 056002, Hebei Province, China.
Objective:
The study was aimed at evaluating the effect of the ADOPT model-based nursing intervention on the self-management ability and quality of life in patients with middle and low rectal cancer after sphincter-preserving surgery.
Methods:
A total of 80 patients diagnosed with middle and low rectal cancer and treated in our hospital between January 2022 and August 2023 were enrolled. Patients were randomly assigned using a computer-generated random number table to either the routine nursing group (n = 40) or the ADOPT model-based intervention group (n = 40). Group allocation was concealed with sealed opaque envelopes, and outcome assessors were blinded to group assignment. Self-management ability was assessed using a validated intestinal symptom self-management questionnaire, and quality of life was evaluated with the WHOQOL-100. Statistical analysis included t-tests and chi-square tests, and effect sizes (Cohen's d or mean differences with 95% confidence intervals) were calculated.
Results:
Before intervention, no significant differences in self-management ability or quality of life were observed between the two groups. After intervention, the ADOPT group showed significantly higher self-management scores across all six domains compared with the routine group (Cohen's d = 0.82-1.15, all P < 0.05). One month after discharge, the ADOPT group demonstrated significantly better quality of life scores than the routine group (mean difference = 4.1, 95% CI: 2.8-5.4, P < 0.001). Furthermore, the incidence of complications within three months after discharge was significantly lower in the ADOPT group (5.0% vs. 27.5%, P = 0.024).
Conclusion:
ADOPT model-based nursing intervention significantly improved self-management ability and quality of life while reducing postoperative complications in patients with middle and low rectal cancer after sphincter-preserving surgery. This structured approach provides evidence for incorporating ADOPT into clinical practice to optimize postoperative care.
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