造口专科护士主导的临时性肠造口辅助放化疗病人链式管理模式的构建与实践

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AbstractObjective：Toexploretheimplementationefectofchainmanagementledbystomaspecialtynurses inpatientswith temporaryenterostomyundergoingadjuvantchemoradiotherapy，aimingtoenhancetheircomprehensivemanagementandearly postoperativerecoveryMethds：Atotalof67patientsshduledfortemporaryenterostomyandadjuvantchemoradiotherapyadited totheGastrointestinal Surgery Departmentofour hospitalfrom June2022 toOctober 2023 were selectedas thecontrolgroupand receivedroutinecare.Another67patientsfromNovember2023toOctober2024 wereselectedastheexperimentalgroup.Ledbystoma specialtyus，tmsioalagenttsostctedtegatigotalaatioalagetd vertical servicechain.Thissystemlinkedthreekeyphases，perioperative，chemoradiotherapy，ndhomeintermissionperiods，to implementchainmanagementforenterostomypatients.Comparisons were made betweenthetwogroupsregardingtheincidenceof postoperativesmrelatedomplicatiosnplaedeadmsiorates，dalityoflifeCO-QOOQ）sorsatsharedee monthspost-discharge.Results：The incidenceofpostoperativestoma-relatedcomplications waslowerintheexperimental grouphan that in the control group 8.96% vs. 34.34% P<0.001 ）.At discharge and 3monthspost-discharge，the physical health，mental health， socialhealth，andsitualhealthsoresoftheCOQOLOQweresigniicantlygherintheintervntiongrouptantoseinthotrol group（ P<0.001 ）.The unplanned readmission rates of the experimental group （1.49% ）andthe control group （5.97% ）showed no statistically significant difference P=0.362 ）.Conclusions：The chain management model led by specialty nurses could reduce the risk of stoma-relatedcomplications，mprovepatientqualityoflife.Anditcouldprovideareferenceforimplementingsystematicandcotiuous management strategies for patients with temporary enterostomy undergoing adjuvant chemoradiotherapy.

Keywordsenterostomy;temporary;specialtynurses;chainmanagement;complications;unplannedreadmission;homecare

我国结直肠癌发病率和死亡率居高不下，且发病群体呈现明显年轻化趋势，严重威胁公众生命健康[1]。（剩余12618字）