Objective  To analyze the project characteristics and correlation of out-of-hospital nursing service demand of enterostomy patients, and provide reference for optimizing continuous nursing service of enterostomy patients.

Methods  From January 2022 to March 2023, enterostomy patients who were treated in Northern Jiangsu People's Hospital were selected as the research object.The quantitative research adopts questionnaire survey to collect patients' general information, the current situation of ostomy use and their needs for continuous nursing services, and uses Apriori correlation analysis method to analyze the relevance of various nursing service needs, and calculate the support, confidence and promotion of needs or demand sets; Qualitative research selected 21 patients with enterostomy for semi-structured interview according to stratified sampling method, based on the principle of theoretical saturation of data.

Results  The demand for out-of-hospital nursing service of enterostomy patients includes five dimensions: physiological function, psychological function, ostomy care, daily activities and social support. Enterostomy patients have a high demand for out-of-hospital nursing, among which the demand for ostomy care accounts for the highest proportion (79.92%), and also with highest average item score (4.00±0.47), with the support degree of 0.397 and the confidence degree of 0.917. The higher the education level, the higher the score of nursing service demand outside the hospital (P<0.05). In the end, three themes were condensed: Satisfaction with out-of-hospital nursing service; The opinions of enterostomy patients on out-of-hospital nursing service are mostly found in the problems of ostomy nursing and the use of ostomy bags; Understanding the potential demand of enterostomy patients of out-of-hospital service.

Conclusion  Patients with enterostomy have different nursing service needs after discharge. Clinicians should set up more optimized continuous nursing service scheme according to the main needs of enterostomy patients for out-of-hospital nursing service and the related characteristics of service needs, so as to improve the level of out-of-hospital nursing service for enterostomy patients.

1.Mahmoud NN. Colorectal cancer: preoperative evaluation and staging[J]. Surg Oncol Clin N Am, 2022, 31(2): 127-141. DOI: 10.1016/j.soc.2021.12.001.

2.Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424. DOI: 10.3322/caac.21492.

3.Du X, Wang D, Du H, et al. The correlation between intimate relationship, self-disclosure, and adaptability among colorectal cancer enterostomy patients[J]. Medicine (Baltimore), 2021, 100(19): e25904. DOI: 10.1097/MD.0000000000025904.

4.Vasilopoulos G, Makrigianni P, Polikandrioti M, et al. Pre- and post-operative nutrition assessment in patients with colon cancer undergoing ileostomy[J]. Int J Environ Res Public Health, 2020, 17(17): 6124. DOI: 10.3390/ijerph17176124.

5.Wang SY, Chang TH, Han CY. Effectiveness of a multimedia patient education intervention on improving self-care knowledge and skills in patients with colorectal cancer after enterostomy surgery: a pilot study[J]. Adv Skin Wound Care, 2021, 34(2): 1-6. DOI: 10.1097/01.ASW.0000725192.98920.c4.

6.杜荣欣, 张晓红. 肠造口患者延续性护理需求与生活质量的纵向研究[J]. 护理学杂志, 2020, 35(6): 84-87. [Du  RX, Zhang  XH. Longitudinal study on continuous nursing needs and quality of life of enterostomy patients[J]. Journal of Nursing Science, 2020, 35(6): 84-87.] DOI: 10.3870/j.issn.1001-4152. 2020.06.084.

7.杜丽萍, 柴秀红, 张华. 延续性护理对直肠癌术后永久性结肠造口患者自护能力及生活质量的影响[J]. 临床心身疾病杂志, 2021, 27(2): 168-170. [Du LP, Cai XH, Zhang H, et al. The effect of continuous nursing on the self-care ability and quality of life of patients with permanent colostomy after rectal cancer surgery[J]. Journal of Clinical Psychosomatic Diseases, 2021, 27(2): 168-170.] DOI: 10.3969/j.issn.1672-187X.2021.02.039.

8.中华人民共和国国家卫生健康委员会. 中国结直肠癌诊疗规范(2020年版)[J]. 中华外科杂志, 2020, 58(8): 561-585. DOI: 10.3760/cma.j.cn112139-20200518-00390.

9.杜荣欣, 张晓红, 刘艳华,等. 永久性肠造口患者延续性护理需求量表的编制及信效度检验[J]. 护理学报, 2020, 27(14): 1-4. [Du RX, Zhang XH, Liu YH, et al. Development of extended nursing demand scale for patients with permanent enterostomy and its reliability and validity[J]. Journal of Nursing, 2020, 27(14): 1-4.] DOI: 10.16460/j.issn1008-9969.2020.14.001.

10.Alenezi A, McGrath I, Kimpton A, et al. Quality of life among ostomy patients: a narrative literature review[J]. J Clin Nurs, 2021, 30(21-22): 3111-3123. DOI: 10.1111/jocn.15840.

11.Lim SH, Chan SWC, Chow A, et al. Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas[J]. J Adv Nurs, 2019, 75(6): 1338-1346. DOI: 10.1111/jan.13973.

12.张俊娥,郑美春,胡爱玲. 肠造口护理与康复指南丛书·结肠造口护理与康复指南[M]. 北京: 人民卫生出版社, 2017. [Zhang JE, Zheng MC, Hu AL. Guide series of enterostomy care and rehabilitation. Guide to colostomy care and rehabilitation[M]. Beijing: People's Health Publishing House, 2017.]

13.席天颖, 仇夏, 陈明霞. 农村肠造口患者护理随访需求方案构建及Kano评价[J]. 重庆医学, 2022, 51(23): 4059-4064. [Xi  TY, Qiu X, Chen MX. Construction of nursing follow-up needs scheme for patients with intestinal stoma in rural areas and Kano evaluation[J]. Chongqing medicine, 2022, 51(23): 4059-4064.] DOI: 10.3969/j.issn.1671-8348.2022.23.021.

14.Zhang Y, Xian H, Yang Y, et al. Relationship between psychosocial adaptation and health-related quality of life of patients with stoma: a descriptive, cross-sectional study[J]. J Clin Nurs, 2019, 28(15-16): 2880-2888. DOI: 10.1111/jocn.14876.

15.叶香婷, 郑美春, 覃惠英. 结直肠癌造口患者术后支持性照顾需求与症状困扰的调查分析[J]. 现代临床护理, 2022, 21(1): 14-20. [Ye XT, Zheng MC, Qin HY. Survey of the needs for postoperative supportive care and symptom distress in colorectal cancer patients with ostomy[J]. Modern Clinical Nursing, 2022, 21(1): 14-20.] DOI: 10.3969/j.issn.1671-8283.2022.01.003.

16.Hu L, Zhou BP, Liu S, et al. Outpatient satisfaction with tertiary hospitals in China: the role of sociodemographic characteristics[J]. Int J Environ Res Public Health, 2019, 16(19): 3518. DOI: 10.3390/ijerph16193518.

17.Burch J. Peristomal skin care considerations for community nurses[J]. Br J Community Nurs, 2019, 24(9): 414-418. DOI: 10.12968/bjcn.2019.24.9.414.

18.Yang P, Shan R, Wei Y, et al. Meta-analysis on the application value of collaborative nursing in postcolostomy nursing of patients with colorectal cancer[J]. Comput Math Methods Med, 2022, 2022: 6940715. DOI: 10.1155/2022/6940715.

19.李晓倩, 关华, 杨丽丽, 等. 肠造口患者身体意象体验质性研究的Meta整合[J]. 数理医药学杂志, 2025, 38(3): 192-200. [Li  XQ, Guan H, Yang LL, et al. Qualitative studies of body image experience among enterostomy patients: a Meta-synthesis[J]. Journal of Mathematical Medicine, 2025, 38(3): 192-200.] DOI: 10.12173/j.issn.1004-4337.202409163.

20.Türkmenoglu G, Karadag A. Problems experienced by spouses of Turkish patients with a stoma: a descriptive, cross-sectional study[J]. Wound Manag Prev, 2019, 65(11): 33-41. https://pubmed.ncbi.nlm.nih.gov/31702993/