Article(id=1322168694034248484, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322168481081049284, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.09.005, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1750176000000, receivedDateStr=2025-06-18, revisedDate=1768665600000, revisedDateStr=2026-01-18, acceptedDate=null, acceptedDateStr=null, onlineDate=1793159181364, onlineDateStr=2026-10-28, pubDate=1778342400000, pubDateStr=2026-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793159181364, onlineIssueDateStr=2026-10-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793159181364, creator=13701087609, updateTime=1793159181364, updator=13701087609, issue=Issue{id=1322168481081049284, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='9', pageStart='1425', pageEnd='1616', issueExtLink='null', onlineDate='null', pubDate='1778342400000', pubDateStr='2026-05-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793159130592, creator='13701087609', updateTime=1793159130592, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1458, endPage=1466, ext={EN=ArticleExt(id=1322168694336238373, articleId=1322168694034248484, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Construction and practice of chain management model led by stoma specialty nurses for patients with temporary enterostomy undergoing adjuvant chemoradiotherapy, columnId=1220689484526572183, journalTitle=Chinese Nursing Research, columnName=Original Articles, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the implementation effect of chain management led by stoma specialty nurses in patients with temporary enterostomy undergoing adjuvant chemoradiotherapy,aiming to enhance their comprehensive management and early postoperative recovery.
Methods A total of 67 patients scheduled for temporary enterostomy and adjuvant chemoradiotherapy admitted to the Gastrointestinal Surgery Department of our hospital from June 2022 to October 2023 were selected as the control group and received routine care.Another 67 patients from November 2023 to October 2024 were selected as the experimental group.Led by stoma specialty nurses,a two-dimensional management system was constructed,integrating a horizontal organizational management chain and a vertical service chain.This system linked three key phases,perioperative,chemoradiotherapy,and home intermission periods,to implement chain management for enterostomy patients.Comparisons were made between the two groups regarding the incidence of postoperative stoma-related complications,unplanned readmission rates,and quality of life(COH-QOL-OQ) scores at discharge and three months post-discharge.
Results The incidence of postoperative stoma-related complications was lower in the experimental group than that in the control group(8.96% vs.34.34%,P<0.001).At discharge and 3 months post-discharge,the physical health,mental health,social health,and spiritual health scores of the COH-QOL-OQ were significantly higher in the intervention group than those in the control group(P<0.001).The unplanned readmission rates of the experimental group(1.49%) and the 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-related complications,improve patient quality of life.And it could provide a reference for implementing systematic and continuous management strategies for patients with temporary enterostomy undergoing adjuvant chemoradiotherapy.
, authors=Huixiang YU, Ying LIU, Yan LIU, Yongbin ZHENG, authorsList=Huixiang YU, Ying LIU, Yan LIU, Yongbin ZHENG, authorCompany=null, correspAuthors=Ying LIU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322168695217042218, articleId=1322168694034248484, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=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, columnId=1220689484681761433, journalTitle=护理研究, columnName=科研论著, runingTitle=null, highlight=null, articleAbstract=
目的 探讨以造口专科护士为主导的链式管理模式在临时性肠造口辅助放化疗病人中的实施效果，以促进临时性肠造口辅助放化疗病人全程管理及术后早期康复。
方法 将2022年6月—2023年10月我院胃肠外科收治的拟行临时性肠造口术并辅助放化疗的67例行肠造口病人为对照组，实施常规护理；2023年11月—2024年10月的67例行肠造口病人为试验组，以造口专科护士为主导、构建横向组织管理链和纵向环节服务链双维度管理体系，链接病人围术期、放化疗期及居家间歇期3个重点环节对肠造口病人实施链式管理，比较两组术后造口相关并发症发生率、非计划入院率和出院时、出院3个月的生活质量（COH-QOL-OQ）评分。
结果 试验组术后造口相关并发症发生率低于对照组（8.96%与34.34%，P<0.001），病人出院时、出院3个月COH-QOL-OQ的生理健康、心理健康、社会健康和精神健康得分均高于对照组（P<0.001）；试验组非计划入院率（1.49%）与对照组（5.97%）比较差异无统计学意义（P=0.362）。
结论 造口专科护士主导的链式管理模式可降低造口相关并发症发生风险，提升病人生活质量，可为临时性肠造口辅助放化疗病人实施系统化、连续性的管理方案提供参考。
, authors=余茴香, 刘樱
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1Renmin Hospital of Wuhan University, Hubei 430060 China), AuthorCompanyExt(id=1322530745021739830, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, companyId=1322530745004962612, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
1武汉大学人民医院，湖北 430060)])], figs=[ArticleFig(id=1322530749283152729, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=EN, label=Figure 1, caption=
Chain management model for patients with temporary enterostomy undergoing adjuvant chemoradiotherapy, figureFileSmall=mpmoMWaXzmdH51HhZcwPQw==, figureFileBig=nM7NlHhahzcr+pgkGwWPDg==, tableContent=null), ArticleFig(id=1322530749350261594, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=CN, label=图1, caption=
临时性肠造口辅助放化疗病人链式管理模式, figureFileSmall=mpmoMWaXzmdH51HhZcwPQw==, figureFileBig=nM7NlHhahzcr+pgkGwWPDg==, tableContent=null), ArticleFig(id=1322530749622891355, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=EN, label=Figure 2, caption=
Transfer process of chain management for patients with temporary enterostomy undergoing adjuvant chemoradiotherapy, figureFileSmall=SzPPS7u6E9HoQTKm+WQtKQ==, figureFileBig=1M5sPbAHZYvy9NwUk2u7BA==, tableContent=null), ArticleFig(id=1322530749698388828, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=CN, label=图2, caption=
临时性肠造口辅助放化疗病人链式管理转接流程, figureFileSmall=SzPPS7u6E9HoQTKm+WQtKQ==, figureFileBig=1M5sPbAHZYvy9NwUk2u7BA==, tableContent=null), ArticleFig(id=1322530749782274909, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=EN, label=Table 1, caption=
Intestinal ostomy care monitoring record form
, figureFileSmall=null, figureFileBig=null, tableContent=
| 时间 | 造口颜色 | 高度 | 大小及形状 | 造口黏膜 | 出血 | 造口周围皮肤 | 造口排气 | 造口排便 | 造口相关并发症 | 护理记录 | 签名 |
|---|
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
), ArticleFig(id=1322530749891326814, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=CN, label=表1, caption=
肠造口护理监测记录单
, figureFileSmall=null, figureFileBig=null, tableContent=
| 时间 | 造口颜色 | 高度 | 大小及形状 | 造口黏膜 | 出血 | 造口周围皮肤 | 造口排气 | 造口排便 | 造口相关并发症 | 护理记录 | 签名 |
|---|
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
| | | | | | | | | | | |
), ArticleFig(id=1322530750038127455, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=EN, label=Table 2, caption=
Comparison of general characteristics between two groups
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 分类 | 对照组（n=67） | 试验组（n=67） | χ2值 | P |
|---|
| 性别 | 男 | 42 | 47 | 0.836 | 0.360 |
| 女 | 25 | 20 |
| 年龄 | 18~<40岁 | 2 | 1 | 0.544 | 0.762 |
| 40~<60岁 | 18 | 16 |
| ≥60岁 | 47 | 50 |
| 长期居住地 | 市内 | 36 | 29 | 1.287 | 0.257 |
| 市外 | 31 | 38 |
| 工作状态 | 无业 | 7 | 3 | 3.909 | 0.142 |
| 在职 | 20 | 27 |
| 退休 | 40 | 37 |
| 婚姻状况 | 在婚 | 55 | 60 | 1.533 | 0.216 |
| 其他 | 12 | 7 |
| 文化程度 | 小学及以下 | 25 | 17 | 5.101 | 0.165 |
| 初中 | 18 | 17 |
| 中专或高中 | 20 | 20 |
| 专科及以上 | 5 | 13 |
| 家庭人均月收入 | <3 000元 | 31 | 25 | 1.224 | 0.542 |
| 3 000~5 000元 | 28 | 34 |
| >5 000元 | 8 | 8 |
| 医疗费用支付方式 | 公费 | 5 | 3 | 0.907 | 0.636 |
| 医保保险 | 60 | 63 |
| 自费 | 2 | 1 |
| 造口类型 | 回肠造口 | 33 | 28 | 0.752 | 0.386 |
| 结肠造口 | 34 | 39 |
), ArticleFig(id=1322530750147179360, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=CN, label=表2, caption=
两组病人一般资料比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 分类 | 对照组（n=67） | 试验组（n=67） | χ2值 | P |
|---|
| 性别 | 男 | 42 | 47 | 0.836 | 0.360 |
| 女 | 25 | 20 |
| 年龄 | 18~<40岁 | 2 | 1 | 0.544 | 0.762 |
| 40~<60岁 | 18 | 16 |
| ≥60岁 | 47 | 50 |
| 长期居住地 | 市内 | 36 | 29 | 1.287 | 0.257 |
| 市外 | 31 | 38 |
| 工作状态 | 无业 | 7 | 3 | 3.909 | 0.142 |
| 在职 | 20 | 27 |
| 退休 | 40 | 37 |
| 婚姻状况 | 在婚 | 55 | 60 | 1.533 | 0.216 |
| 其他 | 12 | 7 |
| 文化程度 | 小学及以下 | 25 | 17 | 5.101 | 0.165 |
| 初中 | 18 | 17 |
| 中专或高中 | 20 | 20 |
| 专科及以上 | 5 | 13 |
| 家庭人均月收入 | <3 000元 | 31 | 25 | 1.224 | 0.542 |
| 3 000~5 000元 | 28 | 34 |
| >5 000元 | 8 | 8 |
| 医疗费用支付方式 | 公费 | 5 | 3 | 0.907 | 0.636 |
| 医保保险 | 60 | 63 |
| 自费 | 2 | 1 |
| 造口类型 | 回肠造口 | 33 | 28 | 0.752 | 0.386 |
| 结肠造口 | 34 | 39 |
), ArticleFig(id=1322530750281397089, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=EN, label=Table 3, caption=
Comparison of the incidence of postoperative stoma-related complications and unplanned readmission between the two groups
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | | 造口相关并发症 | | 非计划再入院 |
|---|
| 造口周围皮炎 | 造口皮肤黏膜分离 | 造口脱垂 | 造口狭窄 | 造口回缩 | 合计 |
|---|
| 对照组 | 67 | 10（14.93） | 5（7.46） | 2（2.99） | 3（4.48） | 3（4.48） | 23（34.34） | 4（5.97） |
| 试验组 | 67 | 2（2.99） | 2（2.99） | 0（0.00） | 1（1.49） | 1（1.49） | 6（8.96） | 1（1.49） |
| χ2值 | | 4.485 | 0.603 | | 0.258 | 0.258 | 12.718 | 0.831 |
| P | | 0.034 | 0.437 | 0.496① | 0.612 | 0.612 | <0.001 | 0.362 |
), ArticleFig(id=1322530751980090210, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=CN, label=表3, caption=
两组术后造口相关并发症及非计划入院率比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | | 造口相关并发症 | | 非计划再入院 |
|---|
| 造口周围皮炎 | 造口皮肤黏膜分离 | 造口脱垂 | 造口狭窄 | 造口回缩 | 合计 |
|---|
| 对照组 | 67 | 10（14.93） | 5（7.46） | 2（2.99） | 3（4.48） | 3（4.48） | 23（34.34） | 4（5.97） |
| 试验组 | 67 | 2（2.99） | 2（2.99） | 0（0.00） | 1（1.49） | 1（1.49） | 6（8.96） | 1（1.49） |
| χ2值 | | 4.485 | 0.603 | | 0.258 | 0.258 | 12.718 | 0.831 |
| P | | 0.034 | 0.437 | 0.496① | 0.612 | 0.612 | <0.001 | 0.362 |
), ArticleFig(id=1322530752072364899, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=EN, label=Table 4, caption=
Comparison of COH-QOL-OQ scores between the two groups of enterostomy patients（x±s）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 时间 | 组别 | 例数 | 生理健康 | 心理健康 | 社会健康 | 精神健康 |
|---|
| 首次造口时 | 对照组 | 67 | 37.2±4.0 | 29.5±3.1 | 22.2±1.3 | 14.9±1.2 |
| 试验组 | 67 | 35.9±1.4 | 29.4±3.3 | 21.6±1.4 | 14.6±1.0 |
| t值 | | 0.672 | 0.070 | 1.039 | 0.617 |
| P | | 0.510 | 0.945 | 0.312 | 0.545 |
| 出院时 | 对照组 | 67 | 57.0±1.7 | 45.0±1.6 | 34.4±1.2 | 22.5±1.1 |
| 试验组 | 67 | 62.4±1.5 | 49.5±1.1 | 38.5±1.5 | 26.3±2.5 |
| t值 | | -7.521 | -7.268 | -6.781 | -5.171 |
| P | | <0.001 | <0.001 | <0.001 | <0.001 |
| 出院3个月 | 对照组 | 67 | 70.2±1.5 | 63.6±1.5 | 51.2±1.4 | 33.6±1.0 |
| 试验组 | 67 | 79.9±3.2 | 71.1±2.2 | 56.3±1.4 | 38.2±1.9 |
| t值 | | -8.526 | -8.943 | -8.098 | -6.734 |
| P | | <0.001 | <0.001 | <0.001 | <0.001 |
), ArticleFig(id=1322530752164639588, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168694034248484, language=CN, label=表4, caption=
两组肠造口病人COH-QOL-OQ评分比较（x±s）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 时间 | 组别 | 例数 | 生理健康 | 心理健康 | 社会健康 | 精神健康 |
|---|
| 首次造口时 | 对照组 | 67 | 37.2±4.0 | 29.5±3.1 | 22.2±1.3 | 14.9±1.2 |
| 试验组 | 67 | 35.9±1.4 | 29.4±3.3 | 21.6±1.4 | 14.6±1.0 |
| t值 | | 0.672 | 0.070 | 1.039 | 0.617 |
| P | | 0.510 | 0.945 | 0.312 | 0.545 |
| 出院时 | 对照组 | 67 | 57.0±1.7 | 45.0±1.6 | 34.4±1.2 | 22.5±1.1 |
| 试验组 | 67 | 62.4±1.5 | 49.5±1.1 | 38.5±1.5 | 26.3±2.5 |
| t值 | | -7.521 | -7.268 | -6.781 | -5.171 |
| P | | <0.001 | <0.001 | <0.001 | <0.001 |
| 出院3个月 | 对照组 | 67 | 70.2±1.5 | 63.6±1.5 | 51.2±1.4 | 33.6±1.0 |
| 试验组 | 67 | 79.9±3.2 | 71.1±2.2 | 56.3±1.4 | 38.2±1.9 |
| t值 | | -8.526 | -8.943 | -8.098 | -6.734 |
| P | | <0.001 | <0.001 | <0.001 | <0.001 |
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