Treatise
Application and effect evaluation of self-care health platform for colorectal cancer patients with enterostomy based on COM-B model
Yan Jie, Zhou Jin, Zhang Jie
Published 2022-08-21
Cite as Chin J Prac Nurs, 2022, 38(24): 1847-1853. DOI: 10.3760/cma.j.cn211501-20211125-03248
Abstract
ObjectiveTo explore the application effect of capacity, opportunity, motivation-behavior (COM-B) model based self-care health platform for colorectal cancer patients with enterostomy.
MethodsA total of 84 patients with permanent enterostomy for colorectal cancer treated in our hospital from May 2020 to April 2021 were selected and divided into the intervention group and the control group by random number table method, 42 cases in each group. The control group was treated with routine nursing, and the intervention group was treated with a self-care health platform based on COM-B model. Patients′ self-care ability, self-efficacy level and the incidence of enterostomy-related complications were evaluated before and after the intervention.
ResultsFinally, 41 cases were included in the intervention group and 40 cases in the control group. Before intervention, there were no significant differences in self-concept, self-care skills, self-responsibility, health knowledge level and total score of self-care ability between the 2 groups (P>0.05). After intervention, the total scores of self-concept, self-care skills, self-responsibility, health knowledge and self-care ability in the intervention group were (26.14 ± 1.13), (39.49 ± 2.13), (16.20 ± 2.08), (50.95 ± 5.56), (132.78 ± 6.47), which were higher than those in the control group (19.35 ± 2.07), (29.88 ± 3.52), (9.85 ± 3.25), (43.13 ± 6.71), (102.20 ± 11.47), the difference was statistically significant (t values were 5.72-18.28, all P<0.05). Before intervention, there was no significant difference in self-efficacy scores between the 2 groups (P>0.05). After intervention, the self-efficacy score of the intervention group (88.20 ± 6.90) was higher than that of the control group (74.63 ± 3.59), the difference was statistically significant (t=11.14, P<0.05). After intervention, the incidence of enterostomy-related complications in the intervention group was 7.31%(3/41), lower than 27.50%(11/40) in the control group, the difference was statistically significant (χ2=5.36, P<0.05).
ConclusionThe construction of self-care health platform for colorectal cancer patients with enterostomy based on COM-B model can effectively improve the self-care ability and self-efficacy of patients, and reduce the incidence of complications.
Key words:
Enterostomy; COM-B model; Mobile health platform; Self-efficacy; Self care ability
Contributor Information
Yan Jie
Department of Infection, Qinhuangdao Traditional Chinese Medicine Hospital, Qinhuangdao 066000, China
Zhou Jin
Department of Pulmonary Disease, Qinhuangdao Traditional Chinese Medicine Hospital, Qinhuangdao 066000, China
Zhang Jie
Department of Infection, Qinhuangdao Traditional Chinese Medicine Hospital, Qinhuangdao 066000, China
