Volume 24 Issue 4
Apr.  2026
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ZHOU Qiang, ZHANG Xiaoshuang, SUN Lin, GUO Kun, WANG Xi, SHEN Minjing, WANG Jiacheng, YUAN Li, FANG Haonan. Home life experience in patients with temporary ileostomy for rectal cancer: A qualitative study[J]. Chinese Journal of General Practice, 2026, 24(4): 678-681. doi: 10.16766/j.cnki.issn.1674-4152.004467
Citation: ZHOU Qiang, ZHANG Xiaoshuang, SUN Lin, GUO Kun, WANG Xi, SHEN Minjing, WANG Jiacheng, YUAN Li, FANG Haonan. Home life experience in patients with temporary ileostomy for rectal cancer: A qualitative study[J]. Chinese Journal of General Practice, 2026, 24(4): 678-681. doi: 10.16766/j.cnki.issn.1674-4152.004467

Home life experience in patients with temporary ileostomy for rectal cancer: A qualitative study

doi: 10.16766/j.cnki.issn.1674-4152.004467
Funds:

 2023AH05

  • Received Date: 2025-03-17
  •   Objective  To explore the home-living experiences of patients with rectal cancer with a temporary ileostomy, and to provide a reference for clinical healthcare professionals in developing home-care plans for such patients.  Methods  Purposive sampling was used to recruit patients with rectal cancer who retained a temporary ileostomy and were treated at the First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital) between December 2023 and October 2024, and semi-structured interviews were conducted with 15 patients. The interview guide was developed on the basis of a literature review, project-group discussions, and pilot interviews with two patients, interviews were audio-recorded, and within 24 h after each interview two researchers transcribed the recordings into text and analyzed the interview content using Colizzi ' s seven-step method to synthesize themes.  Results  The home-living experiences of patients with rectal cancer and a temporary ileostomy were distilled into four themes: (1) changes in living behaviors (reduced sleep quality, dietary changes, and insufficient physical activity); (2) complex emotions (reluctant acceptance of the illness, positive psychological adjustment, and courageous confrontation of the illness); (3) difficulties in home life (stoma-related complications, lack of self-care ability, and heavy financial burden); (4) needs in home life (need for continuity of care services and hope for stoma reversal).  Conclusion  The home-living experiences of patients with rectal cancer with a temporary ileostomy are rich, patients have positive experiences of courageously facing the illness, but also negative experiences such as problems with sleep and diet, stoma-related complications, a heavy financial burden, and needs for continuity of care. Healthcare professionals should attend to these negative experiences in home-dwelling patients. By collaborating with families, local government, and society resources, they can provide multidimensional support to improve the quality of patients ' home life.

     

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  • [1]
    边晓倩, 王莎莎, 赵淑芬, 等. Ⅲ期结直肠癌血清细胞因子水平与术后短期复发关系[J]. 青岛大学学报(医学版), 2024, 60(1): 72-76.

    BIAN X Q, WANG S S, ZHAO S F, et al. Relationship between serum cytokine levels and short 813t6eA5r3m2 postoperative recurrence in stage Ⅲ colorectal cancer[J]. Journal of Qingdao University (Medical Sciences), 2024, 60(1): 72-76.
    [2]
    谷媛, 项荣武, 翟玉萱, 等. 结直肠癌差异基因筛选及功能预测[J]. 中国现代医学杂志, 2021, 31(24): 25-31.

    GU Y, XIANG R W, ZHAI Y X, et al. Screening and functional prediction of differentially expressed genes in colorectal cancer[J]. China Journal of Modern Medicine, 2021, 31(24): 25-31.
    [3]
    章新, 郑莹. 2005-2020年中国国家及分省疾病监测点的肿瘤死亡疾病负担数据解读[J]. 诊断学理论与实践, 2024, 23(4): 371-377.

    ZHANG X, ZHENG Y. Interpretation of cancer death burden data from disease surveillance sites in China from 2005 to 2020[J]. Journal of Diagnostics Concepts & Practice, 2024, 23(4): 371-377.
    [4]
    LIN L, WANG Z, ZHANG Q, et al. Application of transumbilical laparoscopic surgery on low/ultralow rectal cancer for anal sphincter preservation[J]. J Laparoendosc Adv Surg Tech A, 2022, 32(7): 740-746. doi: 10.1089/lap.2021.0586
    [5]
    刘亚婷, 彭琦, 谢玲女. 直肠癌低位前切除术后症状评估量表的编制和信效度研究[J]. 浙江医学, 2021, 43(7): 721-725.

    LIU Y T, PENG Q, XIE L N. Development and reliability and validity study of symptom assessment scale for patients after low anterior resection of rectal cancer[J]. Zhejiang Medical Journal, 2021, 43(7): 721-725.
    [6]
    MU Y, ZHAO L, HE H, et al. The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis[J]. World J Surg Oncol, 2021, 19(1): 318. DOI: 10.1186/s12957-021-02432-x.
    [7]
    TURNER G A, CLIFFORD K A, HOLLOWAY R, et al. The impact of prolonged delay to loop ileostomy closure on postoperative morbidity and hospital stay: a retrospective cohort study[J]. Colorectal Dis, 2022, 24(7): 854-861. doi: 10.1111/codi.16095
    [8]
    CHOI H R, PARK H S, HONG Y, et al. The lived experience of colorectal cancer patients with a temporary ileostomy and the patient ' s perception of the ostomy nurses ' educational interventions[J]. Support Care Cancer, 2023, 31(5): 276. DOI: 10.1007/s00520-023-07748-w.
    [9]
    王晓萱, 张振香, 江湖, 等. 缺血性脑卒中患者自我管理行为维持困境的质性研究[J]. 中华护理杂志, 2024, 59(23): 2867-2872.

    WANG X X, ZHANG Z X, JIANG H, et al. A qualitative study of self-management behavior maintenance dilemmas in patients with ischemic stroke[J]. Chinese Journal of Nursing, 2024, 59(23): 2867-2872.
    [10]
    刘迎春, 王承云, 李树军, 等. 急性白血病患儿父母应对疾病不确定感的质性研究[J]. 新乡医学院学报, 2021, 38(2): 137-140.

    LIU Y C, WANG C Y, LI S J, et al. Qualitative study on parents ' coping for illness uncertainty in children with acute leukemia[J]. Journal of Xinxiang Medical University, 2021, 38(2): 137-140.
    [11]
    中国医师协会肛肠医师分会造口专业委员会, 中国医师协会肛肠医师分会, 中华医学会外科学分会结直肠外科学组, 等. 中低位直肠癌手术预防性肠造口中国专家共识(2022版)[J]. 中华胃肠外科杂志, 2022, 25(6): 471-478.

    Chinese Physicians Association Anorectal Physicians Branch Stoma Professional Committee, Chinese Physicians Association Anorectal Physicians Branch, Chinese Medical Association Surgery Branch Colorectal Surgery Group, et al. Chinese expert consensus on preventive enterostomy for mid 8 136loAw532rectal low rectal cancer surgery (2022 edition)[J]. Chinese Journal of Gastrointestinal Surgery, 2022, 25(6): 471-478.
    [12]
    韩辰燕, 董昀, 窦双婷, 等. 系统中医化疗保健操对食管癌患者化疗后消化道反应及生存质量的影响[J]. 广西医学, 2023, 45(2): 147-151.

    HAN C Y, DONG Y, DOU S T, et al. Effects of systematic traditional Chinese medicine chemotherapy exercises on gastrointestinal reactions and quality of life in patients with esophageal cancer after chemotherapy[J]. Guangxi Medical Journal, 2023, 45(2): 147-151.
    [13]
    AUBERT M, BUSCAIL E, DUCHALAIS E, et al. Management of adult intestinal stomas: the 2023 French guidelines[J]. J Visc Surg, 2024, 161(2): 106-128. doi: 10.1016/j.jviscsurg.2024.02.002
    [14]
    MATSUZAWA H, MUNAKATA S, KAWAI M, et al. Analysis of ileostomy stool samples reveals dysbiosis in patients with high-output stomas[J]. Biosci Microbiota Food Health, 2021, 40(3): 135-143. doi: 10.12938/bmfh.2020-062
    [15]
    程伊霞, 张培莉, 侯晓雅, 等. 结直肠癌化疗患者基于互联网平台的"H2H"营养管理[J]. 护理学杂志, 2023, 38(9): 10-13.

    CHENG Y X, ZHANG P L, HOU X Y, et al. Application of hospital-to-home nutrition management using Internet platform in colorectal cancer patients treated with chemotherapy[J]. Journal of Nursing Science, 2023, 38(9): 10-13.
    [16]
    NEHEMIAH A, PETTKE E N, APPEL S, et al. Pilot feasibility study of physical activity to manage bowel dysfunction in survivors of rectal cancer[J]. Dis Colon Rectum, 2025, 68(4): 483-490. doi: 10.1097/DCR.0000000000003583
    [17]
    HU J, ZHANG X, SUN J, et al. Supportive care needs of patients with temporary ostomy in enhanced recovery after surgery: a mixed-methods study[J]. J Nurs Res, 2024, 32(3): e329. DOI: 10.1097/jnr.0000000000000610.
    [18]
    RAHMAN M M, DAVID M, STEINBERG J, et al. Association of optimism and social support with health-related quality of life among Australian women cancer survivors-a cohort study[J]. Asia Pac J Clin Oncol, 2025, 21(2): 221-231. doi: 10.1111/ajco.14079
    [19]
    王洁, 汪春良. 医院-家庭连续性护理干预模式在Miles术后肠造口患者中的应用[J]. 中华全科医学, 2021, 19(2): 332-335. doi: 10.16766/j.cnki.issn.1674-4152.001802

    WANG J, WANG C L. Application of hospital-family continuous nursing-intervention model in patients with enterostomy after Miles operation[J]. Chinese Journal of General Practice, 2021, 19(2): 332-335. doi: 10.16766/j.cnki.issn.1674-4152.001802
    [20]
    BABAKHANLOU R, LARKIN K, HITA A G, et al. Stoma-related complications and emergencies[J]. Int J Emerg Med, 2022, 15(1): 17. DOI: 10.1186/s12245-022-00421-9.
    [21]
    BARNARD J, MILNE T, TEO K, et al. Causes and costs of delayed closure of ileostomies in rectal cancer patients in Australasian units[J]. ANZ J Surg, 2023, 93(3): 636-642. doi: 10.1111/ans.18092
    [22]
    KO H F, WU M F, LU J Z, et al. A randomized control study: The effectiveness of multimedia education on self-care and quality of life in patients with enterostomy[J]. Int Wound J, 2023, 20(10): 4244-4252. doi: 10.1111/iwj.14326
    [23]
    国务院办公厅. 国务院办公厅关于健全重特大疾病医疗保险和救助制度的意见[EB/OL]. (2021-11-19)[2025-02-10]. https://www.gov.cn/zhengce/content/2021-11/19/content_5651446.htm.
    [24]
    LUO X, WANG Y, LU Z, et al. The application of continuous nursing in patients with enterostomy is beneficial to improve self-care ability, quality of life and reduce the incidence of complications[J]. Minerva Surg, 2024, 79(2): 256-258.
    [25]
    王冲, 石东方, 谢恬枫, 等. 肠造口患者对"互联网+护理上门服务"真实体验的质性研究[J]. 护理学杂志, 2023, 38(20): 8-11.

    WANG C, SHI D F, XIE T F, et al. The real experience of patients with enterostomy receiving Internet Plus home nursing service: a qualitative study[J]. Journal of Nursing Science, 2023, 38(20): 8-11.
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