Trajectories of supportive care needs of patients having an enterostomy in place after surgi-cal treatment of low-lying rectal cancer
Objective To track the trajectories of supportive care needs in rectal cancer patients at different time points,and to ex-plore the influencing factors of the trajectories.Methods A total of 267 inpatients having an enterostomy in place after surgical treatment of low-lying rectal cancer were enrolled,and surveyed at 1(T1),3(T2),6(T3)months post-surgery.Latent class growth analysis was used to identify trajectories of enterostomal patients'supportive care needs.The influencing factors of the trajectories were analyzed by running logistic regression analysis.Results Totally,249 patients completed the whole follow-ups.Three trajectories of enterostomal patients'supportive care needs emerged:the persistently high group(20.5％),the rapidly de-scending group(43.8％),the slowly descending group(35.7％).Logistic regression analysis showed that age,education levels,household per capita monthly income,chemotherapy,complications,chronic diseases and ostomy adjustment scores influenced the trajectories of patients'supportive care needs.Conclusion The supportive care needs of enterostomal patients have a downward trend within 6 months post discharge.There is group-based heterogeneity in their supportive care needs.Medical staff should for-mulate precise intervention measures tailored to predictors of supportive care needs at different stages,striving to satisfy the sup-portive care needs of enterostomal patients.
rectal cancerenterostomysupportive care needschemotherapycomplicationschronic diseasespsycho-social adjustmentlongitudinal study
NETL
NSTL
万方数据
