Project characteristics and correlation analysis of out-of-hospital nursing service demand of patients with enterostomy

ZHANG Zaiping; TANG Yujia; ZHANG Wei; FANG Fang

doi:10.12173/j.issn.1004-5511.202409113

Abstract：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.