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Objective <p>The study was aimed at evaluating the effect of the ADOPT model-based nursing intervention on the self-management ability and quality of life in patients with middle and low rectal cancer after sphincter-preserving surgery.</p> Methods <p>A total of 80 patients diagnosed with middle and low rectal cancer and treated in our hospital between January 2022 and August 2023 were enrolled. Patients were randomly assigned using a computer-generated random number table to either the routine nursing group (<i>n</i> = 40) or the ADOPT model-based intervention group (<i>n</i> = 40). Group allocation was concealed with sealed opaque envelopes, and outcome assessors were blinded to group assignment. Self-management ability was assessed using a validated intestinal symptom self-management questionnaire, and quality of life was evaluated with the WHOQOL-100. Statistical analysis included <i>t</i>-tests and chi-square tests, and effect sizes (Cohen’s <i>d</i> or mean differences with 95% confidence intervals) were calculated.</p> Results <p>Before intervention, no significant differences in self-management ability or quality of life were observed between the two groups. After intervention, the ADOPT group showed significantly higher self-management scores across all six domains compared with the routine group (Cohen’s <i>d</i> = 0.82–1.15, all <i>P</i> &lt; 0.05). One month after discharge, the ADOPT group demonstrated significantly better quality of life scores than the routine group (mean difference = 4.1, 95% CI: 2.8–5.4, <i>P</i> &lt; 0.001). Furthermore, the incidence of complications within three months after discharge was significantly lower in the ADOPT group (5.0% vs. 27.5%, <i>P</i> = 0.024).</p> Conclusion <p>ADOPT model-based nursing intervention significantly improved self-management ability and quality of life while reducing postoperative complications in patients with middle and low rectal cancer after sphincter-preserving surgery. This structured approach provides evidence for incorporating ADOPT into clinical practice to optimize postoperative care.</p>

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Effect of ADOPT model-based nursing intervention on self-management ability in patients with middle and low rectal cancer after sphincter-preserving surgery

  • 期刊论文

  • 发表日期：

    2025年11月26日

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  • Xiaojuan Yuan,
  • Xiaosong Cui,
  • Yuxia Wang,
  • Xiaona Duan,
  • Huiying Shen,
  • Yongfeng Wang

摘要

Objective

The study was aimed at evaluating the effect of the ADOPT model-based nursing intervention on the self-management ability and quality of life in patients with middle and low rectal cancer after sphincter-preserving surgery.

Methods

A total of 80 patients diagnosed with middle and low rectal cancer and treated in our hospital between January 2022 and August 2023 were enrolled. Patients were randomly assigned using a computer-generated random number table to either the routine nursing group (n = 40) or the ADOPT model-based intervention group (n = 40). Group allocation was concealed with sealed opaque envelopes, and outcome assessors were blinded to group assignment. Self-management ability was assessed using a validated intestinal symptom self-management questionnaire, and quality of life was evaluated with the WHOQOL-100. Statistical analysis included t-tests and chi-square tests, and effect sizes (Cohen’s d or mean differences with 95% confidence intervals) were calculated.

Results

Before intervention, no significant differences in self-management ability or quality of life were observed between the two groups. After intervention, the ADOPT group showed significantly higher self-management scores across all six domains compared with the routine group (Cohen’s d = 0.82–1.15, all P < 0.05). One month after discharge, the ADOPT group demonstrated significantly better quality of life scores than the routine group (mean difference = 4.1, 95% CI: 2.8–5.4, P < 0.001). Furthermore, the incidence of complications within three months after discharge was significantly lower in the ADOPT group (5.0% vs. 27.5%, P = 0.024).

Conclusion

ADOPT model-based nursing intervention significantly improved self-management ability and quality of life while reducing postoperative complications in patients with middle and low rectal cancer after sphincter-preserving surgery. This structured approach provides evidence for incorporating ADOPT into clinical practice to optimize postoperative care.