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Article Abstract

Purpose: To investigate the discharge readiness index, to improve the quality of life of patients who undergo enterostomies, and to improve the quality of care.

Methodology: One hundred and fifty patients who underwent enterostomies were randomly divided into two groups (75 patients per group), with the control group receiving usual care and the intervention group completing the discharge readiness planning program.

Results: The patients in the intervention group had significantly higher discharge readiness scores than did those in the control group (116.60 ± 2.45 vs. 101.99 ± 11.04, t = -11.187, P = 0.000). The quality-of-life scores of the patients in the intervention group were significantly higher than those of the patients in the control group on the day of postoperative discharge (116.19 ± 11.67 vs. 104.45 ± 18.09, t = -7.152, P = 0.000) and 1 month after discharge (126.65 ± 6.44 vs. 120.36 ± 6.27, t = -6.067, P = 0.000). The self-care scores of the patients in the intervention group were also significantly higher than those of the patients in the control group on the day of discharge (128.96 ± 8.64 vs. 103.01 ± 18.38, t = -11.060, P = 0.000) and 1 month after discharge (142.85 ± 11.98 vs. 129.39 ± 13.90, t = -6.355, P = 0.000. The incidence of stoma-related complications in the intervention group was significantly lower than that in the control group (2.67 % vs. 12.00 %, χ2 = 4.807, P = 0.000).

Conclusions: The program was effective in improving discharge readiness, self-care, and quality of life and in reducing the incidence of stoma-related complications in patients with enterostomies.

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http://dx.doi.org/10.1016/j.gerinurse.2025.103489DOI Listing

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