Effects of Intervention Guideline to Reduce Length of Stay in Colorectal Cancer Patients with Colostomy

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พิมานญ์ โภควินภูดิสนันท์


Background: Some patients who underwent surgical treatment for colorectal cancer need to protect anastomosis by colostomy. In such cases, nursing cares are more difficult and affect their quality of life, leading to longer hospital length of stay (LOS).
Objective: To determine the results of implementing the author’s colostomy care guideline to reduce LOS and postoperative complications in patients with colorectal cancer.
Material and method: A prospective non-concurrent controlled intervention study was conducted on 70 patients who had colostomy following surgical treatment of colorectal cancer stage 3-4. The control group (n=35) received conventional standard care between January 2012 – April 2013. The study group (n=35) received colostomy care guideline between June 2013 - October 2014. Clinical data, LOS and postoperative complications were compared by using Chi-square, Fisher’s exact and t-test. Correlation between receiving the guideline and LOS was analyzed by generalized linear models. Correlation between receiving the guideline and complications was analyzed by multiple logistic regression.
Results: Most of the patients were male (61.4%), had rectal cancer stage 3 (62.9%) and underwent low anterior resection (40%). The control group had higher mean age (58.7 ± 7.8 vs 59.8 ± 14.2 years, p=0.040). There was no different postoperative complications beween groups (p=0.234). The study group had lower LOS than the control group (7.5 ± 1.1 vs 8.3 ± 1.3 days, p=0.004). Receiving colostomy care guideline had 3.1 times likelihood for shorter LOS (95% CI 1.7-5.7,
p<0.001), but had no correlation with postoperative complications.                                                                                                                                                            Conclusion: Colostomy care guideline could reduce hospital LOS of the patients whom operated for colorectal cancer, but could not reduce complications.


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โภควินภูดิสนันท์ พ. (2015). Effects of Intervention Guideline to Reduce Length of Stay in Colorectal Cancer Patients with Colostomy. Lampang Medical Journal, 36(2), 64–73. Retrieved from https://he01.tci-thaijo.org/index.php/LMJ/article/view/186390
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