To evaluate the effectiveness of Orem’s self-care model in preparing hospitals for the discharge of patients with colorectal cancer who undergo enterostomy. 92 patients with enterostomy were recruited between February 2022 and February 2023 from a general tertiary hospital. The participants were assigned to either the intervention group or the control group randomly. The intervention group received Orem’s self-care program and a three-month follow-up, whereas the control group received only routine care and a three-month follow-up. Discharge readiness, self-care ability, and stoma-quality-of-life data were collected at hospital discharge (T1), 30 days (T2), and 90 days (T3) after discharge. The intervention group had substantially higher discharge readiness (knowledge, < 0.001; coping ability, = 0.006; personal status, = 0.001; expected support, = 0.021; total score, < 0.001), better self-care ability at T1 (self-care knowledge, < 0.001; self-care skills, = 0.010), better total quality of life (QoL) at T1, T2, and T3 ( < 0.001; = 0.006; = 0.014); better stoma management and daily routine at T1 ( = 0.004; < 0.001); and better daily routine at T2 ( = 0.009) than the control group. The designed discharge readiness program based on Orem’s self-care could promote effective patient discharge readiness, self-care knowledge, self-care skills, and QoL. The trial has been registered at Clinical Trials.gov ().

中文翻译：

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奥瑞姆自我护理模式对接受肠造口术的患者出院准备的影响：一项随机对照试验

评估奥勒姆自我护理模式在医院为接受肠造口术的结直肠癌患者出院做好准备方面的有效性。2022年2月至2023年2月期间从某综合三级医院招募92名肠造口患者。参与者被随机分配到干预组或对照组。干预组接受奥雷姆的自我护理计划和三个月的随访，而对照组仅接受常规护理和三个月的随访。在出院时 (T1​​)、出院后 30 天 (T2) 和 90 天 (T3) 收集出院准备情况、自我护理能力和造口生活质量数据。干预组的出院准备度明显更高（知识，< 0.001；应对能力，= 0.006；个人状态，= 0.001；预期支持，= 0.021；总分，< 0.001），T1 时的自我护理能力更好（自我护理）知识，< 0.001；自我护理技能，= 0.010），T1、T2 和 T3 时总体生活质量 (QoL) 更好（< 0.001；= 0.006；= 0.014）；T1 时更好的造口管理和日常工作 (= 0.004；< 0.001)；与对照组相比，T2 组的日常作息 (= 0.009) 更好。基于Orem自我护理设计的出院准备计划可以有效促进患者出院准备、自我护理知识、自我护理技能和生活质量。该试验已在 Clinical Trials.gov () 上注册。