Establishment of evaluation index system of high output health education for patients with middle and low rectal cancer undergoing preventive ileostomy

Abstract

Objective We aimed to establish an evaluation index system for health education among high output stoma patients with low anterior resection of rectal cancer and preventive ileostomy.As a theoretical basis,this system may be applied by the clinical nurses to carry out targeted health education and guidance among prophylactic ileostomy patients with hight output stoma and to evaluta the effect of health education. Methods From January to April 2024, We constituted a scientific research team, including clinical medical experts, ostomy nurses and international ostomies,et al,based on the theory of Knowledge-Belief-Practice.Literature review semi-structured interviews，as well as the Delphi method and Multi-dimensional Analytic Hierarchy Process，were used to establish a framework of the evaluation index system and set weighted value for each evaluation index. Results The response rates of the 2 rounds of expert consultations are 75.0% and 86.7%.The expert authority coeddicients are 0.873 and 0.969, respectively.The total Kendall harmony coefficients of the 2 rounds of expert consultations are 0.267~0.338 and 0.377~0.397(P <0.05).As a result，we built up an evaluation index system of health education which comprised 3 first-level indexes，13second-level indexes and 63 third-level indexes for high output stoma patients with low anterior resection of rectal cancer and preventive ileostomy. Conclusion The evaluation index system may provide evidence and a practice tool for clinical nurses in conducting a comprehensive and efficient evaluation of health education among high output stoma patients with low anterior resection of rectal cancer and preventive ileostomy.