Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Effect of ADOPT model-based nursing intervention on self-management ability in patients with middle and low rectal cancer after sphincter-preserving surgery.
Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveThe 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.
methodsA 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.
resultsBefore 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).
conclusionADOPT 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.
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