Practice of the 4+1 wound and stoma management model in postoperative care of patients with total cystostomy
4+1伤口造口管理模式在全膀胱造口患者术后护理中的实践

摘要

目的 探究4+1伤口造口管理模式在全膀胱造口患者术后护理中的实践效果。方法 将2024年1月至2025年12月我院收治的66例全膀胱造口患者，随机分为观察组、对照组，各33例。对照组、观察组分别实施常规护理管理、4+1伤口造口管理模式。结果 在护理满意度方面，观察组为96.97%，对照组为81.82%，有统计学意义（P＜0.05）；观察组精神健康、躯体功能、心理功能以及情感职能分别为（72.23±3.11）分、（73.54±3.72）分、（72.54±3.81）分、（73.11±2.85）分，观察组明显优于对照组，有统计学意义（P＜0.05）。结论 实施4+1伤口造口管理模式在全膀胱造口患者中，能够减少造口管理对日常生活的困扰，解决护理难点，保障患者居家生活的稳定性，值得参考。

Abstract

Objective To explore the practical effects of the 4+1 wound stoma management model in postoperative care for patients with total cystostomy.
Methods A total of 66 patients with total cystostomy admitted to our hospital from January 2024 to December 2025 were randomly divided into an observation group and a control group, with 33 cases in each group. The control group received conventional nursing management, while the observation group was managed using the 4+1 wound stoma model.
Results In terms of nursing satisfaction, the observation group scored 96.97%, compared to 81.82% in the control group, with a statistically significant difference (P < 0.05). The observation group also showed significantly better scores in mental health, physical function, psychological function, and emotional role (72.23±3.11, 73.54±3.72, 72.54±3.81, and 73.11±2.85, respectively), all with statistically significant differences (P < 0.05) compared to the control group.
Conclusion   Implementing the 4+1 wound stoma management model in patients with total cystostomy can reduce the impact of stoma management on daily life, address nursing challenges, and ensure the stability of patients’ home living, making it a valuable reference.