To explore the intervention effects of different health education models in enterostomy patients by using mesh meta-analysis, so as to provide a reference for enterostomy patients to choose the best health education model. PubMed, Web of Science, Embase, Cochrane Library, MEDLINE, CINAHL, CNKI, CBM, VIP and Wanfang data were searched for randomized controlled trials(RCT) on the efficacy of different health education modes in enterostomy patients from the inception to January 2023.Data were extracted and methodological quality was evaluated. Mesh meta-analysis was performed by Addis1.16.5 software. A total of 12 RCTS were included, involving 1158 patients with enterostomy. The study shows that the TIR education model has certain advantages in improving patients' self-care ability. The KAP education model has the best effect on regulating anxiety, and the PRECEDE-PRECEDE education model is the most likely to be the best choice in improving the quality of life. This study can effectively guide clinical nurses to choose the most suitable health education mode according to the purpose of health education, so as to improve the effect of health education.

Su Liuju, Wen Xiulin, Wang Jingrong, Xiao Qian, Luo Liqun. Effects of Different Health Education Models on Self-care Ability, Anxiety and Quality of Life in Patients with Enterostomy: A Mesh Meta-analysis. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 11: 33-40. https://doi.org/10.25236/AJMHS.2023.041105.

[1] Son H, Kang Y. Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study [J]. Healthcare, 2021, 9(1): 21.

[2] Chang ZM, Wang JL, Chou J, et al. Relationship between benefit finding and quality of life among colorectal cancer patients with stoma at early stage[J]. J Nurs Sci, 2022, 37(19): 75-77.

[3] Harris MS, Kelly K, Parise C. Does preoperative ostomy education decrease anxiety in the new ostomy patient? A quantitative comparison cohort study[J]. J Wound Ostomy Continence Nurs, 2020, 47(2): 137-139.

[4] Liu QL, Zhang J, Zhang J, et al. The influence of mind mapping schema health education on postoperative self-care ability of patients with enterostomy[J]. Chinese Journal of General Practice, 2022, 20(9): 1615-1619, 1630.

[5] Du X, Yang Y, Wang L, et al. Effects of microvideo-based health education on stoma self-care ability and quality of life in patients with permanent enterostomy[J]. J Nurs Sci, 2021, 36(16): 47-49.

[6] Jia MT, Zhu HF, Hou LY, et al. Method to draw conclusions from a network meta-analysis: a minimally contextualised framework[J]. Chinese Journal of Evidence-Based Medicine, 2021, 21(09): 1102-1109.

[7] Xu YR, Bian LY, Liu XL, et al. Application of trans-theoretical model to improve self-care ability of patients with colostomy[J]. China Journal of Modern Medicine, 2016, 26(8): 135-138.

[8] Huang SX, Chen JJ, Li CM, et al. KAP education model the impact of colostomy quality of life of patients with mouth[J]. Modern Nurse, 2016, (06): 126-127.

[9] Liu QY, Xu LX, Shi J. Application of Snyder's hope theory model in wound stomy management[J]. Guangdong Medical Journal, 2017, 38(18): 2886-2888.

[10] Zhang LX. Influence of Health Education Based on Cross Theoretical Model on Self-care Ability and Quality of Life of Elderly Patients with Postoperative Colon Stoma[J].  Chinese Primary Health Care, 2017, 31(4): 46-48.

[11] Chen CP, Zhou T, Li QY, et al. Study on the effect of ADOPT nursing on the level of colostomy adaptation, GSES and SF-36 scores in patients with colostomy[J]. Modern Medical Journal, 2018, 46(12): 1419-1422.

[12] Li HH. Effects of health education based on PRECEDE-PROCEED model on self-care ability and quality of life in patients with permanent colostomy after rectal cancer surgery[J]. Modern Medical Imagelogy, 2019,28(06):1417-1418. 

[13] Li YH, Cao S. Effects of PRECEDE model-based care in elderly patients undergoing colostomy for colorectal cancer[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2019, 28(10): 1120-1123.

[14] Xiao LZ. Effect of homogeneous health education model on postoperative colostomy in patients with rectal cancer[J]. Modern Nurse, 2020, 27(3): 109-111. 

[15] Peng FJ, Qiu S, Zhu SX, et al. Effects of homogenous medical health education model on disease knowledge and self-care ability of patients with colostomy after rectal cancer operation[J]. Chinese Clinical Nursing, 2020, 12(2): 149-152.

[16] Xi Z, Gao R, Lin JL, et al. Effects of hospital‐family holistic care model on the health outcome of patients with permanent enterostomy based on the theory of ‘Timing It Right’[J]. Journal of Clinical Nursing, 2020, 29(13-14): 2196-2208.

[17] Dai DQ, Wang XY. The effect of collaborative nursing model on postoperative nursing and self-nursing ability of colorectal cancer patients[J]. DA JIAN KANG, 2022, (17): 90-92.

[18] Cong J, Tang H. Practical implications of PRECEDE model-based care in elderly patients undergoing colorectal cancer ostomy surgery[J]. Zhonghua Yangsheng Baojian, 2022, 40(11): 107-110.

[19] Si LM, Liu F, Zhang PY, et al. Evidence summary of perioperative health education for patients undergoing ostomy surgery[J]. Chin J Nurs, 2021, 56(3): 452-457.

[20] Cameron JI, Gignac MA. “Timing It Right”: A conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home[J]. Patient Education and Counseling, 2008, 70(3): 305-314

[21] Wen F, Chen SM, Ling ZL. Effects of nursing education model based on timing theory education model on psychological burden, quality of life and incidence of colostomy complications in colostomy patients [J]. Jilin Medical Journal, 2022, 43(12): 3368-3371.

[22] Ji L, Jin RH, Zheng J. Influence of home nursing on self-care ability of middle-aged and young stroke patients and the care ability of their caregivers based on "Time It Right". Chinese Nursing Research, 2018, 32(9): 1393-1397.

[23] Khalilzadeh GM, Tirgari B, Roudi RO, et al. Studying the effect of structured ostomy care training on quality of life and anxiety of patients with permanent ostomy[J]. International Wound Journal, 2019, 16(6): 1383-1390.

[24] Koc MA, Akyol C, Gokmen D, et al. Effect of Prehabilitation on Stoma Self-Care, Anxiety, Depression, and Quality of Life in Patients With Stomas: A Randomized Controlled Trial[J]. Diseases of the Colon & Rectum, 2023, 66(1): 138-147.

[25] Wu QZ, Gao MY. Research progress of psychological nursing intervention to relieve stigma and anxiety in patients with permanent colorectal cancer postoperatively[J]. International Journal of Nursing, 2021, 40(12): 2296-2301.

[26] Wei QF, Xie ZF, Wei DX, et al. Development and psychometric testing of the stoma knowledge-attitude-practice questionnaire among intestional stoma patients[J]. Chinese Journal of Nursing Education, 2017, 14(11):815-819.

[27] Wu YX, Zhang SH, Wang B. The effect of Knowledge Attitude Belief Practice model on quality of life in patients with permanent enterostomy[J]. Modern Nurse, 2020, 27(12): 44-46.

[28] Chen CX, Feng XS, Xu X. Application value of knowledge, attitude and practice model in patients before gastrointestinal endoscopy in gastroenterology department[J]. Chinese Journal of Practical Nursing, 2021, 37(33): 2589-2593.

[29] Tang YM, Zhang GJ, Ma J. Correlation between symptom groups and quality of life in elderly patients with enterostomy[J]. Chinese Journal of Gerontology, 2022, 42(2): 477-480.

[30] Qiao SL, Wang L, Yuan ML, et al. Application and research progress of PRECEDE-PROCEED model in health intervention [J]. Occupation and Health, 2021, 37(12):1716-1719.

[31] Du J, Wang BQ, Ning Y, et al. Study on effect of health education based on Green's model on improving the quality of life of patients with sudden deafness[J]. Chinese Nursing Research, 2021, 35(5): 916-920.

[32] Huang J. Green Model of Health Education for Prevention Evaluation of the Effect of Enterostomy [D]. Guangxi University of Chinese Medicine, 2022.