ObjectiveThis study aimed to evaluate the efficacy of the ADOPT (Attitude-Definition-Openmind-Plan-Try it out) model combined with structured health education in alleviating preoperative anxiety in patients undergoing preventive ileostomy for rectal cancer.MethodsThis is a randomized controlled trial. A total of 60 patients scheduled for temporary ileostomy were randomly assigned to either the control group (routine care) or the research group (ADOPT model combined with science popularization interventions). The research group received structured education via a multimedia resource library, including preoperative, intraoperative, and postoperative care guidance, alongside interactive support from a specialized healthcare team. Anxiety levels were assessed with the State-Trait Anxiety Inventory (STAI) at admission and preoperatively.ResultsAt baseline, no significant differences were observed in gender (P = 0.202), age (P = 0.052), or BMI (P = 0.798) between the two groups. Both groups exhibited comparable anxiety levels at admission. However, one hour before surgery, the research group showed significantly lower state anxiety (S-AI) scores and total anxiety scores compared to the control group (20 ± 0.48 vs 23 ± 0.37, p<0.001), while trait anxiety (T-AI) scores remained similar (p<0.05).ConclusionThe integration of the ADOPT model with structured health education effectively reduces preoperative anxiety in ileostomy patients, highlighting its potential as a standardized nursing intervention.
Radically different