To explore the preventive effect of the Three-Precision Management Plan (TPMP) on stoma complications after colostomy for rectal cancer.

A retrospective analysis was performed on the clinical data of 100 rectal cancer patients with colostomy admitted from January 2021 to June 2024. The patients were divided into an intervention group (n=51, receiving TPMP nursing based on routine care, including preoperative stoma positioning, postoperative standardized nursing procedures, and continuous nursing) and a control group (n=49, receiving routine nursing) according to different nursing methods. Data were processed using SPSS 22.0 software. χ² test was used for univariate analysis of enumeration data, and Logistic regression analysis was performed for multivariate analysis. P<0.05 was considered statistically significant.

Univariate analysis showed that preoperative diabetes mellitus, albumin level <35g/L, BMI ≥25kg/m², and different nursing methods were associated with the incidence of stoma complications (P<0.05). Multivariate analysis indicated that the nursing intervention model and preoperative BMI ≥25kg/m² were independent risk factors for complications (P<0.05). The total incidence of complications in the intervention group was significantly lower than that in the control group, and there was a significant difference in the incidence of dermatitis between the two groups (P=0.008).

TPMP can effectively reduce the incidence of stoma complications. Patients with preoperative BMI ≥25kg/m² should receive more attention and corresponding preventive measures to reduce the risk of postoperative complications, which is worthy of clinical promotion.