ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Anxiety and Stress Disorders
This article is part of the Research TopicEnhanced Recovery After Gastrointestinal SurgeryView all 10 articles
ADOPT model combined with structured health education alleviates the preoperative anxiety of patients undergoing preventive ileostomy
Provisionally accepted
- Changhai Hospital, Second Military Medical University, Shanghai, China
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Objective: This 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. Methods: This 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. Results: At 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 (TAI) scores remained similar (p<0.05). Conclusion: The integration of the ADOPT model with structured health education effectively reduces preoperative anxiety in ileostomy patients, highlighting its potential as a standardized nursing intervention.
Keywords: ADOPT model, ileostomy anxiety, Nursing intervention, STAI (State Trait Anxiety Inventory), Structured health education
Received: 26 Nov 2025; Accepted: 16 Feb 2026.
Copyright: © 2026 Wu, Zhang, Pan and Qin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: jing Qin
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