A randomized control study: The effectiveness of multimedia education on self-care and quality of life in patients with enterostomy.

Colorectal cancer is typically treated through surgery, and self-care skills play a crucial role in disease adaptation and quality of life improvement. Therefore, this study aimed to investigate the effectiveness of a multimedia patient education intervention on enhancing the self-care and quality of life among patients with a postoperative stoma as well as on establishing an easy-to-use ostomy self-care skills assessment. The sample comprised 108 patients with new ostomies who were randomly assigned to two groups. Data were collected from June 2018 to March 2019. The conventional education service program group received individual education in the hospital environment, consisting of four 3-h sessions delivered over 4 consecutive days. The multimedia group viewed a multimedia educational program using a laptop. Data were collected at baseline and 3 months after the intervention using a demographic questionnaire, an ostomy self-care ability scale and the Stoma Quality of Life Scale. Before the intervention, there were no significant differences in self-care ability and quality of life scores between the two groups (p = 0.764 and p = 0.466, respectively). However, 3 months after the intervention, the group that received the multimedia software intervention showed significantly higher self-care ability and quality of life scores compared to the group that received conventional education services (p < 0.001). When a set threshold is reached, self-care ability and a good quality of life can be met. The threshold value of the ostomy self-care skill scale was determined to be 20 points, resulting in a sensitivity of 77.8% and a specificity of 75.5%. The results indicate that the multimedia education program enhanced home self-care ability and quality of life among patients with enterostomy.

[Pollution Characteristics and Emission Coefficients of Volatile Organic Compounds from the Packaging and Printing Industry in Zhejiang Province].

This paper presents the raw material composition and VOC treatment status of the packaging and printing industry in Zhejiang Province based on the survey data obtained in 2015 of 254 packaging and printing enterprises. To analyze the emission characteristics and calculate the emission coefficients of the packaging and printing industry, 100 typical enterprises were further screened according to different printing processes. The results showed that about two-thirds of packaging and printing enterprises failed to effectively dispose of VOCs; meanwhile, solvent-based materials were still commonly used in the packaging and printing industry. The main emission pollution factors of VOCs in the packaging and printing industry were ethyl acetate, isopropanol, ethanol, propyl acetate, and n-butyl acetate. The VOC emission coefficient of the packaging and printing industry in Zhejiang Province was 0.485 kg·kg-1, of which the gravure printing was the primary source with VOCs emission coefficient of 0.634 kg·kg-1. Compared with the material balance method, the error value from the emission coefficient method was less than 15%.