Irregular bowel movements are common in the early stage of rectal cancer patients after colostomy, and patients have no sense of control over bowel movements, which brings many inconveniences to their lives, and their bodies and minds are greatly tested. However, after careful care of the artificial anus and the patient’s active cooperation in exercise, defecation will gradually become controllable. The rehabilitation period care and strengthening the management of the stoma can enable the patient to resume normal work and life. 1, should pay attention to protect the skin around the stoma: the skin around the stoma due to the stimulation of feces and digestive fluid corrosion, easy to cause skin eczema and erosion, if you can pay attention early, can be avoided. It is important to keep the skin around the stoma clean and dry and wash it with warm water every day to keep it clean and hygienic. Use petroleum jelly gauze or zinc oxide ointment around the stoma, scrub with water after each bowel movement and then replace again to prevent inflammation of the skin around the stoma. In the early postoperative period, it is advisable to sleep in the left-sided position to avoid infection caused by fecal contamination of the wound. If skin eczema has occurred, rinse with water to keep the area clean and dry. In case of local erosion, zinc oxide ointment can be applied for protection, and skin cream can also be used. At the same time to find the ambassador too thin cause, such as diarrhea should be oral antidiarrheal drugs. 2, gradually develop the habit of regular bowel movements: if there are a few days without bowel movements, you can take laxative or go to the hospital for artificial anal enema. To train the awareness of regular bowel movements, enemas can be used twice a day and gradually reduced later to stimulate the artificial anus and other intestinal mucosal reactions. Use 500-1000 ml of warm saline enema each time. Patients can learn from competent doctors and nurses before discharge and gradually learn to perform self-enucleation, and pay attention to not to use too much force when inserting the intestinal tube by enema to prevent intestinal perforation. Patients can experience carefully, find out the regularity of defecation and develop the habit of regular defecation. 3.Some patients have stenosis of colostomy caused by scar contracture after surgery, and the stoma should be enlarged as appropriate after surgery: do the action of expanding the artificial anus with fingers every day to stimulate the sensitivity of the artificial anal mucosa, and also to prevent the artificial anus from contracting and becoming narrow when it heals and causing obstruction again. The method is to use the index finger with lubricant and then slowly push it into the stoma, staying inside for five minutes. If the stenosis is severe enough to prevent normal defecation, medical examination and surgery are required. 4. Avoid actions that increase intra-abdominal pressure: If you have difficulty in defecation, you should seek help from your doctor to avoid intestinal mucosal prolapse or increased abdominal pressure that may cause intestinal hernia. The degree of activity should be properly mastered, emotions should be stable, strenuous exercise and bending activities should be properly restrained to avoid excessive increase in abdominal pressure, and wrap a belt when standing. When the prolapsed intestinal tube becomes embedded, the intestinal wall is edematous, or even bruised and necrotic, seek medical treatment in time. 5, observe the stoma blood supply: normal mucosa should be red and lustrous, if it is purple or black, it means that blood flow is impaired. Observe the color, gas, taste and amount of excrement for any abnormality, and seek medical attention at any time when there is discomfort. 6, because the stoma does not have a normal sphincter muscle and basically lost the function of fecal control: therefore, the clinical use of stoma bags to prevent the spillage of feces. The colostomy opening will generally be 1 to 2 cm above the skin surface to facilitate wearing the stoma bag and storing stool. Clean the stoma and surrounding skin before using the artificial anal pouch, and absorb the moisture with soft paper. Align the round mouth of the pouch with the artificial anus, measure the approximate inner diameter, then simply adjust the inner mouth to fit the skin around the artificial anus opening, close the clips, and fasten the belt on both sides. When the stool exceeds 1/3 of the pouch, it is necessary to clean and replace the pouch with a new one. Improper use of the pouch can lead to stoma abrasion, bleeding, infection, fecal spillage, contamination of clothing and odor. Therefore, two or more ostomy bags should be prepared, alternate use, or choose disposable ostomy bags. 7, keep the stool sticky and forming is very important: according to the doctor’s guidance appropriate use of drugs to inhibit intestinal peristalsis, such as loperamide, abdominal tincture of camphor, etc., to extend the retention time of intestinal contents, increase the absorption of water and electrolytes, to control the number of bowel movements. If diarrhea caused by intestinal inflammation occurs, oral antibiotics can be taken.