Enterostomy is one of the most commonly performed surgical procedures, which is an artificial method to directly connect the intestinal cavity with the outside of the body. Clinically, it can be divided into ileostomy, colostomy or single-lumen stoma, double-lumen stoma, etc. It is an important means to save lives and improve the quality of life. 1. Psychological analysis of patients with colostomy: The psychological changes of patients with stoma are very complex, influenced by patients’ personality, disease, cultural background, social and family background and their degree of knowledge about colostomy, and vary with the course of clinical pre-surgery, recovery period and rehabilitation period. (1) Denial and resistance to enterostomy surgery, regardless of the reason, can seriously affect the patient’s outward appearance, change his or her lifestyle habits, and discourage participation in normal social activities. Therefore, once a patient learns that he or she needs to have an intestinal stoma, the first reaction is often to doubt the correctness and rationality of the diagnosis and the surgical method, denying the doctor’s diagnosis, and most patients ask for a review. (2) Tension and anxiety Patients have to face the fact of stoma after denial and resistance. Especially when the patient wakes up from anesthesia and sees his abdominal wall intestinal stoma for the first time, he often shows indignation and is very aggrieved, and is most likely to have inner tension and anxiety at this stage. The heart rhythm is accelerated, the blood pressure is increased, the face is pale or flushed, and the muscles are tense. Therefore, in the preoperative period and early postoperative recovery, the psychological trauma of stoma patients often exceeds their physical trauma. (3) Fear and despair psychology Although patients with colostomy have certain psychological preparation for stoma before surgery, they still have difficulty adapting to stoma after surgery, especially when they cannot control defecation, improper care of stoma site or stoma complications occur, which will easily make patients panic, generate fear and despair psychology and lose confidence in life. Patients often fail to cooperate with treatment, and in serious cases, self-harm and suicidal behavior may occur. (4) Depression and low self-esteem During the recovery period, patients often consider themselves disabled and useless, have no confidence in post-surgical recovery, fear disgust and discrimination from others, and are reluctant to interact with others due to inconvenience in life. In addition, the additional medical costs of enterostomy patients can also cause excessive ideological burden and pressure on patients, which manifests itself in the form of fear of social activities, withdrawal and strong dependence on family members. This low self-esteem leads to depression and loss of interest in life. 2, psychological support for patients with stoma: Psychological support is based on harmonious and trusting interpersonal relationship, through talking with patients and careful observation, to understand the patient’s psychological condition and its causes, to change the patient’s incorrect cognitive activities and emotional disorders by means of health education, conversation and suggestion. It should be noted that psychological support is multifaceted and multilevel, and requires the cooperation of medical and nursing staff, the patient’s family and the patient, which is impossible to accomplish alone. The choice of psychological support should be tailored to the patient’s educational level, personality traits and psychological characteristics. And it should be cooperated with other treatment means and promote each other. (1) Health education: When patients cannot fully understand the enterostomy, they will have anxiety and even have doubts about the treatment. Therefore, educating them about relevant medical knowledge, providing general knowledge of enterostomy treatment and rehabilitation, and distributing pamphlets about disease knowledge can help patients better understand themselves and improve their ability to adapt to the social environment. Tell patients that stoma is only an anatomical change, just like a water pipe, the original outlet is broken and can’t be used, so an opening needs to be made in another place to connect the water out, there will be no effect on the physiological function of the body, and the stoma will not affect the quality of life as long as it is properly cared for, helping patients to reduce the feeling of helplessness and relieve the tension and anxiety caused by the stoma. (2) Behavioral training: Behavioral training can help patients reduce psychological stress and somatic complications. Intervention techniques include progressive muscle relaxation, hypnosis, deep breathing, biofeedback, active relaxation and guided imagery. Behavioral training can reduce surgical pain in stoma patients and can reduce general distress in patients. (3) Individual psychotherapy: Individual psychotherapy based on compassion and understanding can reduce the distress and frustration of the stoma patient after learning about the surgery and seeing the stoma. Through general psychotherapy or psychological counseling, patients can quickly reduce their negative emotions and face life more proactively. Individual psychotherapy can be carried out in the form of stoma visit. Patients who have recovered and fully adapted to the stoma can be selected to communicate with those who are about to have a stoma, to talk about how to face the stoma, to overcome the difficulties in recovery, and to eliminate the patients’ fear of the stoma. 4. Collective intervention: The establishment of a stoma association is a very effective collective intervention. The stoma association can enable patients to carry out psychological support activities in an organized manner, and carry out group discussions and experience exchange among stoma patients about the diagnosis and treatment of the disease, rehabilitation and self-care. It enables patients to form cohesion within the group, reduce isolation, support each other, share distress, self-catharsis, and receive guidance from relevant medical staff. The rehabilitation of enterostomal patients should include three aspects: psychological, physiological and social life. Psychological rehabilitation can accelerate their physiological rehabilitation and is more conducive to the rehabilitation of social life, thus improving the survival quality of enterostomates. Therefore, active and effective psychological support for enterostomates in the preoperative, postoperative recovery and rehabilitation periods can reduce or eliminate patients’ psychological stress and improve their confidence in recovery and quality of life.