一名40多岁的男性患者被诊断患有直肠癌，并接受腹会阴切除术（APR）和永久性末端结肠造口术作为手术治疗。他希望出院后尽快重返工作岗位。物理治疗师（PT）参与了术前咨询，物理治疗师和职业治疗师均在术后第二天开始卧床休息和日常生活活动（ADL）练习。术后第三天开始进行轻量躯干锻炼，逐渐增加负荷。造口管理由护士监督并监测进展情况。出院两周后对患者的日常生活活动进展、术后并发症和重返工作岗位进行评估。因此，患者能够继续康复，没有与术后造口相关的早期并发症。出院两周后，他可以举起 20 公斤的重物并重返木工工作。造口生活质量从术后两周的61分提高到出院两周后的74分。造口术后重新融入社会的早期康复可以在 PT 监督下安全地进行，全面的跨专业合作有助于顺利重新融入社会。版权所有 © 2024，Iijima 等人。

A male patient in his 40s was diagnosed with rectal cancer and underwent abdominoperineal resection (APR) with permanent end colostomy as surgical treatment. He wanted to return to work as soon as possible after discharge. A physical therapist (PT) was involved in the preoperative consultation, and both the PT and occupational therapist started bed rest and activities of daily living (ADL) practice the day after surgery. On the third postoperative day, lightweight trunk exercises were initiated with a gradual increase in load. Stoma management was supervised by a nurse and progress was monitored. The patient's progress in ADLs, postoperative complications, and return to work were evaluated two weeks after discharge. Consequently, the patient was able to continue rehabilitation without early complications related to postoperative stoma. He could lift 20 kg and return to carpentry two weeks after discharge. The stoma quality of life improved from 61 points at two weeks after surgery to 74 points at two weeks after discharge. Early rehabilitation for social reintegration after ostomy creation can be safely performed under PT supervision, and a comprehensive interprofessional collaboration can contribute to smooth social reintegration.Copyright © 2024, Iijima et al.