Yu Y, Wang XQ, Liu G, Li L, Chen LN, Zhang LJ, Xia Q. Impact of a visual mobile terminal-based continuity of care model on caregiver competence of children with enterostomies. World J Gastrointest Surg 2025; 17(3): 99099 [DOI: 10.4240/wjgs.v17.i3.99099]
Corresponding Author of This Article
Qiao Xia, BM BCh, Nurse, Department of Pediatrics Surgery, The Seventh Medical Center of PLA General Hospital, No. 5 Nanmencang, Beijing 100007, China. xia13651287254@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Mar 27, 2025; 17(3): 99099 Published online Mar 27, 2025. doi: 10.4240/wjgs.v17.i3.99099
Impact of a visual mobile terminal-based continuity of care model on caregiver competence of children with enterostomies
Ying Yu, Xian-Qiang Wang, Gang Liu, Lei Li, Li-Na Chen, Li-Juan Zhang, Qiao Xia
Ying Yu, Xian-Qiang Wang, Gang Liu, Li-Na Chen, Li-Juan Zhang, Qiao Xia, Department of Pediatrics Surgery, The Seventh Medical Center of PLA General Hospital, Beijing 100007, China
Lei Li, Department of Pediatrics, The Seventh Medical Center of PLA General Hospital, Beijing 100007, China
Author contributions: Yu Y wrote the paper; Wang XQ and Liu G analyzed the data; Xia Q, Li L, and Chen LN planned the study; Yu Y and Zhang LJ executed the study and collected most of the data. All authors contributed to drafting the article and revised the manuscript for important intellectual content. All authors had access to the study data and reviewed and approved the final manuscript.
Supported by Project of the Health Bureau of the Logistics and Security Department of the Central Military Commission, No. 145BHQ090003076X; and Military Family Planning Special Fund, No. 21JSZ18.
Institutional review board statement: This study was approved by the Hospital Ethics Committee of the Seventh Medical Center of PLA General Hospital (No. 2021-21).
Informed consent statement: We have informed consent with obtained from the participants or their legal guardians.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiao Xia, BM BCh, Nurse, Department of Pediatrics Surgery, The Seventh Medical Center of PLA General Hospital, No. 5 Nanmencang, Beijing 100007, China. xia13651287254@163.com
Received: July 18, 2024 Revised: December 6, 2024 Accepted: January 2, 2025 Published online: March 27, 2025 Processing time: 220 Days and 20.3 Hours
Abstract
BACKGROUND
Children with critical acute abdominal conditions often undergo intestinal stoma surgery.
AIM
To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children with enterostomies.
METHODS
One hundred twenty children with enterostomies and their caregivers in a children's hospital in Beijing were divided into a control group and a study group. The control group (60 cases) received traditional telephone follow-up for continuity of care, while the study group (60 cases) used a visualization mobile terminal-based care model. The incidence of stoma-related complications, caregiver burden scale, and competence scores of children with stoma were compared between the two groups.
RESULTS
The primary caregiver burden score in the study group (37.22 ± 3.17) was significantly lower than that in the control group (80.00 ± 4.47), and the difference was statistically significant (P < 0.05). Additionally, the caregiving ability score of the study group (172.08 ± 3.49) was significantly higher than that of the control group (117.55 ± 4.28; P < 0.05). The total incidence of complications in the study group (11.7%, 7/60) was significantly lower compared to the control group (33.3%, 20/60; χ2 = 8.086, P = 0.004).
CONCLUSION
The visual mobile terminal-based care model reduces caregiver burden, improves home care ability, lowers the incidence of complications and readmission rates, and supports successful second-stage reduction surgery for children with enterostomies.
Core Tip: This study examines a novel visual mobile terminal-based continuity of care model for children with enterostomies. Comparing traditional telephone follow-up (control group) to the new model (study group), significant improvements were observed. The study group exhibited lower caregiver burden scores (37.22 vs 80.00), higher caregiving ability scores (172.08 vs 117.55), and reduced stoma-related complications (11.7% vs 33.3%). This innovative approach enhances caregiver competence, decreases complications, and reduces readmission rates, laying a robust foundation for successful second-stage surgery in children with enterostomies.
