Surgical Stomas
Conditions
Brief summary
Establish a uniform care network for stoma patients in Shaanxi Province and evaluate its effectiveness, so that stoma patients can get the same quality of stoma care outside the hospital.
Detailed description
This project plans to take the First Affiliated Hospital of Xi'an Jiaotong University as the lead hospital to establish a uniform care network for stoma patients in Shaanxi Province. This network includes the management system of stoma nursing and the management organization of stoma patients in Shaanxi Province. It formulates the whole quality standard of stoma nursing in Shaanxi Province, carries out standard training for the stoma specialty nurses in the group, and carries out on-site inspection in various hospitals from time to time, establishes the feedback mechanism and standardizes the stoma nursing process. The contact card of stoma therapists was made and distributed to patients with stoma, so that patients can easily get the information of stoma therapists in the nearest hospital and receive professional and convenient care. WeChat group of specialized stoma nurses was established to provide remote guidance for difficult cases, share new stoma ideas and knowledge, and facilitate communication among stoma nurses in the group. The leading hospital holds training courses on knowledge and progress of stomatology every year, competitions on knowledge and skills, and dispatches therapists to provide work guidance, so as to share new knowledge, skills and scientific research abilities. At the same time, the efficacy of the network was evaluated by investigating the complication rate, self-care ability, quality of life, medical costs of stoma patients,as well as the specialized nursing skills and professional development of nurses.
Interventions
OTHERuniform care
The leader develops training plan and trains nurses, who provide uniform care and education to patients according to the training.
OTHERconventional care
Nurses carry out the routine care procedures.
Sponsors
First Affiliated Hospital Xi'an Jiaotong University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients aged ≥18 years old; * patients undergoing enterostomy; * patients with primary school and above education level; * patients with clear consciousness, reading and verbal expression ability; * patients could reexamine regularly; * patients informed consent and voluntary participation in the study.
Exclusion criteria
* patients with organ dysfunction who have difficulty in self-care; * patients with mental illness, consciousness disorder or communication disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life measured by Stoma Quality of Life (Stoma-QOL). | 6 months | The scale includes 20 items with a score ranging from 20 to 80 points. The higher the score, the better the quality of life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-care ability measured by stoma self-care ability scale | 6 months | The scale includes three dimensions: self intention questionnaire (12-48 points), self-care knowledge (0-21 points), self-care skills (0-12 points). The higher the score, the higher the self-care ability. |
| Stoma complications | 6 months | Stoma complications include infection around the stoma，parastomal hernia，skin and mucous membrane separation，fistula of stoma，hemorrhage，ischemia，and stenosis． |
Countries
China
Contacts
Primary ContactSijie Chen
Backup ContactXiulin Wen
Outcome results
None listed