Yu Ying, Wang Xian-Qiang, Liu Gang, Li Lei, Chen Li-Na, Zhang Li-Juan, Xia Qiao
Department of Pediatrics Surgery, The Seventh Medical Center of PLA General Hospital, Beijing 100007, China.
Department of Pediatrics, The Seventh Medical Center of PLA General Hospital, Beijing 100007, China.
World J Gastrointest Surg. 2025 Mar 27;17(3):99099. doi: 10.4240/wjgs.v17.i3.99099.
Children with critical acute abdominal conditions often undergo intestinal stoma surgery.
To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children with enterostomies.
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.
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 ( < 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; < 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; = 8.086, = 0.004).
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.
患有严重急性腹部疾病的儿童常需接受肠道造口手术。
探讨基于可视化移动终端的延续性护理模式对肠造口患儿照顾者能力的影响。
选取北京某儿童医院120例肠造口患儿及其照顾者，分为对照组和研究组。对照组（60例）采用传统电话随访进行延续性护理，研究组（60例）采用基于可视化移动终端的护理模式。比较两组造口相关并发症发生率、照顾者负担量表得分及造口患儿的能力得分。
研究组主要照顾者负担得分（37.22±3.17）显著低于对照组（80.00±4.47），差异有统计学意义（<0.05）。此外，研究组照顾能力得分（172.08±3.49）显著高于对照组（117.55±4.28；<0.05）。研究组并发症总发生率（11.7%，7/60）显著低于对照组（33.3%，20/60；=8.086，=0.004）。
基于可视化移动终端的护理模式减轻了照顾者负担，提高了家庭护理能力，降低了并发症发生率和再入院率，并有助于肠造口患儿成功进行二期还纳手术。
