The Value of Applying a Continuous Nursing Model Based on Virtual Platforms for Patients with Colostomy or Ileostomy.
Ju Hao, Yanyan Xu, Huiyan Li
PMID 36940377WHAT IT FOUND
After colostomy or ileostomy, patients who received ongoing nurse-led follow-up after discharge reported better self-care confidence and ability, less anxiety, and better quality of life, and had fewer complications at 3 months than routine-care patients.
Key findings
01Patients who received continuous nursing had higher stoma self-efficacy than control patients at 1 week and 3 months after discharge.
02Continuous nursing patients had lower state and trait anxiety scores than control patients at both follow-up points.
03Continuous nursing patients had fewer stoma complications within 3 months after discharge than control patients.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and from one hospital, so results may not apply elsewhere. Patients were divided by surgery date, and the paper does not describe how allocation was concealed or how outcomes were assessed without knowing group assignment. The groups differed in medical payment type at baseline. Follow-up was only 3 months, so long-term effects are unknown. The continuous-care group received routine care plus nurse-led education, counseling, and weekly telephone follow-up, so the effect of any single component cannot be separated.
Declared interests
The authors disclosed no financial relationships related to the article.
The easy way to misread this
Do not conclude that WeChat, QQ, or Tencent conference software alone caused the better outcomes. The continuous-care group also received routine discharge guidance, regular hospital visits, weekly telephone follow-up, and nurse-led education and counseling, so the contribution of any single component cannot be separated.