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Effects of continuous care on health outcomes in patients with stoma: A systematic review and meta-analysis

  • Datos identificativos

    Identificador: imarina:9261802
    Autores:
    Jin YTian XLi YJiménez-Herrera MWang H
    Resumen:
    Objective: Continuing care, which is an extension of post-discharge care, is recognized as a crucial element of high-quality health services and is essential to patients. This systematic review aims to identify the effectiveness of continuing care for patients with stomas. Methods: PubMed, EMBASE, Cochrane Trial Register and Web of Science databases were searched. Study selection and quality appraisal were performed independently by two reviewers. We calculated the mean differences (MD) or the relative risk (RR) with 95% confidence intervals and assessed heterogeneity. Results: Nine studies (1134 participants) met the inclusion criteria. This meta-analysis revealed that, in the continuous care group, the stoma self-efficacy (MD ​= ​6.46; 95% CI ​= ​3.81–9.11; P ​< ​0.001; I2 ​= ​0%), and the quality of life (MD ​= ​7.48; 95% CI ​= ​5.13–9.82; P ​< ​0.001; I2 ​= ​0%) increased significantly 1 month after discharge; stoma adjustment and care satisfaction also showed a trend toward improvement while stoma complications (RR ​= ​0.71; 95% CI ​= ​0.58–0.87; P ​= ​0.001; I2 ​= ​25%) decreased significantly. Continuing care did not decrease hospital readmission rates or medical costs. Conclusions: Continuing care showed beneficial effects in improving health outcomes and care satisfaction for patients with stomas compared with routine care. We proposed an integrated continuing care program with different elements and recommendations for its implementation.
  • Otros:

    Autor según el artículo: Jin Y; Tian X; Li Y; Jiménez-Herrera M; Wang H
    Departamento: Infermeria
    Autor/es de la URV: Jiménez Herrera, María Francisca / Tian, Xu
    Palabras clave: Systematic review Stoma nurse Quality-of-life Nursing Meta-analysis Continuing care Colostomy urostomy systematic review stoma nurse rectal-cancer nursing models meta-analysis management implementation ileostomy follow-up continuing care complications colostomy
    Resumen: Objective: Continuing care, which is an extension of post-discharge care, is recognized as a crucial element of high-quality health services and is essential to patients. This systematic review aims to identify the effectiveness of continuing care for patients with stomas. Methods: PubMed, EMBASE, Cochrane Trial Register and Web of Science databases were searched. Study selection and quality appraisal were performed independently by two reviewers. We calculated the mean differences (MD) or the relative risk (RR) with 95% confidence intervals and assessed heterogeneity. Results: Nine studies (1134 participants) met the inclusion criteria. This meta-analysis revealed that, in the continuous care group, the stoma self-efficacy (MD ​= ​6.46; 95% CI ​= ​3.81–9.11; P ​< ​0.001; I2 ​= ​0%), and the quality of life (MD ​= ​7.48; 95% CI ​= ​5.13–9.82; P ​< ​0.001; I2 ​= ​0%) increased significantly 1 month after discharge; stoma adjustment and care satisfaction also showed a trend toward improvement while stoma complications (RR ​= ​0.71; 95% CI ​= ​0.58–0.87; P ​= ​0.001; I2 ​= ​25%) decreased significantly. Continuing care did not decrease hospital readmission rates or medical costs. Conclusions: Continuing care showed beneficial effects in improving health outcomes and care satisfaction for patients with stomas compared with routine care. We proposed an integrated continuing care program with different elements and recommendations for its implementation.
    Áreas temáticas: Oncology (nursing) Oncology Nursing
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: xu.tian@estudiants.urv.cat maria.jimenez@urv.cat
    Identificador del autor: 0000-0003-2599-3742
    Fecha de alta del registro: 2024-09-07
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://apjon.org/article/S2347-5625(21)00112-8/fulltext
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Asia-Pacific Journal Of Oncology Nursing. 9 (1): 21-31
    Referencia de l'ítem segons les normes APA: Jin Y; Tian X; Li Y; Jiménez-Herrera M; Wang H (2022). Effects of continuous care on health outcomes in patients with stoma: A systematic review and meta-analysis. Asia-Pacific Journal Of Oncology Nursing, 9(1), 21-31. DOI: 10.1016/j.apjon.2021.12.006
    DOI del artículo: 10.1016/j.apjon.2021.12.006
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2022
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Nursing,Oncology,Oncology (Nursing)
    Systematic review
    Stoma nurse
    Quality-of-life
    Nursing
    Meta-analysis
    Continuing care
    Colostomy
    urostomy
    systematic review
    stoma nurse
    rectal-cancer
    nursing
    models
    meta-analysis
    management
    implementation
    ileostomy
    follow-up
    continuing care
    complications
    colostomy
    Oncology (nursing)
    Oncology
    Nursing
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