Volume 23 Issue 4
Apr.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(4): 713-716
LYU Junying, LI Lingyan, LIN Xiaoqing, WANG Zhoujie, CHEN Fangfang. Application of intestinal stoma nursing plan based on nursing sensitive quality indicators in neonatal stoma management[J]. Chinese Journal of General Practice, 2025, 23(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.003986
Citation: LYU Junying, LI Lingyan, LIN Xiaoqing, WANG Zhoujie, CHEN Fangfang. Application of intestinal stoma nursing plan based on nursing sensitive quality indicators in neonatal stoma management[J]. Chinese Journal of General Practice, 2025, 23(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.003986
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Application of intestinal stoma nursing plan based on nursing sensitive quality indicators in neonatal stoma management

doi: 10.16766/j.cnki.issn.1674-4152.003986

  • Department of Neonatology, the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, China

Funds:

 2021KY800

  • Received Date: 2025-01-14
    Available Online: 2025-06-30
    Abstract
  •   Objective  To construct an intestinal stoma nursing plan based on nursing sensitive quality indicators, analyze its impact on neonatal stoma management pain, incidence of stoma complications, caregiver care ability, and nursing satisfaction.  Methods  A total of 113 newborns with colostomy admitted to the Second Affiliated Hospital and Yuying Children ' s Hospital of Wenzhou Medical University from June 2020 to May 2024 were selected as the research subjects. Among them, 56 newborns admitted from June 2020 to May 2022 were selected as the control group, and routine colostomy nursing was applied. The remaining 57 newborns admitted from June 2022 to May 2024 were selected as the observation group, and nursing sensitive quality indicators were constructed for colostomy nursing. The pain situation, caregiver care ability, incidence of stoma complications, and nursing satisfaction of two teams of newborns were compared.  Results  During the process of replacing the ostomy bag in the observation group, the neonatal pain, agitation and sedation scale (NPASS) scores during and 3 minutes after the operation were lower than those in the control group (P < 0.05). After intervention, the scores and total scores of each dimension of the neonatal caregiver care ability scale in the observation group were higher than those in the control group (P < 0.05). The incidence of fecal dermatitis, skin damage, skin allergy, and rash around the stoma in the observation group of neonatal stoma complications was lower than that in the control group (P < 0.05). The nursing satisfaction rate of the observation group was 96.5% (55/57), which was higher than that of the control group [83.9% (47/56), χ2=5.074, P=0.024].  Conclusion  A nursing plan for colostomy based on nursing sensitive quality indicators is beneficial in reducing adverse stimuli in neonatal colostomy care, reducing pain and complications, and effectively improving caregiver care capabilities.

     

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