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 (P < 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; P < 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; χ 2 = 8.086, P = 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.

Parastomal hernia (PH) is one of the most frequent ostomy complications, and the reported incidence in the literature is highly variable. As highlighted by the Association of Stoma Care Nurses UK, this complication develops mainly in children and older men over 70, but many predisposing factors are related to the individual patient and surgery. There is no standardised system for assessing PH. The main assessment techniques include objective examination, ultrasound scan and computed tomography. Prevention is based on various interventions by surgeons and stoma care nurses (SCNs). The SCN's primary interventions include accurate patient evaluation, pre-operative ostomy siting, education about body weight management and advice on appropriate exercises. The treatment of PH can be conservative or surgical, and the choice is based on the patient's clinical condition. Ostomy can significantly impact on a patient's quality of life (QoL), and the presence of PH can further aggravate the situation. This overview of PH considers the incidence, aetiology, prevention, treatment and impact on QoL.

Prostate, kidney, and bladder cancer are the three most frequently diagnosed urological cancers. Educational programs could teach patients to become experts in disease management. The aim of this scoping review was to explore the literature to identify the educational requirements and strategies for improving and implementing educational processes for urological patients undergoing surgery. We searched several databases, including PubMed, CINAHL, Embase, Scopus, PsycINFO, and Cochrane Library. All adult patients undergoing urological educational interventions were included in the review. Of 3,197 initially identified articles, 42 were retained. Urological patients undergoing prostatectomy, cystectomy, and nephrectomy require cognitive, psychological, and functional support. For each level of support, several methods exist to provide support, including informational brochures, preoperative counseling, telephone support, online content, educational videos, support groups, individual stress management interventions, peer support, online interventions, partner support, and various educational programs that help the patient manage negative effects associated with the urological intervention.

The ostomy patient's quality of life also depends on their peristomal health and thus first and foremost on keeping healthy peristomal skin. This is by no means an easy task, given that the incidence of peristomal skin disorders can be a factor in up to 80% of cases. Over the past 15 years, several tools have been developed to classify peristomal skin lesions to facilitate the management of the problem. These tools, however, meet the needs of healthcare professionals and those of patients. Hence the decision to work on an advanced version of the SACS^©, currently the most widely used tool, with the setting up of the SACS Evolution Consensus Group.

By applying the simplified Delphi method, the SACS Evolution Consensus Group critically re-read what had been garnered from the literature in the light of their personal clinical experience, identified the key issues to be addressed, and processed and refined the relevant statements. This made it possible to achieve the challenging objective of creating a peristomal health tool to help prevent peristomal skin lesions.

SACS Evolution is, indeed, a promising tool for preventing peristomal lesions. It is structured on two different levels, one for the patient and one for the healthcare professional, each characterized by specific language and based on an innovative concept of healthy peristomal skin, which is essential for those who work on peristomal health.

The SACS Evolution Consensus Group thus aims to validate this peristomal health tool and has already started a validation process so that the tool can be used in clinical practice.