A Study on the efficiency of the team led by stoma specialist nurses in the treatment of enterostomy

Abstract

Abstract

Background: There are many surgical prerequisites where the primary anastomosis is not suitable, therefore, neonatal enterostomy or infant enterostomies are required. Stoma reversal is incorporated to help patients benefit from the treatment; however, there are many complications associated with the reversal of enterostomies. No informed consent has been received yet as this is still to be researched.

Objective: To analyze the efficiency of the team led by the stoma specialist nurses after neonatal enterostomy in improving the treatment of neonates after enterostomy.

Methods: 80 cases of neonatal intestinal fistula patients were divided into observation and control groups according to time sequence, with 40 cases per group. Patients in the control group were given routine nursing care, while patients in the observation group were given a nursing intervention by a team led by specialist enterostomy nurses. The complications and average hospitalization days of neonatal intestinal fistula patients in two groups were compared—along with family members scores, satisfaction surveys before discharge, and nurses' knowledge mastery.

Results: Complications, hospitalization time, knowledge level of nurses, scores of family members' pre-discharge assessment, and satisfaction surveys in the observation group were better than those in the control group (P < 0.05).

Conclusion: This research has found that the team led by specialist stoma nurses can improve the nursing level of enterostomy and reduce the incidence of complications and hospitalization time of neonatal enterostomy. It has also been found that they can improve the quality of life of children and overall family satisfaction. [Ethiop. J. Health Dev. 2021; 35(4): 380-389]

Keywords: Specialized nurses; Enterostomy of newborn; Complications; Knowledge level of family members