{"title":"Core Supportive Care Needs of Ostomy Patients at Different Postoperative Times: A Network Analysis.","authors":"Xu Zhang, Jingyi Liu, Xiaomeng Wang, Zhiwen Wang","doi":"10.1111/jocn.17751","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims and objectives: </strong>To identify the core supportive care needs of ostomy patients across the postoperative period using network analysis to inform targeted interventions.</p><p><strong>Design: </strong>This cross-sectional study was conducted according to the STROBE guidelines.</p><p><strong>Methods: </strong>This study included 588 ostomy patients from three tertiary Grade-A hospitals in China between December 2023 and March 2024. Supportive care needs were assessed using an adapted version of the short form of the Supportive Care Needs Survey. Data were analysed using descriptive statistics, one-way ANOVA and network analysis to explore the interconnections and centrality of symptoms across four postoperative periods (< 1, 1-3, 4-6 and > 6 months).</p><p><strong>Results: </strong>Supportive care needs varied significantly across the postoperative period in patients undergoing ostomy. The Stoma Support domain consistently achieved the highest scores across all the stages. Central symptoms differed by period, featuring 'feeling down or depressed' (< 1 month), 'acquiring knowledge of stoma complication management' (1-3 months), 'gaining knowledge of stoma bag prices and extended use' (4-6 months) and 'keeping a positive outlook' (> 6 months).</p><p><strong>Conclusion: </strong>Supportive care needs vary significantly across postoperative periods, with a network analysis identifying stage-specific core symptoms. These findings provide the foundation for targeted interventions.</p><p><strong>Relevance to clinical practice: </strong>Tailored, stage-specific care strategies are crucial for addressing the dynamic needs of ostomy patients. Early psychological support, mid-recovery practical guidance and long-term resilience-building interventions can improve patient outcomes.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17751","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aims and objectives: To identify the core supportive care needs of ostomy patients across the postoperative period using network analysis to inform targeted interventions.
Design: This cross-sectional study was conducted according to the STROBE guidelines.
Methods: This study included 588 ostomy patients from three tertiary Grade-A hospitals in China between December 2023 and March 2024. Supportive care needs were assessed using an adapted version of the short form of the Supportive Care Needs Survey. Data were analysed using descriptive statistics, one-way ANOVA and network analysis to explore the interconnections and centrality of symptoms across four postoperative periods (< 1, 1-3, 4-6 and > 6 months).
Results: Supportive care needs varied significantly across the postoperative period in patients undergoing ostomy. The Stoma Support domain consistently achieved the highest scores across all the stages. Central symptoms differed by period, featuring 'feeling down or depressed' (< 1 month), 'acquiring knowledge of stoma complication management' (1-3 months), 'gaining knowledge of stoma bag prices and extended use' (4-6 months) and 'keeping a positive outlook' (> 6 months).
Conclusion: Supportive care needs vary significantly across postoperative periods, with a network analysis identifying stage-specific core symptoms. These findings provide the foundation for targeted interventions.
Relevance to clinical practice: Tailored, stage-specific care strategies are crucial for addressing the dynamic needs of ostomy patients. Early psychological support, mid-recovery practical guidance and long-term resilience-building interventions can improve patient outcomes.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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