The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.

OBJECTIVE

To evaluate the effects of a three-dimensional interconnected continuity of care intervention (hospital-community-family linkage) on self-care capacity, negative emotions, stigma, quality of life, and complication rates in patients with ostomies.

METHODS

A retrospective comparative study was conducted on 94 patients with intestinal or urinary ostomies treated from October 2021 to June 2024. Patients receiving routine nursing care were assigned to the control group (n = 47), while those receiving additional three-dimensional linked continuity care intervention were assigned to the observation group (n = 47). The intervention included enhanced follow-up, WeChat-based remote support, and scheduled home visits. Outcomes included compliance, self-care ability (ESCA), anxiety and depression (SAS, SDS), stigma (SIS), quality of life (Stoma-QOL), and complication rates.

RESULTS

The observation group showed significantly higher total compliance than the control group (93.62% vs. 76.60%, p < 0.05). After intervention, ESCA scores improved more significantly in the observation group (all p < 0.05). SAS and SDS scores decreased more substantially in the observation group (p < 0.05). SIS subscores for economic discrimination, social exclusion, social isolation, and internalized shame were significantly lower in the observation group (p < 0.05). Stoma-QOL scores improved significantly, while the impact of the stoma bag decreased more markedly in the observation group (p < 0.05). The complication rate was also significantly lower in the observation group (12.77% vs. 29.79%, p < 0.05).

CONCLUSION

Compared with routine nursing care, the three-dimensional interconnected continuity of care intervention was associated with improved compliance, self-care ability, and quality of life, while reducing negative emotions, stigma, and complication risks in patients with ostomies.