ArticleBMC nursing2026
Nursing care for adult urostomy patient in China: synthesis of evidence and a modified delphi study.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundOstomy care primarily relies on professional nursing and guidance, including basic stoma care skills, prevention and management of peristomal complications, and care of stenting tubes. The specialized skills and expertise of healthcare professionals play a crucial role in enhancing patients' self-care ability, reducing the incidence of peristomal complications and urinary tract infections, and improving patients' quality of life. This study aims to develop a set of clinical guidelines applicable to healthcare providers for nursing adult patients with urostomy.
methodsThis study was conducted in two phases. In the first phase, key issues in the nursing care of adult patients with urostomy were identified, and evidence-based questions were formulated. A systematic search, quality appraisal, and evidence synthesis were performed to develop a draft guideline. In the second phase, a Delphi survey among experts was conducted to finalize the strength of recommendations and revise the consensus statements.
resultsThe expert consensus on Nursing Care of Adult Patients with Urostomy comprises a total of 57 recommendations across four domains: basic requirements, psychological support, preoperative care, and postoperative care. All recommendations achieved strong consensus, with over 50% of experts endorsing a strong recommendation (indicating that benefits clearly outweigh risks).
conclusionsThis study developed an expert consensus applicable to healthcare providers in various medical institutions for the care of adult patients with urostomy, with the goal of improving the quality of specialized stoma care, reducing the occurrence of stoma-related and peristomal skin complications, and enhancing patients' quality of life.
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