SynthesisJournal of nursing management2026
Effects of Continuous Care on Clinical Outcomes, Psychosocial Well-Being, and Healthcare Utilization in Adults With Enterostomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Synthesis in Journal of nursing management, 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
aimTo evaluate the effects of continuous care on clinical outcomes, psychosocial well-being, and healthcare utilization in adults with enterostomy.
backgroundAdults with enterostomy confront significant physical, psychological, and economic burdens. Continuous care has emerged as a promising intervention facilitating the critical hospital-to-home transition, yet its comprehensive effectiveness requires systematic evaluation. EVALUATION: MEDLINE, Embase, CENTRAL, and CINAHL were searched from January 2000 to September 2026. Eligible studies were randomized controlled trials evaluating continuous care interventions in adults with enterostomy. The primary outcome was the incidence of stoma-related complications; secondary outcomes included psychosocial well-being (quality of life, self-care ability, self-efficacy, ostomy adjustment, anxiety, depression, and patient satisfaction) and healthcare utilization. Two researchers independently screened literature, extracted data, and assessed risk of bias using RoB 2. Random-effects meta-analyses were conducted in R, and certainty of evidence was assessed using GRADE. KEY ISSUE(S): Eighteen trials involving 1926 participants were included. Continuous care significantly reduced stoma-related complications (RR = 0.34; 95% CI: 0.26-0.45; I
conclusionsContinuous care interventions may improve clinical and psychosocial outcomes and reduce unplanned readmissions in adults with enterostomy. However, because several patient-reported outcomes were supported by low or very low certainty evidence and showed substantial heterogeneity, these findings should be interpreted as supportive rather than definitive evidence for early, seamless continuous care models. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should consider developing structured hospital-to-home pathways incorporating discharge preparation, self-care readiness assessment, planned follow-up, and access to specialist or multidisciplinary support.
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