{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:54:57Z","timestamp":1787874897458,"version":"build-2784847793"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Most new ostomy patients are not able to manage ostomy self\u2010care when they are discharged and rely on visiting nurse services for ostomy care. The aim of this study was to determine if a perioperative ostomy educational pathway increases the level of independence and decreases the need for visiting nurse services in new ostomy patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective longitudinal study was conducted between July 2018 and February 2020. Patients who received a colostomy or ileostomy and were treated on the surgery ward were included. Patients who followed a perioperative ostomy educational pathway were compared to a historical control group. The primary outcome measure was the level of independence in ostomy care and the need for visiting nurse services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After discharge, 67.6% of patients in the intervention group (<jats:italic>n<\/jats:italic>\u2009=\u2009244) were able to independently perform ostomy care and were therefore not relying on visiting nurse services, compared to 15.2% of the patients in the control group (<jats:italic>n<\/jats:italic>\u2009=\u200933). The need for visiting nurse services was higher in patients aged \u226570\u2009years (OR 3.20, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), those who did not attend the preoperative practice session (OR 3.02, <jats:italic>P<\/jats:italic>\u2009=\u20090.002), those with a history of transient ischaemic attack (OR 10.22, <jats:italic>P<\/jats:italic>\u2009=\u20090.045) and those with mild cognitive impairment (OR 28.98, <jats:italic>P<\/jats:italic>\u2009=\u20090.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A perioperative ostomy educational pathway effectively increased the level of independence and decreased the need for visiting nurse services in new ostomy patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.17044","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T03:54:32Z","timestamp":1716954872000},"page":"1258-1265","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effects of a perioperative educational pathway on ostomy self\u2010care, level of independence and need for visiting nurse services: a comparative observational cohort study"],"prefix":"10.1111","volume":"26","author":[{"given":"Kirsten A. A. J.","family":"van Pelt","sequence":"first","affiliation":[{"name":"Department of Surgery Catharina Hospital  Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9978-1091","authenticated-orcid":false,"given":"Yu Ting","family":"van Loon","sequence":"additional","affiliation":[{"name":"Department of Surgery Maastricht University Medical Centre+  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith P. M.","family":"Schots","sequence":"additional","affiliation":[{"name":"Department of Surgery Franciscus Gasthuis and Vlietland  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0756-5894","authenticated-orcid":false,"given":"Stijn H. J.","family":"Ketelaers","sequence":"additional","affiliation":[{"name":"Department of Surgery Catharina Hospital  Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0393-9350","authenticated-orcid":false,"given":"David D. E.","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Department of Surgery Elisabeth \u2013 TweeSteden Hospital  Tilburg The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grard A. P.","family":"Nieuwenhuijzen","sequence":"additional","affiliation":[{"name":"Department of Surgery Catharina Hospital  Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harm J. T.","family":"Rutten","sequence":"additional","affiliation":[{"name":"Department of Surgery Catharina Hospital  Eindhoven The Netherlands"},{"name":"GROW, School for Developmental Biology and Oncology Maastricht University  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacobus W. A.","family":"Burger","sequence":"additional","affiliation":[{"name":"Department of Surgery Catharina Hospital  Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanne G.","family":"Bloemen","sequence":"additional","affiliation":[{"name":"Department of Surgery Catharina Hospital  Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Nederlandse Kankerregistratie Cijfers over kanker.2017. 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