{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T21:51:38Z","timestamp":1791755498582,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T00:00:00Z","timestamp":1584662400000},"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":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore the effects of hospital\u2010family holistic care model based on \u2018Timing It Right\u2019 on the health outcome of patients with permanent colostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Colorectal cancer is a common malignant tumour of digestive system, which seriously threatens human life and health. Colostomy is one of the main treatments for colorectal cancer, which effectively improves the 5\u2010year survival rate of patients. However, the postoperative psychological and physiological rehabilitation nursing is still faced with great challenges due to the change of body image and defecation pathway caused by colostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomised controlled trial was conducted, and 119 patients with permanent enterostomy were randomly divided into two groups, with 60 cases in the intervention group and 59 cases in the control group. The intervention group received routine care follow\u2010up and hospital\u2010family holistic care intervention based on \u2018Timing It Right\u2019, while the control group received routine care and follow\u2010up. The resilience, self\u2010care ability, complications and life quality of patients with permanent enterostomy were compared between two groups before intervention, at discharge, 3\u00a0months and 6\u00a0months after discharge. CONSORT checklist was applied as the reporting guideline for this study (see Appendix S1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 108 patients with permanent enterostomy completed the study (90.76%). At 3\u00a0months and 6\u00a0months after discharge, the resilience and quality of life in the intervention group were significantly better than those in the control group (<jats:italic>t<\/jats:italic>\u00a0=\u00a04.158 vs. 7.406, <jats:italic>t<\/jats:italic>\u00a0=\u00a04.933 vs. 8.611, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05), while the complications in the intervention group were significantly lower than that in the control group (25.5% vs. 41.51%, 14.45% vs. 30.19%; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). The self\u2010care ability of the intervention group was significantly better than that in the control group (<jats:italic>t<\/jats:italic>\u00a0=\u00a01.543 vs. 3.656 vs. 6.273, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05) at discharge, 3\u00a0months and 6\u00a0months after discharge. The interaction between time and grouping showed that the effect of time factor varied with the grouping. After intervention, there were significant differences in psychological resilience, self\u2010care ability, complications and quality of life between the two groups at different observation points (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01). The three evaluation indices of intervention group increased with the migration of observation time points and were significantly better than those of control group, especially the quality of life (84.35\u00a0\u00b1\u00a04.25 vs. 60.45\u00a0\u00b1\u00a08.42, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The hospital\u2010family holistic care model based on \u2018Timing It Right\u2019 can effectively improve the psychological resilience, self\u2010care ability and quality of life; reduce complications; and improve the health outcomes of patients with permanent enterostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Patients with permanent enterostomy have different needs for nursing care at different stages of the disease, and they are dynamically changing. The hospital\u2010family holistic care model based on \u2018Timing It Right\u2019 can effectively improve the health outcomes of patients with permanent enterostomy, which is worthy of clinical application.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15199","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T08:16:40Z","timestamp":1579767400000},"page":"2196-2208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["Effects of hospital\u2010family holistic care model on the health outcome of patients with permanent enterostomy based on the theory of \u2018Timing It Right\u2019"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8471-0290","authenticated-orcid":false,"given":"Xi","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Pathology Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Ling","family":"Lin","sequence":"additional","affiliation":[{"name":"Nursing School of Fujian Medical University Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gui Fang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao Huan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang Qin","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Fujian Provincial Hospital, Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9832-8538","authenticated-orcid":false,"given":"Hong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing Fujian Provincial Hospital Fujian Medical University Affiliated Clinical Provincial Medical Institute Fuzhou China"},{"name":"Nursing School of Fujian Medical University Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.10.015"},{"issue":"1","key":"e_1_2_13_3_1","first-page":"11","article-title":"People with stomas \u2013 Issues and responses in critical 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