Evidence-based summary of optimal home self-management for elderly ostomy patients - Report - MDSpire

Evidence-based summary of optimal home self-management for elderly ostomy patients

  • By

  • Jiayi Feng

  • Fang Lu

  • Bo Zhou

  • Ji Li

  • Jian Shen

  • Lulu Tang

  • Yangyang Chen

  • Liping Kang

  • Guanghui Li

  • Zhaobei Wang

  • Huiqin Lin

  • Yuehua Gao

  • June 1, 2026

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Clinical Report: Effective Home Self-Care Strategies for Older Adults with Ostomies

Overview

This report summarizes evidence-based strategies for home self-management among elderly ostomy patients. It highlights the challenges faced by this population and the need for tailored interventions to improve their quality of life.

Background

Remove unsupported claims and focus on sourced information regarding the challenges faced by elderly ostomy patients.

Data Highlights

A total of 15 high-quality studies were included, covering six core domains: self-management goals, stoma assessment, psychological adjustment, dietary management, behavioral management, and medication management.

Key Findings

  • 36 pieces of evidence were summarized to support home stoma self-management.
  • Elderly ostomy patients face significant challenges in self-care capabilities and psychological adaptation.
  • Insufficient professional support at home increases the risk of readmission and impacts recovery.
  • Research on home self-management for ostomy patients is limited, with most studies focusing on specific aspects rather than comprehensive strategies.
  • Future research should aim to develop targeted, evidence-based interventions for this population.

Clinical Implications

Healthcare providers should consider the unique challenges faced by elderly ostomy patients when developing care plans. Tailored interventions that address self-management and psychological support are essential for improving patient outcomes.

Conclusion

This evidence summary highlights the need for integrated strategies to support elderly ostomy patients in home self-management. Future efforts should focus on creating targeted interventions to enhance their quality of life.

Related Resources & Content

  1. Fudan University Center for Evidence-based Nursing, Frontiers, 2026 -- Evidence-Based Summary of Optimal Home Self-Management for Elderly Ostomy Patients
  2. Techniques in Coloproctology — Introducing the Ostom-i™ Alert Sensor: A Novel Device for Monitoring Stoma Output
  3. BJS (British Journal of Surgery) — Management of Stomas in Low- and Lower-Middle Income Nations: An Overview
  4. Addressing Complications in Ileostomy Patients: A Comprehensive Review of Systematic Reviews for the EndOTrial Consortium
  5. Surgical Endoscopy — Guidelines for Optimizing Recovery Following Colon and Rectal Surgery: Recommendations from the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons
  6. BASIC OSTOMY SKIN CARE
  7. Microsoft PowerPoint - (403) Convexity in Ostomy Care- Measurement of Convex Barrier Characteristics.pptx
  8. EHS Rapid Guideline: Evidence-Informed European Recommendations on Parastomal Hernia Prevention—With ESCP and EAES Participation - PMC
  9. High-output stoma management: an overview | BJS | Oxford Academic
  10. High Output Stoma management in adult acute inpatients (1029) | Right Decisions
  11. Strategies for Managing Fluids and Electrolytes in High-Output Stomas: A Systematic Review and Evidence Summary - PMC
  12. Protein-based oral rehydration solutions for patients with an ileostomy: A randomised, double-blinded crossover study - PubMed
  13. Effects of digital health interventions on self-care and quality of life in patients with an ostomy: A systematic review and meta-analysis - ScienceDirect
  14. The Safety and Effectiveness of Telemedicine for Cancer-Related Colostomy Care in the Early Stage of Discharge: A Prospective, Randomized, Single-Center Study
  15. Effect of Orem’s self-care model on discharge readiness of patients undergoing enterostomy: A randomized controlled trial - ScienceDirect
  16. Frontiers | Evidence-Based Summary of Optimal Home Self-Management for Elderly Ostomy Patients

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