Objective:To explore the continuing care needs of primary caregivers for neonates with enterostomy during the discharge transition period, based on Meleis's Transitions Theory.Methods:Totally 17 primary caregivers of neonates with enterostomy who were hospitalized or attending follow-up visits at Shenzhen Children's Hospital from June to December 2022 were selected by purposive sampling. Semi-structured in-depth interviews were conducted, and the data were analyzed using Colaizzi's seven-step phenomenological analysis method.Results:Four themes emerged: the need for caregiving knowledge, guidance on stoma care and operation skills, the demand for diverse forms of continuing care services, and psychological support needs.Conclusions:Primary caregivers for neonates with enterostomy face numerous challenges and needs during the discharge transition period. Essential strategies include providing stoma care training and assessment before discharge, enhancing caregiving capacity, implementing diversified health education to improve caregivers' knowledge accessibility, delivering hybrid (online and offline) multidisciplinary continuing care services, and addressing caregivers' psychological well-being.

Objective:To explore the continuing care needs of primary caregivers for neonates with enterostomy during the discharge transition period, based on Meleis's Transitions Theory.Methods:Totally 17 primary caregivers of neonates with enterostomy who were hospitalized or attending follow-up visits at Shenzhen Children's Hospital from June to December 2022 were selected by purposive sampling. Semi-structured in-depth interviews were conducted, and the data were analyzed using Colaizzi's seven-step phenomenological analysis method.Results:Four themes emerged: the need for caregiving knowledge, guidance on stoma care and operation skills, the demand for diverse forms of continuing care services, and psychological support needs.Conclusions:Primary caregivers for neonates with enterostomy face numerous challenges and needs during the discharge transition period. Essential strategies include providing stoma care training and assessment before discharge, enhancing caregiving capacity, implementing diversified health education to improve caregivers' knowledge accessibility, delivering hybrid (online and offline) multidisciplinary continuing care services, and addressing caregivers' psychological well-being.

Objective:To explore the application effect of ostoma bag tailoring techniques combined with leak-proof tape ring in outpatients children with parastomal fistula and irritant dermatitis after enterostomy.Methods:Using the convenient sampling method, a total of 21 children with home care difficulties after enterostomy complicated with parastomal fistula and irritant dermatitis who visited the stoma specialist nursing clinic of Shenzhen Children's Hospital from May 2017 to November 2019 were selected as the research objects. Ostoma bag tailoring techniques (partial fistulas were slightly enlarged and tailored with a width of 1 to 2 mm) combined with leak-proof tape ring were used for intervention. Discoloration, Erosion and Tissue Overgrowth (DET) score, the interval between stoma bag replacement and SAS score of the main caregivers were compared before and after intervention.Results:DET score of 21 children at the first visit was (8.29±1.15) , and the DET score at the return visit after 1 week of intervention was (5.14±1.80) , and the difference was statistically significant ( t=11.65, P<0.01) . The interval between replacement of stoma bag before intervention was (0.45±0.10) d, and the interval of replacement after intervention was (1.06±0.29) d, and the difference was statistically significant ( t=-10.67, P<0.01) . The SAS score of main caregivers of 21 children at the first visit was (66.05±5.29) , and the SAS score after 1 week of intervention was (49.10±3.35) , and the difference was statistically significant ( t=21.59, P<0.01) . Conclusions:For children with home care difficulties complicated with parastomal fistula and irritant dermatitis after enterostomy, the use of local tailoring technique of stoma bag combined with leak-proof tape ring can reduce the scope of irritant dermatitis, reduce the severity of irritant dermatitis, prolong interval between replacement of stoma bag and effectively improve the anxiety symptoms of main caregivers.

Objective To explore the effect of oral administration of compound polyethylene glycol electrolyte powder on bowel preparation before children. Methods A total of 60 children, who would have enteroscheocele in the forenoon, were divided into experimental group and control group on average. The children in the experimental group took medication before sleep (12 hs before operation), while children of control group took medication at morning of operation day (6 hs before operation). The children compliance and bowel preparation were compared. Results The qualified cleanness rate of bowel preparation was 93. 3% of the experimental group and 96. 7% of the control group (χ2 =0. 351,P >0. 05), while the compliance of experimental group was 100. 0% better than 86. 7% of the control group (χ2 = 4. 286,P < 0. 05). Conclusions The oral administration of compound polyethylene glycol electrolyte powder on bowel preparation (12 hs before operation) acquires satisfaction effects, easily be accepted by children and families, and is a reasonable method for bowel preparation.