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Preparing children and young people for stoma surgery
1Alder Hey Children's Hospital and Edge Hill College of Higher Education.
Insights
Preparing children and young people for stoma surgery requires tailored preoperative care. Informed decision-making and collaboration involving the healthcare team, parents, and child can minimize negative outcomes and improve the surgical experience.
Area of Science:
- Pediatric surgery
- Child psychology
- Healthcare communication
Background:
- Limited research exists on preoperative care for pediatric stoma patients.
- Adult stoma patients experience negative psychosocial effects, but children's perceptions may differ.
- Psychosocial outcomes depend on the reason for stoma and patient involvement in decisions.
Purpose of the Study:
- To highlight the need for specific preoperative care guidelines for children and young people undergoing stoma surgery.
- To explore factors influencing children's perceptions of stoma formation.
- To suggest strategies for improving the preoperative experience and minimizing negative outcomes.
Main Methods:
- Literature review on pediatric stoma care and adult stoma patient experiences.
- Analysis of factors influencing child and adolescent psychological responses to surgery.
- Adaptation of established surgical preparation techniques for stoma patients.
Main Results:
- Preoperative care for pediatric stoma patients is under-researched.
- Children's and young people's perceptions of stoma formation are influenced by various factors.
- Effective preparation can mitigate negative psychosocial consequences.
Conclusions:
- Tailored preoperative care is crucial for pediatric stoma patients.
- Informed decision-making and collaborative partnerships enhance patient outcomes.
- Established surgical preparation methods can be adapted for stoma surgery in children and young people.
Abstract:
There is little published literature regarding children and young people with stomas and their preoperative care. Research in adults reveals negative psychosocial consequences, but the perceptions of children and young people may be different, depending on the reason for the stoma formation and the degree of involvement in decisions. Post-operative problems and later negativity can be minimised with informed decision making and partnership from the outset between the healthcare team, parents and child. Preparation approaches known to be successful for other forms of surgery can be adapted to prepare the child/young person for stoma surgery.
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