BACKGROUND Living with an ostomy can be challenging and adapting to life with an ostomy can be particularly complex, with regard to both the physical and psychosocial aspects. Follow-up with a stoma care nurse (SCN) is usually performed after surgery to support the adaptation process. In the present paper, we describe a new model of ostomy care, where a clinical feedback system (CFS) is implemented in order to improve the adaption process of patients with an ostomy. We also present a plan for evaluating patients experience with the CFS and their clinical outcomes. METHODS In this study, we include patients who had recently performed colostomy, ileostomy, or urostomy surgery. The intervention includes self-reported measures for adaptation to life with an ostomy and health-related quality of life (HRQoL), as well as patient experiences and satisfaction recorded by the clinical feedback system. The measures are electronically assessed before each clinical consultation at 3, 6, and 12 months after surgery. The scores are instantly analysed and graphically presented for use during the consultation and the patient and the SCN can discuss the findings. Patient experiences and satisfaction with care will be measured with the Generic Short Patient Experiences Questionnaire. Adaptation to the life with ostomy will be measured with the Ostomy Adjustment Scale, and HRQoL with the Short Form 36. DISCUSSION This study presents a novel approach that could lead to improved consultation, more patient involvement, and better adaptation to life with an ostomy. TRIAL REGISTER ClinicalTrials.gov Registration Number: NCT03841071. Date 18. February 2019 retrospectively registered.

中文翻译：

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在造口护理中使用临床反馈系统监测患者报告结果的新模式：基本原理、描述和评估方案。

背景技术与造口术一起生活可能具有挑战性，并且就身体和心理社会方面而言，适应造口术生活可能特别复杂。造口护理护士 (SCN) 的随访通常在手术后进行，以支持适应过程。在本文中，我们描述了一种新的造口护理模式，其中实施了临床反馈系统 (CFS)，以改善造口患者的适应过程。我们还提出了评估患者使用 CFS 的经验及其临床结果的计划。方法 在这项研究中，我们纳入了最近进行过结肠造口术、回肠造口术或尿路造口术的患者。干预措施包括自我报告的适应造口术和健康相关生活质量 (HRQoL) 生活的措施，以及临床反馈系统记录的患者体验和满意度。在手术后 3、6 和 12 个月的每次临床咨询之前，对这些措施进行电子评估。评分会立即分析并以图形方式呈现，以供咨询期间使用，患者和 SCN 可以讨论调查结果。患者体验和对护理的满意度将通过通用短期患者体验问卷来衡量。对造口生活的适应将用造口调整量表来衡量，HRQoL 用简表 36 来衡量。 讨论 本研究提出了一种新的方法，可以改善咨询，更多的患者参与，以及更好地适应造口生活。试验注册 ClinicalTrials.gov 注册号：NCT03841071。日期 18。