国外小儿肠造口术后照护者负担及护理管理现状

Pediatric colostomy is a common surgical method for acute abdominal diseases such as congenital anorectal malformations, intestinal necrosis combined with shock, widespread abdominal infections, and perianal trauma in children. However, due to the lack of self-care ability, children with intestinal stomas have to rely heavily on their caregivers for postoperative stoma care, which to some extent creates physiological and psychological burdens for caregivers. At present, there is relatively little research in China on the burden of postoperative caregivers for children with intestinal stomas. This article elaborates on the evolution of caregiver burden perspectives abroad, assessment tools for caregiver burden, analysis of caregivers' understanding and needs for stoma care, summarizes nursing management measures for caregivers in foreign medical institutions, and proposes prospects for further improving home care management for pediatric colostomy to reduce caregivers' burden.