Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Jul 17:18:4089-4098.
doi: 10.2147/JMDH.S517481. eCollection 2025.

Empowering Stoma Care: Enhancing Knowledge, Confidence, and Support Through Collaborative Approaches Between Doctors and Parental Communities for Children with Stomas

Leecarlo Millano Lumban Gaol  1   2   3 , Lavenia Quinta Saraswati  2 , Grace Shintauli Gultom  2 , Melian Anita  1   3 , Yohanes Firmansyah  4 , Fiona Valencia Setiawan  4 , Bryan Anna Wijaya  4
Affiliations

Empowering Stoma Care: Enhancing Knowledge, Confidence, and Support Through Collaborative Approaches Between Doctors and Parental Communities for Children with Stomas

Leecarlo Millano Lumban Gaol et al. J Multidiscip Healthc. .

Abstract

Introduction: Effective postoperative care is pivotal, and parents play a vital role in managing complications and outcomes. Despite their importance, parents often struggle with the complexities of stoma care. Managing pediatric stomas necessitates a collaborative effort between healthcare professionals and community support, forming a multidisciplinary team that empowers parents with the knowledge and confidence required for effective stoma management.

Purpose and objectives: This study assesses the impact of collaborative efforts between doctors and community support systems on children's quality of stoma care.

Methods: A cross-sectional study involving 224 participants evaluated the influence of stoma support communities in Jakarta. The study used a validated 11-question questionnaire to measure community impact and stoma care knowledge.

Results: Spearman Correlation analysis indicated significant relationships between doctor-patient communication and factors such as the stoma's condition (r:0.285, p<0.001), knowledge (r:0.417, p<0.001), support in stoma care (r:0.458, p<0.001), self-confidence (r:0.440, p<0.001), support systems (r:0.407, p<0.001), and ease of access to care (r:0.357, p<0.001). Multivariate analysis highlighted that the quality of doctor-patient communication significantly affects stoma condition, support systems, self-confidence, and access to care (p<0.025). ROC prediction analysis showed that effective doctor-patient communication through Komunitas Stoma Pada Anak Jakarta (KOSPAJA) significantly enhances support and self-confidence in stoma care (A>0.70).

Conclusion: The collaboration between doctors and community support significantly enhances parents' knowledge, confidence, and support in managing their child's stoma, leading to improved care quality and reduced complication rates.

Keywords: children; doctor; parental community; stoma; stoma care.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Underlying Disease Leading to Stoma Creation in the Stoma Community for Children in Jakarta.
Figure 2
Figure 2
Receiver Operating Characteristic (ROC) Curve of Collaborative Approaches Between Doctors and Parental Communities.
See this image and copyright information in PMC

References

    1. Mulita F, Lotfollahzadeh S. Intestinal Stoma. 2024. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22873030. Accessed July 14, 2025. - PubMed
    1. Rashed N, Khalifa M, Zein El Dein N, Omar T. Stoma care for children having colostomy in Menoufia University Hospital. Menoufia Nurs J. 2020;5(1):47–53. doi: 10.21608/menj.2020.123794 - DOI
    1. Saunders RN, Hemingway D. Intestinal stomas. Surgery. 2008;26(8):347–351. doi: 10.1016/j.mpsur.2008.05.011 - DOI
    1. Massenga A, Chibwae A, Nuri AA, et al. Indications for and complications of intestinal stomas in the children and adults at a tertiary care hospital in a resource-limited setting: a Tanzanian experience. BMC Gastroenterol. 2019;19(1):157. doi: 10.1186/s12876-019-1070-5 - DOI - PMC - PubMed
    1. Davis BR, Valente MA, Goldberg JE, Lightner AL, Feingold DL, Paquette IM. The American Society of Colon and Rectal Surgeons clinical practice guidelines for ostomy surgery. Dis Colon Rectum. 2022;65(10):1173–1190. doi: 10.1097/DCR.0000000000002498 - DOI - PubMed

LinkOut - more resources