Empowering Stoma Care: Enhancing Knowledge, Confidence, and Support Through Collaborative Approaches Between Doctors and Parental Communities for Children with Stomas
Bibliographic record
Abstract
Leecarlo Millano Lumban Gaol,1– 3 Lavenia Quinta Saraswati,2 Grace Shintauli Gultom,2 Melian Anita,1,3 Yohanes Firmansyah,4 Fiona Valencia Setiawan,4 Bryan Anna Wijaya4 1Faculty of Medicine, Padjadjaran University, Bandung, Indonesia; 2Department of Surgery, Pediatric Surgery Division, Tarakan General Hospital, Jakarta, Indonesia; 3Faculty of Medicine, Krida Wacana Christian University, Jakarta, Indonesia; 4Faculty of Medicine, Tarumanagara University, Jakarta, IndonesiaCorrespondence: Leecarlo Millano Lumban Gaol, Faculty of Medicine, Padjadjaran University, Raya Bandung Sumedang Street No. 21, Bandung, West Java, 45360, Indonesia, Email millanoleecarlo@gmail.comIntroduction: 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
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".