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 machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.020 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.011 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 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 source (direct Gemma or distilled Codex), 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".