Keywords
Caregivers
Home care
Network support
Scoping review
Submitted : 2026-02-11
Accepted : 2026-02-26
Published : 2026-03-13
Abstract
Objective: This scoping review aims to summarize research on the application of network support for patients with urostomy due to bladder cancer and their caregivers, providing references for establishing a networked care system tailored to China’s national conditions. Methods: A systematic search was conducted across databases, including Web of Science, PubMed, the Cochrane Library, Embase, OVID, CNKI, Wanfang Database, and the China Biology Medicine Disc (CBM), using a combination of free-text terms and subject headings. The search covered the period from the inception of each database to August 6, 2025, with subsequent summary and analysis of the retrieved data. Results: A total of 13 studies were included. Network support platforms encompassed mobile applications, telemedicine platforms, online video conferencing tools, and cloud-based follow-up systems. The core functionalities included educational consultation and information sharing, psychosocial support, complication management, follow-up and interactive support, and electronic health record management. Evaluation metrics comprised quality of life, psychological well-being, self-management abilities, complication control, and care satisfaction. Conclusion: Network support models based on diverse platforms can effectively enhance the quality of home care and health outcomes for patients with urostomy and their caregivers, demonstrating feasibility and potential for widespread adoption. Future efforts should focus on optimizing personalized intervention designs, improving technological accessibility, and refining policy support systems to facilitate the establishment of an integrated hospital-home-community transitional care network.
References
Ferlay J, Ervik M, Lam F, et al., 2024, Global Cancer Observatory: Cancer Today. International Agency for Research on Cancer. https://gco.iarc.who.int/today
Zhang T, Qi X, 2023, Enhanced Nursing Care for Improving the Self-Efficacy & Health-Related Quality of Life in Patients with a Urostomy. Journal of Multidisciplinary Healthcare, 2023(16): 297–308.
Zhang J, Cao XX, Wang XJ, et al., 2025, Preliminary Application of the Super-enhanced Recovery after Surgery Management Model in Patients Undergoing Colorectal Cancer Surgery. Chinese Nursing Management, 25(6): 884–889.
Zhao Q, Gao JP, Gao KX, et al., 2024, Analysis of the Current Status and Influencing Factors of Physical Resilience in Elderly Patients with Bladder Cancer and Urinary Stomas. Military Nursing, 41(9): 21–24.
Ju HJ, Yin AC, Liu W, 2021, Research Progress on Negative Psychological States and Nursing Care in Patients with Urinary Stomas. Nursing Practice and Research, 18(18): 2717–2720.
Yu HX, Gong YL, Huang W, et al., 2023, Analysis of the Current Status and Influencing Factors of Social Alienation in Patients with Urinary Stomas after Radical Cystectomy for Bladder Cancer. Practical Clinical Medicine (Jiangxi), 24(6): 109–114.
Liu QQ, Tian L, Tian J, et al., 2021, Research on the Caregiving Ability and Influencing Factors of Caregivers for Patients with Urinary Stomas. Journal of Nursing Administration, 21(6): 397–401.
Xie YQ, Jiang H, Ji XB, et al., 2023, Advances in the Application of Mobile Health Technology in the Management of Patients with Urinary Stomas. Nursing Research, 37(18): 3348–3351.
Page MJ, McKenzie JE, Bossuyt PM, et al., 2021, The PRISMA 2020 Statement: an Updated Guideline for Reporting Systematic Reviews. BMJ, 2021(372): n71.
Wan XQ, Lan H, Zhang YY, et al., 2022, Application Effect of a Remote Nursing Follow-up Model Based on 5E Teaching in the Continuity of Care for Patients with Bladder Cancer and Urinary Stomas. Clinical Research and Practice, 7(19): 161–163.
Chang S, 2020, Application Effect of an App Client in the Continuity of Care for Patients with Urinary Stomas after Bladder Cancer Surgery. Journal of Chronic Diseases, 21(11): 1739–1741.
Yuan Y, Cheng JX, Chen QQ, et al., 2019, Application of “Internet+”-based Continuity of Care Services in the Post-discharge Follow-up of Patients with Urinary Stomas. Nursing and Rehabilitation, 18(12): 67–72.
Zheng LL, Song YY, Song JL, et al., 2016, Impact of Continuity of Care on the Quality of Life of Patients with Urinary Stomas. Chinese Journal of Modern Nursing, 22(27): 3954–3957.
Li J, Li HR, Ren CQ, 2019, Impact of a Family-centered Nursing Model on the Quality of Life of Patients with Urinary Stomas after Bladder Cancer Surgery. Guizhou Medical Journal, 43(6): 989–990.
Rock MC, Cidav Z, Sun V, et al., 2023, Adapting to the Burdens of Care: A Telehealth Program for Cancer Survivors with Ostomies. Supportive Care in Cancer, 31(1): 15.
Xu S, Tan X, Ma C, et al., 2023, An eHealth Symptom and Complication Management Program for Cancer Patients with Newly Created Ostomies and their caregivers (Alliance): A Pilot Feasibility Randomized Trial. BMC Cancer, 23(1): 532.
Fan XF, Li HY, Lai LY, et al., 2022, Impact of Internet Plus Health Education on Urinary Stoma Caregivers in Coping with Care Burden and Stress in the Era of COVID-19. Frontiers in Psychology, 2022(13): 982634.
Sun V, Ercolano E, McCorkle R, et al., 2018, Ostomy Telehealth for Cancer Survivors: Design of the Ostomy Self-management Training (OSMT) Randomized Trial. Contemporary Clinical Trials, 2018(64): 167–172.
Ni C, 2022, Evaluation of the Application Effect of “Internet + Nursing and Medical Services” in the Continuity of Care for Patients with Urinary Stomas. Chinese Science and Technology Periodical Database (Full-Text Edition) Medicine and Health, 2022(1): 88–90.
Liu S, Lu M, 2023, Construction and Application of “Internet + Nursing Services” in Home-Based Continuity of Care for Patients with Urinary Stomas. Capital Food and Medicine, 31(12): 136–138.
Pittman J, Nichols T, Rawl SM, 2017, Evaluation of Web-based Ostomy Patient Support Resources. Journal of Wound Ostomy & Continence Nursing, 2017, 44(6): 550–556.
Zeng E, Saucke M, Pati B, et al., 2024, “... I Wish Someone Told Me About That...”: A Qualitative Assessment of the Educational Needs of Patients Undergoing Cystectomy. Urology, 2024(194): 348–355.
Xu YL, Huang H, Cao Q, et al., 2021, A Scoping Review of the Application of Electronic Health Interventions in the Management of Chronic Diseases. Journal of Nursing Science, 36(23): 96–101.
National Health Commission, 2022, Will Improve the Pricing and Medical Insurance Payment Policies for “Internet +” Medical Services. Journal of Medical Informatics, 43(2): 99.
Liu JY, Liang ZL, Li XM, et al., 2025, Current Status of Health Management for Elderly Patients with Chronic Diseases in China and Path Optimization Based on a Four-Dimensional Collaboration of “Hospital-Community-Family-Individual”. Journal of Integrative Nursing, 11(1): 133–138.