Ann Coloproctol.  2024 Feb;40(1):36-43. 10.3393/ac.2022.00360.0051.

Development of a home health care service platform for ostomy patient management

Affiliations
  • 1HERINGS, The Institute of Advanced Clinical and Biomedical Research, Seoul, Korea
  • 2Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
  • 3Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
  • 4Division of Colorectal Surgery, Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 5Korean Wound and Ostomy Study Group, The Korean Society of Coloproctology, Seoul, Korea

Abstract

Purpose
The use of an ostomy for urination and defecation leads to reduced quality of life. Although many ostomy management strategies are needed, such strategies are often implemented by patients. Thus, there is a need for a home health care service platform that can be used in ostomy patient management.
Methods
We developed an ostomy patient management platform by identifying the needs of patients and medical staff through the Chronic Care Ostomy Self-Management Training Program in the United States and from studies conducted in Korea.
Results
The platform encompassed physical management, psychological management, maintenance of social function, spiritual stability, and home medical care. These components were implemented through monitoring, self-care guidance, and a community platform. For the monitoring function, patients entered their health status in a mobile application (app); the medical staff at the affiliated hospital then monitored the stoma status through a web interface.
Conclusion
Our platform allows medical staff to monitor ostomy patients through a web interface and help such patients to fully manage their ostomy at home using an app. We expect that the continued development of patient-oriented functions in our app will allow ostomy patients to experience quality-of-life improvements.

Keyword

Ostomy; Home care services; Telehealth; Digital health platform; Telemedicine
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