ORIGINAL RESEARCH article
Front. Psychol.
Sec. Psychology for Clinical Settings
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1643644
This article is part of the Research TopicInnovative Paradigms of Accompaniment in Healthcare: Humanizing PracticesView all 5 articles
The Impact of Multidisciplinary Accompaniment Interventions on Negative Emotions and Caregiving Ability of Family Members of Ostomy Patients: Exploring the Mediating Effect of Social Isolation
Provisionally accepted
- 1Orthopedics, Department of Thoracic Surgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, China
- 2Gastrointestinal Surgery, Department of Thoracic Surgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, China
- 3Nursing Department, Department of Thoracic Surgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, China
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Background: Almost half of stoma caregivers develop anxiety or depression, yet follow-up still centers on patients and offers caregivers little structured support. Social isolation—worsened by the pandemic and likely to grow as colorectal-cancer ostomies rise—appears central to this distress, but its role in caregiver programmes has never been tested. We therefore assessed a 12-week multidisciplinary accompaniment programme and measured how much reducing isolation improves caregivers’ skills and emotional well-being.Methodology: A cross-sectional study was conducted with 302 family caregivers of ostomy patients. Participants were divided into an Intervention Group (IG) and a Non-Intervention Group (NIG). Logistic regression models examined associations between demographic and behavioral factors, caregiving outcomes, and social isolation. Mediation analysis was performed to determine the indirect effects of social isolation on caregiving ability and negative emotions.Results: Multidisciplinary accompaniment interventions significantly improved caregiving ability (OR = 2.33, 95% CI: 1.12–3.54), reduced negative emotions (OR = 2.58, 95% CI: 1.13–4.03) and social isolation score (OR = 1.69, 95% CI: 1.09–2.29), with social isolation accounting for 18.7% of the effect on caregiving ability and 15.2% on negative emotions. In addition, significant predictors also included place of residence, marital status, and alcohol consumption.Conclusions: Multidisciplinary accompaniment interventions that address social isolation can enhance caregiving ability and reduce emotional strain in family caregivers of ostomy patients.
Keywords: Multidisciplinary Accompaniment Interventions, Negative emotions, caregiving ability, Ostomy patients, Social Isolation
Received: 09 Jun 2025; Accepted: 09 Jul 2025.
Copyright: © 2025 Wang, Liu and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yu Liu, Gastrointestinal Surgery, Department of Thoracic Surgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, China
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