A randomized controlled trial examining the effectiveness of a STOMA psychosocial intervention programme on the outcomes of colorectal patients with a stoma: study protocol

Lim, Siew Hoon; Chan, Sally Wai‐Chi; Lai, Jiunn Herng; He, Hong

doi:10.1111/jan.12595

Cited by 16 publications

(31 citation statements)

References 66 publications

(139 reference statements)

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“…The research assistants (AC & ZLX) who collected the mid‐intervention data and postintervention data were blinded from group allocation, which was conducted by the first author (LSH). The details of study design can be found in the study protocol (Lim, Chan, Lai, & He, ).…”

Section: The Studymentioning

confidence: 99%

“…Stoma care self‐efficacy, acceptance of stoma, stoma proficiency, length of hospital stay, and anxiety and depression and QoL were measured. The details are reported in the Consolidated Standards of Reporting Trial flow chart in the study protocol (Lim et al., ). Patients’ demographic and clinical details and length of stay were collected through review of participants’ medical records and self‐reports (Lim et al., ).…”

Section: The Studymentioning

confidence: 99%

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Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas

Lim

Chan

Chow

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate preliminary effects of a newly developed STOMA psychosocial intervention programme that was delivered via a multi‐modal and multi‐dimensional approach on the improvement of outcomes of colorectal cancer patients with stoma. Background With a distorted body image and the loss of an essential body function, stoma patients face difficulties in everyday life in terms of physical, psychological, and social aspects. Few studies have explored effects of psychosocial interventions on improving stoma‐related health outcomes. Design This was a two‐group pre‐test‐post‐test pilot randomized controlled trial. Methods Fifty‐three participants were recruited from July 2015–November 2016 in a tertiary public hospital in Singapore. They were randomized into either intervention group (N = 29) or control group (N = 24). Stoma care self‐efficacy, acceptance of stoma, stoma proficiency, length of hospital stay, anxiety and depression and quality of life were measured. IBM SPSS 24.0 was used to analyse the data. Results There was an improvement in acceptance of stoma in the intervention group (p < 0.05). Significant effects on stoma care self‐efficacy, stoma proficiency, length of hospital stay, anxiety and depression level and quality of life were not shown. Conclusion This study developed a feasible and applicable psychosocial intervention programme and generated preliminary evidence in the positive outcomes of colorectal cancer patients with stoma. Future studies can explore technology‐based interventions to provide a more sustainable support for patients with stoma.

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Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas

Lim

Chan

Chow

et al. 2019

Journal of Advanced Nursing

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“…Some reports have found a steady increase in the number of people surviving colorectal and bladder cancer for at least 5 years following diagnosis; these data suggest that patients with cancer‐related ostomies are living longer, and they must cope not only with the daily maintenance of the stoma, but also with the associated changes in body image and physical, sexual, emotional, cognitive, work‐related and psycho‐social functionality . Many studies have indicated that successful adjustment to a permanent ostomy is related to self‐care ability …”

Section: Background For the Studymentioning

confidence: 99%

“…None of them, however, is explicitly focused on ostomy care, even though ostomy patients have some of the same characteristics as patients with other chronic illnesses. Over the years, advances in surgical techniques and ostomy care have reduced ostomy complications and improved the rate of positive outcomes (eg, survival) in ostomy patients as well as other chronically ill patients . For this reason, the theoretical framework of this research proposal will centre on a broad psychosocial perspective, as instantiated by Riegel's theory of the self‐care of chronic illness …”

Section: Background For the Studymentioning

confidence: 99%

Two new tools for self‐care in ostomy patients and their informal caregivers: Psychosocial, clinical, and operative aspects

Villa

Vellone

Sciara

et al. 2018

Int J of Uro Nursing

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Stoma patients and their caregivers need to be autonomous in stoma care, but there are few instruments for measuring the level of self‐care. This study aims to develop and test the psychometric properties of the Ostomy Self‐Care Index (OSCI) and the Caregiver Contribution to Self‐Care in Ostomy Patient Index (CC‐OSCI), from a clinical, operative and psychosocial perspective. A multicentre validation study was conducted on a convenience sample of 468 ostomy patients and 227 caregivers. The signed informed consent forms were obtained before data collection. Tool validation was performed by testing content validity, construct validity, criterion and internal consistency. Two indexes were developed, building on the self‐care theory of chronic illness. For the OSCI, 32 items were developed and grouped into four 5‐point Likert scales: maintenance, monitoring, management and confidence. For the CC‐OSCI, 22 items were developed and grouped into three 5‐point Likert scales: maintenance, monitoring and management. The content validity indexes for the OSCI and CC‐OSCI were 95% and 93%, respectively. Exploratory factor analysis showed appropriate factor loadings (OSCI: min 0.395 to max 0.852; CC‐OSCI: min 0.442 to max 0.841). Criterion validity was established through significant correlation between levels of quality of life, complications, readmissions and self‐care in patients and caregivers. Strong internal consistency was found for the overall index, and within the scales (OSCI: α = 0.975; CC‐OSCI: α = 0.972). The OSCI and CC‐OSCI are valid and reliable indexes. Further studies specifically aimed at predicting the level of self‐care are especially recommended.

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“…In adult patients some studies on quality of life of have been published [16][17][18], to our knowledge, there is only one reported study on this topic in the paediatric population [19].…”

Section: Discussionmentioning

confidence: 98%

Cone-like resection, fistulectomy and mucosal rectal sleeve partial endorectal pull-through in paediatric Crohn's disease with perianal complex fistula

Mattioli

Pio

Arrigo

et al. 2015

Digestive and Liver Disease

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A randomized controlled trial examining the effectiveness of a STOMA psychosocial intervention programme on the outcomes of colorectal patients with a stoma: study protocol

Cited by 16 publications

References 66 publications

Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas

Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas

Two new tools for self‐care in ostomy patients and their informal caregivers: Psychosocial, clinical, and operative aspects

Cone-like resection, fistulectomy and mucosal rectal sleeve partial endorectal pull-through in paediatric Crohn's disease with perianal complex fistula

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