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

Abstract

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.

The effect of phone counselling service on adaptation to stoma and quality of life among patients with intestinal stoma: a randomized controlled trial

“…This suggests that patients' compliance with the stoma and their quality of life are more affected in the first weeks. The findings are also consistent with previous findings that specialist stoma nurses' support and education contributed significantly to positive adjustment in ostomy patients 14,23,24 .In the literature, there is an test study conducted by Zhang et al in which patients were called and followed by stoma care nurses in the first three months after the stoma opening; however, there is no study in which no phone counselling service they could call any time they encounter a problem 14 . This study revealed the importance of phone counselling in patients with intestinal stoma after the discharge.…”

“…It is stated in the literature that one of the most important problems experienced by individuals with stoma is the smell and patients also experience skin problems. In addition, studies have revealed that patients' bathing, nutrition, and sleep habits change and the problems they experience on this topic are emphasized [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] . In this study, in the weeks 1-6 individuals were observed to have mostly physiological problems such as leakage, skin ulcerations, gas and smell.…”

Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison

“…Psychotherapeutic interventions have been described in CRC population, mainly in patients with newly-formed stomas, with generally satisfactory effects. Stoma patients, due to a distorted body image and the loss of an essential body function, face difficulties in everyday life in terms of physical, psychological, and social aspects [ 107 ]. One of the most common psychosocial intervention described in this population is preoperative education, which appears to satisfactorily reduce both LOS and days to stoma proficiency [ 108 , 109 ].…”

Application of the hospital‐family holistic care model in caregivers of patients with permanent enterostomy: A randomized controlled trial

“…The care needs and abilities of the caregivers of permanent enterostomy are easily ignored by the medical staff, and the care process may lack standardization and professionalism. In recent years, scholars at home and abroad have gradually shifted their research focus from cancer patients to caregivers, but few are involved in the intervention research of caregivers' care needs, especially the caregivers of permanent enterostomy patients (Griffin et al., 2014; Kim & Carver, 2012; Lim et al., 2019). Through literature review, intervention research mainly comprised group education, ostomy clubs, and focused solution modes; the process of education intervention lacked stage and effectiveness, and the intervention mainly occurred in the hospital (Karabulut et al., 2014; Millan et al., 2010; Sweeney‐Magee et al., 2020).…”