Effect of a Stoma Care Training Belt on Stoma Care Skills, Adjustment, Anxiety and Satisfaction in Intestinal Stoma Patients: Randomized Controlled Study.
Hatice Öner Cengiz, Mehmet Yüksekkaya, İlknur Münevver Gönenç and 5 others
PMID 42499259WHAT IT FOUND
In intestinal stoma patients, preoperative nurse training with a wearable belt raised skill and adjustment scores, lowered anxiety after discharge, and improved education satisfaction versus standard care.
Key findings
01Stoma care skills were significantly higher in the intervention group at discharge and on postdischarge days 5, 15, and 30.
02Stoma adjustment scores were significantly higher in the intervention group at each follow-up assessment.
03State anxiety scores were significantly lower in the intervention group at discharge and on postdischarge days 5, 15, and 30, but not before surgery.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants could not be blinded, so performance and response bias are possible. The study was conducted in two university hospitals affiliated with the same institution, so the results may not generalise to other settings. Follow-up ended 30 days after discharge, so long-term adjustment, complications, and readmission were not assessed. The reported outcomes were skills, adjustment, anxiety, and satisfaction; the study did not measure stoma complications or readmission. The belt was tested only as an addition to standard nurse-led stoma education, so its effect without that education is unknown.
Declared interests
The study was supported by the Scientific and Technological Research Council of Türkiye (TÜBİTAK) through grant 323S432. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude the belt alone caused the improvements. The intervention group received standard preoperative and postoperative stoma care plus belt training by a certified stoma care nurse, so the belt's separate contribution cannot be isolated.