Effect of Self-efficacy Intervention on Quality of Life of Patients With Intestinal Stoma.
Shujuan Xu, Zhiyun Zhang, Aimei Wang and 3 others
PMID 28727664WHAT IT FOUND
For patients with permanent colostomy, a nurse-led confidence-building programme raised confidence in stoma self-management and gave higher quality-of-life scores than routine care by the end of follow-up.
Key findings
01At 3 months, the intervention group had higher quality-of-life scores than the control group in most dimensions, except respiratory difficulty, constipation, and economic difficulties.
02At 1 and 3 months after surgery, self-efficacy scores differed significantly between groups (p < .05).
03At 10 days after surgery, stoma-related self-efficacy scores did not differ significantly between groups.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study had a small sample (48 patients) and a short follow-up period. It used a single quality-of-life evaluation tool. The intervention included several components delivered together, so the contribution of any single component cannot be separated. Many quality-of-life dimensions were compared, and three did not show significant differences. The intervention group had fewer patients than the control group (20 versus 28).
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that every part of the programme caused the benefit or that the result applies to all stoma patients. The study was small, short, and tested several outcomes at once, with no difference at 10 days.