Nursing Interventions for the Management of a Stoma Complicated by a Parastomal Hernia or Bulge: A Scoping Review.
Cecilie Larsen, Trine Bolette Borglit, Lisbeth Roesen Leinum and 2 others
PMID 39952787WHAT IT FOUND
Eight nursing interventions are described for parastomal bulges, including appliance changes and support garments.
No study tested symptom reduction, so these are expert recommendations, not proven treatments.
Key findings
01The review identified eight nursing interventions for managing symptoms related to a parastomal bulge.
02Support garments and appliance adjustment were the most frequently described interventions, appearing in 40 and 30 publications respectively.
03No included studies evaluated whether the nursing interventions reduce the symptom burden experienced by patients.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review did not appraise the quality of included publications, so it does not show how trustworthy each recommendation is. Most evidence was single expert opinion or expert consensus, and no studies tested whether the nursing interventions reduced symptoms. Only one controlled randomised trial was included, and it was at risk of selection bias. Most included publications were descriptive designs, so the review maps what is described rather than what works. The search was limited to English and Nordic languages, and some national guidelines may have been missed. Definitions of parastomal bulge varied widely across included publications.
Declared interests
No author conflict-of-interest declaration is included in the supplied text. The publication types list non-U.S. government research support.
The easy way to misread this
Do not conclude that these nursing interventions reduce symptoms or improve quality of life. The review mapped what is described in the literature, and no included study tested the effect of the interventions on symptoms.