Teach-Back Communication Versus Pictorial-Based Learning on Self-Care Knowledge and Adherence, Self-Efficacy and Peristomal Skin Healing in Patients After Emergency Surgery Colostomy: A 3-Arm, Randomised, Controlled Trial.
Zoleykha Rajabi, Mahnaz Khatiban, Seyedeh Nayereh Falahan and 1 others
PMID 40526807WHAT IT FOUND
Peristomal skin scores could not be compared because all patients had similar erythema.
Teach-back and pictorial education improved self-care knowledge, adherence and self-efficacy versus routine care at follow-up.
Key findings
01Both teach-back and pictorial education gave higher self-care knowledge and adherence than routine care at follow-up.
02Overall stoma self-efficacy was higher with teach-back than pictorial learning at follow-up (difference 2.84, p < 0.05).
03Peristomal skin healing could not be compared because all groups had the same erythema score at follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The trial was done in a single Iranian hospital, mostly with emergency colostomy and low education, so results may not apply to other health systems or elective ostomy populations. Groups differed at baseline in insurance, residence, smoking and nutrition, and analyses adjusted for these. The peristomal skin outcome could not be analysed because all patients had the same score. No blinding is described, and several outcomes were nurse-administered, nurse-reported or nurse-observed.
The easy way to misread this
Do not conclude teach-back is better overall. It only had higher overall stoma self-efficacy than pictorial at follow-up, while knowledge and adherence were similar, and peristomal skin could not be compared.