The Effect of Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma-Related Anxiety, Adjustment and Self-Efficacy: a Randomised Controlled Trial.
Hacer Akbayrak, Yasemin Uslu
PMID 41806129WHAT IT FOUND
Preoperative stoma education using a wearable dummy stoma lowered anxiety at first stoma care and improved self-care confidence and adjustment for 6 weeks compared with routine brochure, verbal, and visual teaching.
Key findings
01Patients who received preoperative education with a wearable dummy stoma reported less anxiety at their first postoperative stoma care (36.24 vs 48.16).
02Patients who received preoperative education with a wearable dummy stoma scored higher on stoma self-care confidence at discharge, 3 weeks, and 6 weeks (63.36 vs 49.92; 78.39 vs 59.08; 84.73 vs 68.24).
03Patients who received preoperative education with a wearable dummy stoma scored higher on stoma adjustment at discharge, 3 weeks, and 6 weeks (54.67 vs 42.70; 64.72 vs 49.57; 68.42 vs 44.19).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in two hospitals with adults undergoing stoma surgery, so results cannot be generalised to all stoma patients. Patients with psychiatric or neurological diagnoses, visual or hearing impairment, revision surgery, stoma closure, postoperative complications, or prolonged hospital stay were excluded. Outcomes were followed for only 6 weeks, so longer-term adjustment is unknown. Results were based on patients' self-reports, which may be subject to bias. Although session length was standardised, minor variations in nurse time and individual attention may have occurred. Eight of 78 enrolled patients were excluded during data collection, leaving 70 analysed. The benefit cannot be assigned to the dummy stoma alone because it was delivered within hands-on nurse-led education that also included product review and pouch practice.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that the dummy stoma alone improves stoma adjustment. The benefit was seen when nurses delivered it as part of a hands-on preoperative education session that included product review, pouch practice, and application and removal of adapters with or without paste. Also, do not assume long-term benefit; outcomes were followed for only 6 weeks.