Effect of Stoma Prehabilitation on Stoma Patients

Summary

Stoma has serious psychosocial effects on patients. Stoma prehabilitation has a potential to overcome these problems. Patients in prehabilitation group were attached with a water-filled stoma pouch (250 ml) 48 hours before surgery. These pouches were not removed until surgery, and enterostomal therapy nurse preoperatively taught the patients how to manage the stoma pouch with similar standards as the usual postoperative stoma-care.

This study aims to measure the effects of prehabilitation on stoma self-care, quality of life, anxiety and depression levels.

Conditions

• Stoma
• Anxiety
• Depression
• Quality of Life

Interventions

BEHAVIORAL

Stoma prehabilitation

A stoma pouch was attached to the marked stoma site on the patient's abdominal surface after stoma education (only in group C). EST nurse filled 250 ml water into the pouch. Patients lived with these pouches until surgery. They experienced walking, sitting, sleeping, changing clothes with a pouch. They learned how to empty it. When a leak occurred, the pouch was changed by the nurse

BEHAVIORAL

preoperative stoma education

A consultation period for stoma education by an EST nurse was approximately 45 minutes. Patients were shown pictures of a stoma. The stoma-care equipments and a pouch were also shown to the patients and they were informed about these equipments. They were also provided information about daily living with a stoma.

BEHAVIORAL

postoperative stoma education

A consultation period for stoma education by an EST nurse was approximately 45 minutes. Patients were shown pictures of a stoma. The stoma-care equipments and a pouch were also shown to the patients and they were informed about these equipments. They were also provided information about daily living with a stoma.

BEHAVIORAL

Postoperative stoma care

Usual stoma care given by enterostomal therapy nurse after a surgery with fecal diversion

Sponsors & Collaborators

• Cihangir Akyol

  lead OTHER

Principal Investigators

• Mehmet A Koç, MD · Ankara University School of Medicine Departmernt of General Surgery

• Cihangir Akyol, MD · Ankara University School of Medicine Departmernt of General Surgery

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2011-11-15

Primary Completion

2016-09-15

Completion

2016-12-15