Siew Hoon Lim1,2, Sally Wai-Chi Chan3, Jiunn Herng Lai4, Hong-Gu He1,5. 1. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. 2. Division of Nursing, Singapore General Hospital, Singapore. 3. School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Callaghan, New Castle, Australia. 4. Department of Colorectal Surgery, Singapore General Hospital, Singapore. 5. National University Health System, Singapore.
Abstract
AIMS: To report a study protocol that evaluates the effects of a psychosocial intervention on patients with a newly formed stoma. BACKGROUND: With the loss of a significant body function and distorted body image, stoma patients experience physical, psychological and social challenges. Nurses have an important role in helping patients' make a smooth transition to living with their stoma. Limited studies have examined the effects of psychosocial interventions on improving stoma-related health outcomes. DESIGN: A randomized controlled trial is planned. METHODS:Eighty-four patients with newly formed stoma in a tertiary hospital in Singapore (Research Ethics Committee approval obtained in January 2013) will be recruited. Participants will be randomly assigned to either a control group who receive routine care or an intervention group who receive STOMA psychosocial intervention besides routine care. Outcome variables include stoma care self-efficacy, days to stoma proficiency, length of hospital stay, acceptance of stoma, anxiety and depression and quality of life. Data will be collected at four time points: before randomization and intervention (baseline), on the day of discharge (mid-intervention), at 4 weeks after discharge (postintervention 1) and at 4 months after discharge (postintervention 2). DISCUSSION: This study will develop a psychosocial intervention programme, which may improve patients' stoma-related outcomes. The findings will provide direction to health professionals about education and the type of support that could be offered to patients concerning stoma care in the hospital setting, which will eventually improve their quality of life.
RCT Entities:
AIMS: To report a study protocol that evaluates the effects of a psychosocial intervention on patients with a newly formed stoma. BACKGROUND: With the loss of a significant body function and distorted body image, stoma patients experience physical, psychological and social challenges. Nurses have an important role in helping patients' make a smooth transition to living with their stoma. Limited studies have examined the effects of psychosocial interventions on improving stoma-related health outcomes. DESIGN: A randomized controlled trial is planned. METHODS: Eighty-four patients with newly formed stoma in a tertiary hospital in Singapore (Research Ethics Committee approval obtained in January 2013) will be recruited. Participants will be randomly assigned to either a control group who receive routine care or an intervention group who receive STOMA psychosocial intervention besides routine care. Outcome variables include stoma care self-efficacy, days to stoma proficiency, length of hospital stay, acceptance of stoma, anxiety and depression and quality of life. Data will be collected at four time points: before randomization and intervention (baseline), on the day of discharge (mid-intervention), at 4 weeks after discharge (postintervention 1) and at 4 months after discharge (postintervention 2). DISCUSSION: This study will develop a psychosocial intervention programme, which may improve patients' stoma-related outcomes. The findings will provide direction to health professionals about education and the type of support that could be offered to patients concerning stoma care in the hospital setting, which will eventually improve their quality of life.
Authors: Fernando J Kim; Rodrigo Donalisio da Silva; Diedra Gustafson; Leticia Nogueira; Timothy Harlin; David L Paul Journal: Patient Saf Surg Date: 2015-06-05