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Published on: August 1, 2019
Systematic review of educational interventions for ostomates
Uma R Phatak1, Linda T Li, Burzeen Karanjawala
11University of Texas Health Science Center, Department of General Surgery, Houston, Texas 2Center for Surgical Trials and Evidence-Based Practice, University of Texas Health Science Center, Houston, Texas 3Baylor College of Medicine, Michael E. DeBakey Department of Surgery, Houston, Texas 4University of Texas MD Anderson Cancer Center, Department of Surgical Oncology, Houston, Texas 5Center for Clinical Research and Evidence-Based Medicine, University of Texas Health Science Center, Houston, Texas.
Limited evidence supports educational interventions for new ostomates in reducing stoma complications. Further research with rigorous designs is needed to improve patient care and outcomes for ostomy patients.
Area of Science:
- Nursing
- Surgical Patient Care
- Health Education
Background:
- Stoma complications increase hospital stays and readmissions.
- Effective, evidence-based educational interventions for new ostomates are lacking.
- Patient education is crucial but lacks outcome data.
Purpose of the Study:
- To systematically review literature on educational interventions for new ostomates.
- To assess the impact of these interventions on stoma-related complications.
Main Methods:
- Searched PubMed for studies on ostomate education.
- Included English studies on adult stoma patients receiving interventions at stoma creation.
- Focused on outcomes: length of stay, complications, and readmissions.
Main Results:
- Seven studies met inclusion criteria; overall study quality was low.
- Interventions involved specialized nurses but varied.
- No consistent reduction in length of stay, complications, or readmissions was found.
Conclusions:
- Current evidence for educational interventions improving ostomy patient outcomes is insufficient.
- Limitations include single database search and English-only inclusion.
- Rigorous research is needed to develop effective educational strategies for ostomates.
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Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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