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Ostomy Care01:24

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Introduction
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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Does Preoperative Ostomy Education Decrease Anxiety in the New Ostomy Patient? A Quantitative Comparison Cohort

Michelle S Harris1,2,3, Katherine Kelly1,2,3, Carol Parise1,2,3

  • 1Michelle S. Harris, DNP, RN, FNP-C, CWOCN, Fresno School of Nursing, California State University, Fresno, California.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|March 10, 2020
PubMed
Summary
This summary is machine-generated.

Preoperative ostomy education significantly reduces postsurgical anxiety in patients. Offering this education before surgery, alongside routine care, leads to lower anxiety levels compared to standard postoperative education alone.

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Area of Science:

  • Medical Education
  • Surgical Nursing
  • Psychological Well-being

Background:

  • Postsurgical anxiety is a significant concern for patients undergoing ostomy surgery.
  • Standard preoperative education may not adequately address patient anxiety related to ostomy procedures.
  • Early intervention through education can potentially mitigate psychological distress.

Purpose of the Study:

  • To evaluate the impact of presurgical ostomy education on postsurgical anxiety levels.
  • To compare anxiety in patients receiving preoperative and postoperative ostomy education versus those receiving only postoperative education.

Main Methods:

  • A quantitative, prospective, comparison cohort study was conducted with 30 participants.
  • Participants were divided into two groups: one receiving preoperative and postoperative ostomy education, the other receiving only postoperative education.
  • Anxiety was measured using the Hospital Anxiety and Depression Survey (HADS) during postoperative education sessions.

Main Results:

  • Patients receiving preoperative ostomy education demonstrated statistically significant lower postsurgical anxiety scores (P < .001).
  • The intervention group, which included preoperative education, showed a marked reduction in anxiety compared to the control group.

Conclusions:

  • Presurgical ostomy education is an effective strategy for reducing postsurgical anxiety.
  • Integrating preoperative ostomy education into standard care pathways can improve patient psychological outcomes.
  • Further research can explore long-term effects and patient-reported outcomes.