Effect of a Stoma Care Training Belt on Stoma Care Skills, Adjustment, Anxiety and Satisfaction in Intestinal Stoma...

The aim of this study is to develop a novel Stoma Care Training Belt for patients undergoing intestinal stoma surgery and to evaluate the effects of preoperative training with the belt on stoma care skills, stoma adjustment, anxiety, and satisfaction with education.

A randomized controlled trial.

This study was conducted between May 2024 and April 2025 in the general surgery departments of two university hospitals. A total of 170 patients scheduled to undergo intestinal stoma surgery were randomly assigned to either the intervention group, which received preoperative training using the Stoma Care Training Belt in addition to standard clinical care, or the control group, which received standard clinical care alone. Outcome measures were assessed on the day before surgery, the day of discharge, and at 5, 15, and 30 days after discharge.

Compared with the control group, patients in the intervention group had significantly higher stoma care skill and stoma adjustment scores at all postoperative follow-ups, significantly lower anxiety scores from discharge through postdischarge day 30, and significantly higher satisfaction with education at the preoperative and discharge assessments.

The Stoma Care Training Belt is a novel, ergonomic, wearable educational device that allows patients to practice stoma care safely during the preoperative period and to keep the belt on during daily activities, thereby promoting familiarity with stoma management and supporting skill acquisition without direct adhesive exposure. Preoperative education with a new Stoma Care Training Belt may increase patients' stoma care skills, stoma adjustment and satisfaction, and decrease anxiety levels.

Incorporating the Stoma Care Training Belt into routine preoperative nursing education may provide a practical, evidence-based approach to improving patients' stoma care skills, reducing anxiety, and supporting earlier adaptation and more independent self-care after surgery.

What Problem Did the Study Address? This study addressed the limited availability of structured and evidence-based preoperative stoma care education interventions designed to improve patients' self-care skills, adjustment, and outcomes, including anxiety and satisfaction. What Were the Main Findings? Preoperative education using the Stoma Care Training Belt was associated with better stoma care skills, better stoma adjustment, lower anxiety, and higher satisfaction with education compared with standard care alone. Where and on Whom Will the Research Have an Impact ? The findings are relevant to nurses providing perioperative stoma education and to patients undergoing intestinal stoma surgery, with potential to improve patient preparation, self-care competence, and adaptation after discharge.

Consolidated Standards of Reporting Trials (CONSORT) 2025.

Patients participating in the pilot study were invited to provide feedback on the comfort, functionality, and usability of the Stoma Care Training Belt.

ClinicalTrials.gov (Identifier: NCT06391398; Date: April 29, 2024).