Related Experiment Videos
A comprehensive educational intervention to reduce depression, anxiety and complications in Greek patients with
Maria Evgenia Tzani1, Ourania Govina1, Theodoros Katsoulas2
1Nursing Department, University of West Attica, Athens, Greece.
Background And Aims:
The creation of an ostomy constitutes a profound surgical intervention, invariably introducing a multitude of potential difficulties and challenges into a patient's life. The aim of the study was to assess the effectiveness of a structured educational intervention, combined with nursing follow-up for self-care, in reducing anxiety, depression, and peristomal complications among patients who have undergone intestinal or urinary ostomy surgery, compared to those receiving standard care (control group).
Methods:
A randomized, prospective comparative study was conducted from June 2023-April 2024, involving 100 adult patients with recently formed ostomies residing in the capital of Greece. Participants were randomly assigned to either an Intervention Group (IG) (n=48) or a Control Group (CG) (n=52). The IG received a structured, in-home educational intervention with printed materials and systematic nursing monitoring. Both groups had reinforcement sessions at 45 and 90 days. The study featured dual outcome assessments at baseline, 45 and 90 days. Peristomal complications were measured using the Ostomy Skin Tool (OST), while anxiety and depression were assessed with the Hospital Anxiety and Depression Scale (HADS). For the study purposes, a structured educational tool was developed in three versions, each adapted to the specific needs and characteristics of colostomy, ileostomy and urostomy.
Results:
The analysis of HADS scores indicated a statistically significant difference in the IG versus the CG at both 45 days for anxiety (p=0.002) and depression (p<0.0005), and at 90 days for anxiety (p=0.001) and depression (p<0.0005). Furthermore, analysis of OST scores identified a statistically significant difference in the complication index at 90 days (p<0.0005) for the IG compared to the CG. Regarding the change in the severity index, a statistically significant difference was also recorded in the IG versus the CG at both 45 days (p=0.001) and 90 days (p<0.0005).
Conclusions:
A structured, educational intervention significantly improves ostomy patients' psychological well-being (anxiety and depression) and reduces clinical complications. The practical success of this intervention is largely attributed to its accessible printed tool and dedicated nursing follow-up.
Related Concept Videos
01:24Ostomy 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:
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
01:26Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD: