The Effect of Preoperative Stoma Simulation on Anxiety and Postoperative Adaptation

Официальное название

The Effect of Preoperative Stoma Simulation on Anxiety and Postoperative Adaptation: A Randomised Controlled Trial

Обзор

The majority of patients (60-70%) develop high levels of anxiety before surgery. Surgical patients may experience feelings of anxiety due to insufficient information and counseling before surgery and potential changes in the body caused by surgery. Fears include (but are not limited to) not waking up from anesthesia, not being able to return to previous work and family life, and adaptation concerns regarding new processes after surgery. Patients with fear of complications experience preoperative anxiety four times more than other patients. Other factors affecting preoperative anxiety were determined to be waiting for a long time before surgery, not knowing what will happen during surgery, losing control of the body, not receiving sufficient social support, being exposed to medical errors, and encountering undesirable health outcomes after surgery. The changes that will occur in the body and lifestyle after stoma surgery scare patients and cause them to feel anxiety in the pre-operative period. Despite significant developments in stoma care products and the increase in the number of nurses specialized in stoma care in recent years, the majority of patients experience problems with compliance. For this reason, the compliance of stoma patients with stoma life is increasingly the subject of clinical trials and epidemiological studies. In our country, studies conducted to determine the problems experienced by stoma individuals regarding compliance with stoma and social life are limited. Nursing interventions are recommended to reduce patients' anxiety and increase their compliance with stoma after surgery. This study aims to evaluate the effect of stoma simulation performed preoperative surgery on the patient's anxiety level and postoperative stoma compliance.

Вмешательства

• Другое Stoma simulation
  Patients who will undergo stoma surgery will have an intervention one day before the surgery. The adapter will be cut to an estimated stoma size, heated by rubbing with hands and adapted to the skin by applying stoma paste. The patient will be asked to place their hand on the adapter and apply pressure. Then, the stoma bag filled with tissues and water and the adapter will be combined. The patient will be informed that they should not hesitate to do any activity that they will spend 24 hours wit

Первичные конечные точки

• Anxiety [Срок оценки: 24 hours before surgery and 30 minutes before surgery]

Вторичные конечные точки (1)

• Stoma adaptation [Срок оценки: the morning of the patient's discharge (7th day of surgery) and 1 months after surgery]

Критерии участия

Критерии включения

• All patients who are planned for elective stoma surgery,
• Are between the ages of 18-65,
• Can speak Turkish,
• Can read and write,
• Are conscious,
• Are willing to participate in the study will be included.

Критерии исключения

• Patients with speech or hearing impairments,
• Those who have had urostomy surgery,
• Those who have a psychological diagnosis or are taking medication,
• Those who need intensive care after surgery,
• Those whose stoma was closed during the study,
• Those who have complications in the peristomal area,
• Patients who have had stoma surgery before will be excluded from the study.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Turkey (Türkiye) · 1 центр

• Istanbul University Istanbul Medical Faculty Hospital — Istanbul

Публикации

• Alptekin HM, Ozhanli Y. A Randomized Controlled Trial to Assess the Impact of Preoperative Stoma Simulation on Anxiety and Postoperative Adaptation: A Study Protocol. Nurs Open. 2026 Jul;13(7):e70682. doi: 10.1002/nop2.70682. PMID 42411565

Идентификаторы

NCT: NCT06737887 · 2023/410

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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