1 Section of Surgery and Internal Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Københavns Universitet 2 unknown 3 Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Københavns Universitet 4 Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Københavns Universitet
a sytematic review
AIM: A systematic review was performed to assess whether education of patients having stoma formation improves quality of life and whether it is cost effective. METHOD: A literature search was performed to identify studies on the structured education of ostomates and outcome using the following databases: MEDLINE, Cinahl, Embase, Cochrane and PsycInfo. Inclusion criteria were: clinical studies reporting effects of educational interventions in relation to patients with a stoma. Commentaries or studies not testing an intervention were excluded. RESULTS: Seven articles met the inclusion criteria of having rigorously evaluated an educational programme related to living with a stoma. The programmes were organized in different ways and had explored varous interventions. The results showed an increase in health-related quality of life measured with a Stoma QOL in strument (p=0.00001) and with SF-36 (p=0.000-0.006), an increase in proficiency in management of the stoma (p=0.0005), two studies pointed to a reduction in post-operative hospital stay (8 vs 10 days, p=0.029), and (8 vs 14 days, p = 0 .17), a significant reduction in cost in the intervention group (8570.54 USD) compared with the control group (7396,90 USD) as well as higher effectiveness scores in the intervention (166,89) compared with the control group (110.98). a significant rise in stoma-related knowledge (p=0.0000), and an increase in psychosocial adjustment (p= 0.000). CONCLUSION: Structured patient education aimed at patients' psychosocial needs seems to have a positive effect on quality of life as well as cost. The interventions may be performed before, during or after hospital stay. However, the available data come from few studies with differences in interventions and study design, and further studies are therefore needed before a final conclusion can be drawn. © 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.
Colorectal Disease, 2013, Vol 15, Issue 6, p. 276-83
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