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Lim SH, Chan SWC, Lai JH, He HG. A randomized controlled trial examining the effectiveness of a STOMA psychosocial intervention programme on the outcomes of colorectal patients with a stoma: study protocol. J Adv Nurs 2014; 71:1310-23. [PMID: 25494719 DOI: 10.1111/jan.12595] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2014] [Indexed: 11/30/2022]
Abstract
AIMS To report a study protocol that evaluates the effects of a psychosocial intervention on patients with a newly formed stoma. BACKGROUND With the loss of a significant body function and distorted body image, stoma patients experience physical, psychological and social challenges. Nurses have an important role in helping patients' make a smooth transition to living with their stoma. Limited studies have examined the effects of psychosocial interventions on improving stoma-related health outcomes. DESIGN A randomized controlled trial is planned. METHODS Eighty-four patients with newly formed stoma in a tertiary hospital in Singapore (Research Ethics Committee approval obtained in January 2013) will be recruited. Participants will be randomly assigned to either a control group who receive routine care or an intervention group who receive STOMA psychosocial intervention besides routine care. Outcome variables include stoma care self-efficacy, days to stoma proficiency, length of hospital stay, acceptance of stoma, anxiety and depression and quality of life. Data will be collected at four time points: before randomization and intervention (baseline), on the day of discharge (mid-intervention), at 4 weeks after discharge (postintervention 1) and at 4 months after discharge (postintervention 2). DISCUSSION This study will develop a psychosocial intervention programme, which may improve patients' stoma-related outcomes. The findings will provide direction to health professionals about education and the type of support that could be offered to patients concerning stoma care in the hospital setting, which will eventually improve their quality of life.
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Affiliation(s)
- Siew Hoon Lim
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.,Division of Nursing, Singapore General Hospital, Singapore
| | - Sally Wai-Chi Chan
- School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Callaghan, New Castle, Australia
| | - Jiunn Herng Lai
- Department of Colorectal Surgery, Singapore General Hospital, Singapore
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.,National University Health System, Singapore
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Polat U, Arpacı A, Demir S, Erdal S, Yalcin S. Evaluation of quality of life and anxiety and depression levels in patients receiving chemotherapy for colorectal cancer: impact of patient education before treatment initiation. J Gastrointest Oncol 2014; 5:270-5. [PMID: 25083300 DOI: 10.3978/j.issn.2078-6891.2014.034] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Accepted: 05/12/2014] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND As a consequence of the improved survival due to the availability of several treatment option cost-effectiveness and health-related quality of life (HRQoL) issues have gained increasing attention in colorectal cancer (CRC). In the present study, we aimed to evaluate quality of life, level of anxiety and depression before and after a 6-month follow-up period in chemotherapy receiving patients with CRC. METHODS The study was conducted in 50 patients with colon or rectal cancer. All patients were informed and educated about their disease and treatment before getting the treatment and were followed for 6 months, during which they received chemotherapy. A "Questionnaire Form" to collect patient demographic characteristics; the "EORTC QLQ-C30 Scale" and "EQ-5D Scale" to evaluate patient's quality of life; and the "Hospital Anxiety and Depression (HAD) Scale" to evaluate the level of anxiety and depression status of patients, were used as data collecting tools. RESULTS Quality of life scores in all functional fields were high in the sixth course when compared to the first according to EORTC QLQ-C30 Scale, reaching to statistically significant level in emotional function score compared to the initial ones (P<0.05). Moreover quality of life score measured in the sixth month with EQ-5D was statistically significantly higher than the initial. CONCLUSIONS These data, shows that with proper patient management, quality of life score, and the anxiety and depression levels improve during the course of treatment.
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Affiliation(s)
- Ulku Polat
- 1 Department of Nursing for Internal Medicine, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 2 Ambulatory Chemotherapy Unit, Hacettepe University Oncology Hospital, Sıhhiye, Ankara, Turkey ; 3 Department of Nursing for Mental Health and Diseases, Nursing Department, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 4 Hacettepe University Oncology Hospital Nursing Services Management, Sıhhiye, Ankara, Turkey ; 5 Department of Medical Oncology, Hacettepe University Institute of Cancer, Department of Medical Oncology, Sıhhiye, Ankara, Turkey
| | - Afey Arpacı
- 1 Department of Nursing for Internal Medicine, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 2 Ambulatory Chemotherapy Unit, Hacettepe University Oncology Hospital, Sıhhiye, Ankara, Turkey ; 3 Department of Nursing for Mental Health and Diseases, Nursing Department, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 4 Hacettepe University Oncology Hospital Nursing Services Management, Sıhhiye, Ankara, Turkey ; 5 Department of Medical Oncology, Hacettepe University Institute of Cancer, Department of Medical Oncology, Sıhhiye, Ankara, Turkey
| | - Satı Demir
- 1 Department of Nursing for Internal Medicine, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 2 Ambulatory Chemotherapy Unit, Hacettepe University Oncology Hospital, Sıhhiye, Ankara, Turkey ; 3 Department of Nursing for Mental Health and Diseases, Nursing Department, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 4 Hacettepe University Oncology Hospital Nursing Services Management, Sıhhiye, Ankara, Turkey ; 5 Department of Medical Oncology, Hacettepe University Institute of Cancer, Department of Medical Oncology, Sıhhiye, Ankara, Turkey
| | - Sevgi Erdal
- 1 Department of Nursing for Internal Medicine, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 2 Ambulatory Chemotherapy Unit, Hacettepe University Oncology Hospital, Sıhhiye, Ankara, Turkey ; 3 Department of Nursing for Mental Health and Diseases, Nursing Department, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 4 Hacettepe University Oncology Hospital Nursing Services Management, Sıhhiye, Ankara, Turkey ; 5 Department of Medical Oncology, Hacettepe University Institute of Cancer, Department of Medical Oncology, Sıhhiye, Ankara, Turkey
| | - Suayib Yalcin
- 1 Department of Nursing for Internal Medicine, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 2 Ambulatory Chemotherapy Unit, Hacettepe University Oncology Hospital, Sıhhiye, Ankara, Turkey ; 3 Department of Nursing for Mental Health and Diseases, Nursing Department, Health Sciences Institute, Gazi University, Beşevler, Ankara, Turkey ; 4 Hacettepe University Oncology Hospital Nursing Services Management, Sıhhiye, Ankara, Turkey ; 5 Department of Medical Oncology, Hacettepe University Institute of Cancer, Department of Medical Oncology, Sıhhiye, Ankara, Turkey
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