Patient education has a positive effect in patients with a stoma: a sytematic review
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Patient education has a positive effect in patients with a stoma : a sytematic review. / Danielsen, Anne Kjaergaard; Burcharth, Jakob; Rosenberg, Jacob.
In: Colorectal Disease, 2013.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Patient education has a positive effect in patients with a stoma
T2 - a sytematic review
AU - Danielsen, Anne Kjaergaard
AU - Burcharth, Jakob
AU - Rosenberg, Jacob
N1 - HEHMVU
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
U2 - 10.1111/codi.12197
DO - 10.1111/codi.12197
M3 - Journal article
JO - Colorectal Disease
JF - Colorectal Disease
SN - 1462-8910
ER -
ID: 48563475