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Pelvic Floor Muscle Exercises Effect After Stoma Closure

Not Applicable
Completed
Conditions
Stoma
Interventions
Other: pelvic floor muscle exercise
Registration Number
NCT04824287
Lead Sponsor
Dilek Aktaş
Brief Summary

This study was conducted to evaluate the effect of pelvic floor muscle exercises on bowel evacuation problems and quality of life in individuals after stoma closure.

Detailed Description

Sample of study was calculated as 32 using G\*Power Software (ver. 3.1.9.2) for 80% power and medium effect size (f=0.25) at 95% confidence level in line with the data of Lin et al. Participants were assigned to the experimental and control groups by the stratified block randomization method. The locks were assigned to layers using Microsoft Excel.

The individuals in the experimental group received pelvic floor muscle exercises training from the researcher using the Roy Adaptation Model in addition to routine discharge training. The patients received a PFME training booklet prepared by the researcher. Face-to-face training was given to the individuals in the experimental group on the day before the operation, on the second and third postoperative days, and on the day of discharge. The training continued with phone calls at the first, second and third weeks and the first, second, third, and sixth months after the surgery. Data was collected a day before discharge, first, second, third, and sixth months after the surgery.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Being between the ages of 18 and 75,
  • Being literate,
  • Having a stoma due to colorectal cancer,
  • Having no previous anal trauma,
  • Having no anal surgery other than colorectal cancer surgery,
  • Having no congenital anorectal anomaly,
  • Having no neurological problem,
  • Having no physical disability,
  • Having no previous experience of PFMEs before the surgery,
  • Being cognitively able to answer questions
Exclusion Criteria
  • Wanting to leave the study,
  • Having had previous biofeedback and electrical stimulation therapy applications,
  • Having another stoma,
  • Not being reachable by phone.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimentalpelvic floor muscle exercisepelvic floor exercise
Primary Outcome Measures
NameTimeMethod
Bowel Evacuation Habits6 month

evaluated with "Assessment Form for Bowel Evacuation Habits and Psychosocial Problems". This form was developed by the researcher. Patients answer the question yes or no

Wexner Scale Score6 month

Wexner Scale used to evaluate fecal incontinence. Minimum point is "0" an maximum point is "20". A score of 1 or above indicates a fecal incontinence problem

Psychosocial Problems6 month

evaluated with "Assessment Form for Bowel Evacuation Habits and Psychosocial Problems". This form was developed by the researcher. The form include questions about psychosocial problems related bowel evacuation problems Patient answer the questions yes or no

Health-related Quality of Life6 month

evaluated with Short Form 36 (SF-36) Health-related Quality of Life Scale. This scale include 8 subdimensions. scale does not have a single total score: the score for each dimension is calculated separately. For each subdimension minimum point is 0 and maximum point is 100. Higher score indicate best quality of life

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Nursing

🇹🇷

Ankara, Turkey

Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Nursing
🇹🇷Ankara, Turkey
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