A Randomized Trial of Inpatient Stoma-Nurse Teaching Versus Stoma Teaching Video Combined With Inpatient Stoma-Nurse Teaching

Phase 3

Interventions: Other: Control - Standard ostomy education
Other: Ostomy Education Video

Brief Summary: Adult patients without prior history of ostomy, undergoing elective surgery involving a new ileostomy or colostomy will be randomized to receive standard ostomy nurse teaching or ostomy nurse teaching combined with preoperative and postoperative stoma care teaching video. Post operative outcomes including delay in discharge and stoma-related complications will be tracked.

Detailed Description: Adult patients without prior history of ostomy, undergoing surgery involving a new ileostomy or colostomy will be randomized to receive standard ostomy nurse teaching or ostomy nurse teaching combined with preoperative and postoperative stoma care teaching video. Patients will be consented and randomized at the time of preoperative clinic visit. All patients will receive standard preoperative ostomy teaching materials and education from the surgeon and clinic nurse. Patients randomized to the treatment arm will receive additional take-home teaching materials based on the American College of Surgeons Ostomy Teaching videos.

After post-operative inpatient ostomy-nurse teaching, and prior to discharge from the hospital, patients will fill out a survey detailing their level of comfort with various aspects of ostomy home care. Patients in the treatment arm will be be asked to review the ostomy teaching videos and fill out the survey prior to discharge. Primary outcome will be delay in discharge from hospital due to stoma-teaching related issues. Secondary outcomes will include rate of calls to the clinic for stoma-related questions, stoma-related clinic/urgent care/emergency department visits, and stoma-related complications.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

patients unable or unwilling to provide informed consent for any reason, including patients with inadequate capacity for decision making.
Patients undergoing emergent surgery
Vulnerable populations such as prison and psychiatric ward patients
Patients who for any reason do not undergo construction of pre-operatively planned stoma
Patients with history of previous stoma creation
Patients who are not their own primary caregivers will also be excluded, including those patients who are planned to be discharged to care facility or nursing facility

Arm && Interventions

Group	Intervention	Description
Control	Control - Standard ostomy education	Standard preoperative and postoperative stoma teaching including ostomy nurse teaching and educational materials
Treatment	Ostomy Education Video	Ostomy care educational video combined with standard preoperative and postoperative stoma teaching including ostomy nurse teaching and educational materials

Primary Outcome Measures

Name	Time	Method
Delay in hospital discharge	through initial inpatient hospital stay: an average of 5 days	Delay in hospital discharge due to need for additional ostomy teaching

Secondary Outcome Measures

Name	Time	Method
Phone Calls	within 60 days of discharge	Number of phone calls to surgical team after discharge
Length of stay	through initial inpatient hospital stay: an average of 5 days	overall length of inpatient hospitalization
Clinic/Urgent Care/Emergency Department visits	within 60 days of discharge	number of Clinic/Urgent Care/Emergency Department visits
Hospital Readmission	within 30 days, and within 30-60 days postoperatively	rate of readmission to hospital after surgery

Locations (1): University of Southern California
🇺🇸
Los Angeles, California, United States

Receive instant email notifications about changes in this clinical trial

Receive instant email notifications about changes in this clinical trial