The Effect of Preoperative Stoma Simulation on Anxiety and Postoperative Adaptation: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- Anxiety
研究概览
简要总结
The majority of patients (60-70%) develop high levels of anxiety before surgery. Surgical patients may experience feelings of anxiety due to insufficient information and counseling before surgery and potential changes in the body caused by surgery. Fears include (but are not limited to) not waking up from anesthesia, not being able to return to previous work and family life, and adaptation concerns regarding new processes after surgery. Patients with fear of complications experience preoperative anxiety four times more than other patients. Other factors affecting preoperative anxiety were determined to be waiting for a long time before surgery, not knowing what will happen during surgery, losing control of the body, not receiving sufficient social support, being exposed to medical errors, and encountering undesirable health outcomes after surgery. The changes that will occur in the body and lifestyle after stoma surgery scare patients and cause them to feel anxiety in the pre-operative period. Despite significant developments in stoma care products and the increase in the number of nurses specialized in stoma care in recent years, the majority of patients experience problems with compliance. For this reason, the compliance of stoma patients with stoma life is increasingly the subject of clinical trials and epidemiological studies. In our country, studies conducted to determine the problems experienced by stoma individuals regarding compliance with stoma and social life are limited. Nursing interventions are recommended to reduce patients' anxiety and increase their compliance with stoma after surgery. This study aims to evaluate the effect of stoma simulation performed preoperative surgery on the patient's anxiety level and postoperative stoma compliance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who are planned for elective stoma surgery,
- •Are between the ages of 18-65,
- •Can speak Turkish,
- •Can read and write,
- •Are conscious,
- •Are willing to participate in the study will be included.
排除标准
- •Patients with speech or hearing impairments,
- •Those who have had urostomy surgery,
- •Those who have a psychological diagnosis or are taking medication,
- •Those who need intensive care after surgery,
- •Those whose stoma was closed during the study,
- •Those who have complications in the peristomal area,
- •Patients who have had stoma surgery before will be excluded from the study.
研究组 & 干预措施
Stoma simulation group
- Patients are informed about the study 24 hours before surgery.
- The patient is given a "patient information form" and "The State-Trait Anxiety Inventory".
- The stoma simulation is started.
- The stoma simulation is ended on the morning of the surgery and the patient's state anxiety is measured.
- During the discharge, the patient's adaptation to the stoma is evaluated using the Ostomy Adjustment Inventory.
- 1 months after surgery, the patient's adaptation to the stoma is evaluated again using the Ostomy Adjustment Inventory.
干预措施: Stoma simulation (Other)
Control group
- Patients are informed about the study 24 hours before the surgery.
- The patient is given a "patient information form" and "The State-Trait Anxiety Inventory".
- The patient's state anxiety is measured on the morning of the surgery.
- During the discharge, the patient's adaptation to the stoma is evaluated using the Ostomy Adjustment Inventory.
- 3 months after the surgery, the patient's adaptation to the stoma is evaluated again using the Ostomy Adjustment Inventory.
结局指标
主要结局
Anxiety
时间窗: 24 hours before surgery and 30 minutes before surgery
The State-Trait Anxiety Inventory consists of two separate dimensions: state anxiety (STAI-I) and trait anxiety (STAI-II), and these dimensions aim to measure individuals' anxiety states in different contexts. The scale consists of 40 items in total; 20 items measure state anxiety and the other 20 items measure trait anxiety. Both scales are scored between 20-80, and as the score increases, the level of anxiety increases. The State-Trait Anxiety Inventory is administered 24 hours before surgery. The patient's state anxiety is measured 30 minutes before surgery.
次要结局
- Stoma adaptation(the morning of the patient's discharge (7th day of surgery) and 1 months after surgery)
研究者
Hatice Merve Alptekin
Research Assistant
Kocaeli University