The Effect of Real Patient Interactive Stoma Care Management Teaching

NCT06979102 | Enrolling By Invitation

• 2 other identifiers: 2024/10-28424S083
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Colorectal cancer is a type of cancer that is on the rise worldwide. Ileostomy with surgical treatment is one of the common treatment methods for this cancer. Regardless of whether the ileostomy is temporary or permanent, both patients with ileostomy and their caregivers are negatively affected physically and psychologically during this process. Patients with an ileostomy are especially at risk for ileostomy-related complications and metabolic complications. Stoma care management training on ileostomy care is critical in preventing these negativities. In this context, as a result of a real patient with ileostomy who has experience in opening an ileostomy and adapting to life with ileostomy, receiving structured training on stoma care teachings, the real patient with an ileostomy will take part in interactive stoma care management teachings in which the newly ileostomy patient and caregiver will take part together with a stoma and wound care nurses, and the processes of participation in care and care management of the newly ileostomy patient and caregiver will be improved, it is predicted that complications, physical and psychological problems that may develop related to ileostomy will be limited and contribute to public health in the long term. This research aims to determine the effect of real patient interactive stoma care management teaching on the processes of participation in care and care management of the newly ileostomy patient and caregiver. In this research, a randomized controlled full experimental research design with a post-test control group will be used. The population of the study will consist of newly ileostomy patients and their caregivers at Ankara Provincial Directorate of Health University of Health Sciences Gulhane Training and Research Hospital General Surgery Clinic. The sample of the study will be determined by using the criterion sampling method, one of the purposive sampling methods. Newly ileostomy patients and their caregivers who are eligible for the inclusion-exclusion criteria and who volunteer to participate in the study will be included. The research's data will be obtained using the Patient's Descriptive Characteristics Form, Caregiver's Descriptive Characteristics Form, Ostomy Self-Care Index, Caregiver Contribution to Self-Care in Ostomy Patient Index, Patient Health Engagement Scale, and Caregiver Health Engagement Scale. The implementation of the research will be carried out in two stages. In the first stage, real patients with an ileostomy will be identified, and training will be given to real patients on real patient interactive stoma care management with an ileostomy. In this context, to determine the expectations of individuals with stomas and their caregivers regarding stoma care management teaching, the plan was to determine the experiences of individuals with a prior permanent or temporary ileostomy/colostomy and current stomas and their caregivers regarding stoma care management education at the institution where the study was conducted. This plan was to structure the training to be delivered as part of the first stage of the study. To this end, ethics committee approval and institutional permission were obtained for the study titled "Determining the Stoma Care Education Experiences of Individuals with Stomas and Their Caregivers: A Qualitative Study." The opinions of individuals with stomas and their caregivers were collected, and the training was organized accordingly as part of the first stage of the study. In the second stage, real patient with ileostomy interactive stoma care management teaching will be applied to newly ileostomy patients and their caregivers in the intervention group, while standard stoma care management teaching will be applied to newly ileostomy patients and their caregivers in the control group. The objectives of this research are as follows: preparation of real patients with ileostomy; completion of real patients with ileostomy interactive stoma care management teaching with the intervention group; completion of standard stoma care management teaching with the control group; data analysis and statistical evaluations. It is predicted that with the real patient with ileostomy interactive stoma care management teaching, improvement will be achieved in the processes of participation in care and care management of the newly ileostomy patient and caregiver, complications, physical and psychological problems that may develop related to ileostomy will be limited, and in the long term, public health will be contributed.

Conditions

Ileostomy - Stoma; Caregiver; Care Management; Care Participation; Real Patient Interaction

Keywords

Caregiver; Ileostomy patient; Care management; Care participation; Real patient interaction; Teaching intervention

Outcome Measures

Primary Outcomes (4)

• To determine the processes of participation in care of the newly ileostomy patient with the Ostomy Self-Care Index

  The scale has a 5-point Likert structure. The scale score is determined by adding the scores obtained from each item in the scale. As the scale score increases, the level of self-care management of the ostomy patient increases.

  The second stoma care management teaching was completed before discharge, an average postoperative 6th day; The 2nd month after discharge.

• To determine the processes of participation in care of the caregiver with the Caregiver Contribution to Self-Care in Ostomy Patient Index

  The scale has a 5-point Likert structure. The scale score is determined by adding the scores obtained from each item in the scale. As the scale score increases, the caregiver's support for the stoma-related self-care of the patient with an ostomy increases.

  The second stoma care management teaching was completed before discharge, an average postoperative 6th day; The 2nd month after discharge.

• To determine the processes of care management of the caregiver with the Caregiving Health Engagement Scale

  The scale has a total of 6 items and each item includes 4 statements and 7 options (A, B, C, D, E, F and G); options A and B are in the denial phase and have a score of 1, options C and D are in the hyperactivation phase and have a score of 2, options E and F are in the drowning phase and have a score of 3, option G is in the balance phase and has a score of 4; the scores of the caregiver for each item are ranked and the median value of the scores shows the participation phase in which the caregiver is located.

  The second stoma care management teaching was completed before discharge, an average postoperative 6th day; The 2nd month after discharge.

• To determine the processes of care management of the newly ileostomy patient with the Patient Health Engagement Scale

  The scale has a total of 5 items and each item contains 4 statements and 7 options (A, B, C, D, E, F and G); A and B options are in the blackout phase and have a score of 1, C and D options are in the arousal phase and have a score of 2, E and F options are in the adhesion phase and have a score of 3, G option is in the eudaimonic project and has a score of 4; the scores the patient receives for each item are listed and the median value of the scores shows the participation phase the patient is in.

  The second stoma care management teaching was completed before discharge, an average postoperative 6th day; The 2nd month after discharge.

Study Arms (2)

Intervention Group

EXPERIMENTAL

The real patient interactive stoma care management teaching will be carried out with ileostomy patients who have recently had their ileostomy opened and their caregivers in the intervention group.

Other: Real Patient Interactive Stoma Care Management Teaching

Control Group

ACTIVE COMPARATOR

The standard stoma care management teaching will be carried out with ileostomy patients who have recently had their ileostomy opened and their caregivers in the control group.

Other: Standard Stoma Care Management Teaching

Interventions

Real Patient Interactive Stoma Care Management Teaching OTHER

The real patient interactive stoma care management teaching will be carried out with ileostomy patients who have recently undergone ileostomy surgery and their caregivers in the intervention group. The 2nd month after discharge, the newly ileostomy patients and their caregivers will be asked one open-ended question to elicit their thoughts and suggestions regarding the real patient interactive stoma care management teaching. The question is: "A real patient with a previous ileostomy participated in the stoma care management teaching. He demonstrated how to perform ileostomy care on himself and shared his experiences and suggestions regarding adapting to life with an ileostomy. What are your thoughts and suggestions regarding this teaching?"

Intervention Group

Standard Stoma Care Management Teaching OTHER

The standard stoma care management teaching will be carried out with ileostomy patients who have recently had their ileostomy opened and their caregivers in the control group.

Control Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• For newly ileostomy patients;
• years of age and over,
• Speak, read, write, and understand Turkish,
• Not having received teaching on stoma care and management before,
• No previous experience in stoma care and management. For caregivers;
• years of age and over,
• Speak, read, write, and understand Turkish,
• Being an informal (unpaid) caregiver of a newly ileostomised patient,
• Not having received teaching on stoma care and management before,
• No previous experience in stoma care and management.

You may not qualify if:

• For newly ileostomy patients; - Not participating in stoma care management teaching and follow-ups after ileostomy opening.
• For caregivers;
• \- Not participating in stoma care management teaching and follow-ups after ileostomy opening.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Ankara Provincial Directorate of Health University of Health Sciences Gülhane Training and Research Hospital

Ankara, Turkey, 06010, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: An independent researcher will perform randomization. She gave a signed document certifying her willingness to perform the randomization. Thus, the masking technique will be applied to the researchers until the implementation phase of the research starts. In the implementation phase of the research, masking won't be applied to ileostomy patients and their caregivers in the intervention and control groups. Also, one of the researchers and the stoma and wound care nurse won't be masked as they will be involved in the data collection phase. The other two researchers and the statistician who will perform the statistical analysis of the data will be masked until the analysis and interpretation phase of the research findings are completed.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 27, 2025
• First Posted: May 18, 2025
• Study Start: April 13, 2025
• Primary Completion (Estimated): June 12, 2026
• Study Completion (Estimated): June 12, 2026
• Last Updated: July 31, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)