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Patient Educ Couns. 2017 Oct;100(10):1807-1819. doi: 10.1016/j.pec.2017.05.034. Epub 2017 Jun 3.

Patient education interventions for colorectal cancer patients with stoma: A systematic review.

Author information

1
Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000 Bordeaux, France. Electronic address: stephane.faury@u-bordeaux.fr.
2
Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000 Bordeaux, France.
3
"Laboratoire Educations et Pratiques de Santé", EA 3412, Univ. Paris-13 Sorbonne, Paris Cité, 93017 Bobigny, France.
4
"Laboratoire de Psychologie", EA 4139, Univ. Bordeaux, Bordeaux, F-33076, France.

Abstract

OBJECTIVES:

To describe the various types of patient education interventions for colorectal cancer patients with stoma and to examine their effects on quality of life, psychosocial skills and self-management skills.

METHODS:

A systematic review was performed. Six electronic databases were searched. Inclusion criteria were: studies about patient education applying quantitative methods including digestive stoma adults with colorectal cancer. The primary outcome was quality of life. Secondary outcomes were psychosocial and self-management skills.

RESULTS:

Thirteen studies were identified and included. Five studies examined quality of life and three reported improvements. Patient education improved some psychosocial and self-management skills. Contrasting findings were reported for specific-disease quality of life, emotional distress, length of hospital stay, stoma complications and readmission rate.

CONCLUSIONS:

Patient education has a positive impact on some psychosocial and self-management skills, indicating that this area should be developed. Contrasting findings were reported for quality of life. Methodologies are heterogeneous making it difficult to produce evidence-based guidelines. This article proposes tools to carry out further studies on this subject and to improve understanding.

PRACTICE IMPLICATION:

Further education intervention for stoma patients with colorectal cancer should be standardized in terms of intervention, duration and outcome measures to compare intervention and determine best practice.

KEYWORDS:

Colorectal cancer; Patient education as topic; Surgical stoma; Systematic review

PMID:
28602564
DOI:
10.1016/j.pec.2017.05.034
[Indexed for MEDLINE]

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