The Effect of Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma–Related Anxiety, Adjustment and Self‐Efficacy: a Randomised Controlled Trial

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Auteurs principaux: Hacer Akbayrak, Yasemin Uslu
Format: Artículo Open Access
Publié: Wiley 2026
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author Hacer Akbayrak
Yasemin Uslu
author_facet Hacer Akbayrak
Yasemin Uslu
Hacer Akbayrak
Yasemin Uslu
collection Wiley Open Access
contents The Effect of Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma–Related Anxiety, Adjustment and Self‐Efficacy: a Randomised Controlled Trial Hacer Akbayrak Yasemin Uslu International Journal of Nursing Practice ABSTRACT Aims This study aimed to determine the effects of preoperative stoma education including a wearable dummy stoma on stoma‐related anxiety, adjustment and self‐efficacy in patients undergoing colostomy/ileostomy. Materials and Methods A randomised controlled trial was conducted in Istanbul between 2021 and 2023. The study included 78 patients aged 18 years or older who underwent colostomy/ileostomy for any indication. Patients in the experimental group received structured preoperative stoma education including a wearable dummy stoma designed as an artefact‐based tool to support hands‐on stoma care training, whereas those in the control group received standard care. Data were collected with the Stoma Self‐Efficacy Scale, Ostomy Adjustment Inventory (at discharge and at weeks 3 and 6) and State Anxiety Inventory (during the first stoma encounter). Results Compared with those in the control group, patients in the experimental group demonstrated significantly lower anxiety levels during the first postoperative stoma encounter ( p  < 0.001), better stoma adjustment ( p  < 0.001 at discharge and at weeks 3 and 6) and greater stoma self‐efficacy levels ( p  < 0.001 at discharge and at weeks 3 and 6). Conclusion Preoperative stoma education including a wearable dummy stoma effectively reduced stoma‐related anxiety during the first stoma encounter and improved stoma adjustment and self‐efficacy in patients. Trial Registration NCT05308693. 10.1111/ijn.70121 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1111/ijn.70121
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spellingShingle The Effect of Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma–Related Anxiety, Adjustment and Self‐Efficacy: a Randomised Controlled Trial
Hacer Akbayrak
Yasemin Uslu
International Journal of Nursing Practice
The Effect of Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma–Related Anxiety, Adjustment and Self‐Efficacy: a Randomised Controlled Trial Hacer Akbayrak Yasemin Uslu International Journal of Nursing Practice ABSTRACT Aims This study aimed to determine the effects of preoperative stoma education including a wearable dummy stoma on stoma‐related anxiety, adjustment and self‐efficacy in patients undergoing colostomy/ileostomy. Materials and Methods A randomised controlled trial was conducted in Istanbul between 2021 and 2023. The study included 78 patients aged 18 years or older who underwent colostomy/ileostomy for any indication. Patients in the experimental group received structured preoperative stoma education including a wearable dummy stoma designed as an artefact‐based tool to support hands‐on stoma care training, whereas those in the control group received standard care. Data were collected with the Stoma Self‐Efficacy Scale, Ostomy Adjustment Inventory (at discharge and at weeks 3 and 6) and State Anxiety Inventory (during the first stoma encounter). Results Compared with those in the control group, patients in the experimental group demonstrated significantly lower anxiety levels during the first postoperative stoma encounter ( p  < 0.001), better stoma adjustment ( p  < 0.001 at discharge and at weeks 3 and 6) and greater stoma self‐efficacy levels ( p  < 0.001 at discharge and at weeks 3 and 6). Conclusion Preoperative stoma education including a wearable dummy stoma effectively reduced stoma‐related anxiety during the first stoma encounter and improved stoma adjustment and self‐efficacy in patients. Trial Registration NCT05308693. 10.1111/ijn.70121 http://creativecommons.org/licenses/by/4.0/
title The Effect of Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma–Related Anxiety, Adjustment and Self‐Efficacy: a Randomised Controlled Trial
topic International Journal of Nursing Practice
url https://onlinelibrary.wiley.com/doi/10.1111/ijn.70121