A Randomized Trial of Inpatient Stoma-Nurse Teaching Versus Stoma Teaching Video Combined With Inpatient Stoma-Nurse Teaching
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/18/2018 |
| Start Date: | July 17, 2018 |
| End Date: | January 1, 2020 |
| Contact: | Kasim L Mirza, MD |
| Email: | kasim.mirza@med.usc.edu |
| Phone: | 323-865-3690 |
Quality Outcomes of Ostomy Teaching: A Randomized Trial of Inpatient Stoma-Nurse Teaching Versus Stoma Teaching Video Combined With Inpatient Stoma-Nurse Teaching
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.
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.
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.
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.
Inclusion Criteria:
- adults over 18 yrs of age
- undergoing elective surgery including plan for ileostomy or colostomy
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
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