Patient education interventions for colorectal cancer patients with stoma: A systematic review. Issue 10 (October 2017)

• Record Type: Journal Article
• Authors: Faury, Stéphane; Koleck, Michèle; Foucaud, Jérôme; M'Bailara, Katia; Quintard, Bruno
• Is Part Of: Patient education and counseling. Volume 100:Issue 10(2017)
• Page Start: 1807
• Page End: 1819
• Publication Date: 2017-10
• Subjects: Patient education as topic -- Colorectal cancer -- Surgical stoma -- Systematic review; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2017.05.034
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: First review of patient education interventions for colorectal cancer with stoma. Very few studies (N = 15) are available in this field. Patient education interventions are heterogeneous in delivery and outcomes. More quantitative research is needed to define best practices. 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.