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MotivationReview

Stoma programmes may help people feel more able to manage their own care.

HelpedThe short version

Across five studies, people in stoma programmes felt more able to care for their stoma than usual care.

A man of about fifty-five lifts a box from a stack, turns it to look at its back and sets it down again, calm and steady.
5
studies pooled
536
adults with a bowel stoma
Self-rated
people rated themselves

The review

  1. Who took part

    Adults over 18 with a bowel stoma took part in 16 studies from 2000 to 2020. Five of those studies, with 536 people, were combined into one result.

  2. What they did

    Programmes taught people how to care for their stoma, mostly through sessions with a nurse. Some added phone calls, a booklet or an app. The other group got usual care, and results were checked 45 to 90 days later.

  3. What happened

    People in the programmes rated themselves more able to manage their stoma than people on usual care. Quality of life and skills for managing a stoma gave mixed results, so the review could not combine them. Only one of the 16 studies had a low risk of bias, and the paper's figures for one study do not match.

What the review found

  1. Helped

    Across five studies, people in stoma programmes felt more able to care for their stoma than usual care.

    Pooled analysis of 5 studies with 536 people · vs people who got usual care · they rated themselves · ⚠ most studies had serious flaws; whole programmes were tested, so no single part can be credited

How solid is this?

  • People rated themselves
  • Numbers unreliable
  • Whole programmes were tested, so no single part can be credited

Source

A systematic review and meta-analysis of the effectiveness of self-management interventions in people with a stoma (2022)

DOI: 10.1111/jan.15085 (opens in a new tab)

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