Effect of Follow-up Telephone by Enterostomal Nurses on Patients with Permanent Colostomy: A Systematic Review

Abstract

Background: Patients with permanent colostomy experience quality of life (QoL) decrease, complications, and colostomy adjustment problems. Technology-based interventions can be provided with telephone follow-up (TFU) to provide health education and advice on managing symptoms, identifying complications, and providing quality care services. Objective: To systematically describe and assess the effect of TFU on permanent colostomy include population, model and duration, instruments used, and effect of TFU. Materials and Methods: A systematic review was carried out using the Randomized Controlled Trial (RCT) approach in eight databases, including PubMed, Proquest, ScienceDirect, EBSCOhost, CANCERLIT, Wiley, Gray literature, and Scopus, to identify studies reported in English, published in the last ten years, available full text, and about TFU in permanent colostomy patients. Results and Discussion: Based on the 11 RCT articles analyzed, it was found that the TFU duration ranged from 27 days to 3 years. The TFU improved self-efficacy, QoL, colostomy adjustment, self-care, self-management, service satisfaction, and complications. Conclusion: The TFU has more effect on self-efficacy, QoL, and complications in patients with a permanent colostomy, and effective TFU was performed for at least three months. Further research is needed on the frequency or duration of telephone calls. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 54-66

Telephone-based Support in Preventing Stoma and Peristomal Complications: A Review of Literature

“…Less common but threatening complications might also occur such as infection and fistula formations [15]. Approximately 20−40% of individuals encounter difficulties after formation of an intestinal stoma and 70% of those with these complications do experience them within a year of colostomy surgery, with some of complications are at risk to last a lifetime [3]. Regular follow-up should also be considered as a strategy to prevent and manage peristomal complications [3], [16].…”

“…Approximately 20−40% of individuals encounter difficulties after formation of an intestinal stoma and 70% of those with these complications do experience them within a year of colostomy surgery, with some of complications are at risk to last a lifetime [3]. Regular follow-up should also be considered as a strategy to prevent and manage peristomal complications [3], [16]. The management typically starts with systemic steroids as the first-line therapy to control any present inflammatory process.…”

“…Peristomal skin complications can be both short-and long-term problems and the most common early complications include irritant dermatitis, mechanical injury, and candidiasis [13]. According to Semi et al, (2022), majority of patients (63%) had peristomal skin complications from day 21 to 40 after colostomy was performed while the incidence rate of peristomal skin complications may be nearly as high as 45% [13]. Due to the difficulties of fitting stoma appliances around body folds, obese people are particularly at risk for cutaneous issues, and complications are more frequently encountered in poorly designed and poorly positioned stomas [7].…”

“…When a stoma is established, patients must overcome several challenges as they learn to adapt to this drastically altering event in their lives in terms of physiological, social, and psychological aspects [2]. Thus, technology-based interventions such as telephone-based support (TBS) can be o one of the preferred methods for symptom management, identifying problematic issues that require urgent attention, and delivering medical-quality care to patients living with stoma [3]. Supports provided through TBS can be utilized for patient follow-up, caregiver and patient counseling, and in group support.…”

“…Ergo, living with a stoma can be challenging as it not only lead to a change in the body image but heavily influences the physical, mental, emotional, and social aspects of the Since 2002 patients [11]. Not to mention, stoma often rendered the affected individuals perceiving abnormally with their own selves, making it harder for self-care on their physical, psychological, social, and spiritual qualities, leading to a decrease in their QoL [3]. As a result, when complications occur and accumulate with time, the degree of social restrictions may lead to severe detrimental effect on the QoL and worse, social isolation, and withdrawal [7].…”