Colorectal cancer Cancer
Conditions
Interventions
There are two groups in the study.
1. Control: The participants in the control group will only receive routine care provided by the hospital.
2. Intervention: The parti
Sponsors
Singapore Cancer Society (Singapore)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged over 21 years 2. Undergoing elective colorectal resections, including both laparoscopic and open procedures that require formation of a permanent stoma 3. Able to read and speak English or Mandarin
Exclusion criteria
Exclusion criteria: 1. Undergoing emergency operations 2. Having visual and/or hearing impairments 3. Having cognitive impairments/mental disorders identified in their medical records 4. Having any surgical complication leading to a delay of more than five days before attaining stoma proficiency in the post-operative period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures is patients' stoma care self-efficacy. The instrument used to measure this outcome is described below: The Stoma Self-Efficacy Scale consists of 22 items (Cronbach?s Alpha = 0.94), with five responses, ranging from ?not at all confident? to ?extremely confident?. Higher scores reflect positive self-efficacy. The Chinese version of the Stoma Self-Efficacy Scale will be used for patients who only understand and read Mandarin. This will be measured at four time points: baseline, mid-intervention (on the day of discharge, after the individual face-to-face session and first pre-operative telephone session), post-intervention 1 and post-intervention 2. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome measures are days to stoma proficiency, length of hospital stay, acceptance of stoma, level of anxiety and depression and quality of life. The instruments used to measure these secondary outcomes are described below: 1. The days to stoma proficiency is defined as the number of days from date of surgery to achievement of proficiency as assessed with the protocol of standard stoma education. This protocol checklist is developed for the purpose of this study. 2. Medical record review will be used to collect data of the length of post-operative hospital stay, which is defined as the number of days from the date of surgery to the date which the patient is deemed fit for discharge by the surgical team in charge. 3. The Acceptance of Chronic Health Conditions Scale (ACHC scale) is used as the measure of acceptance. This scale measures acceptance of chronic health conditions in general. In order to enable participants to focus on their stoma, the phrase ?chronic health conditions? was replaced by the word ?stoma? with the advice from the author. The ACHC scale consists of 10 items, each measured on a 5-point Likert scale (1 = strongly agree, 5 = strongly disagree). Thus, higher scores indicate higher levels of acceptance. The Chinese version of the scale will be used for patients who can only understand and read Mandarin. 4. Patients? level of anxiety and depression will be assessed using the Hospital Anxiety Depression Scale (HADS). It is divided into two main sections with one section focusing on anxiety, which is marked ?A?, while the other focusing on depression, which is marked ?D?. Patients are advised to provide an immediate and spontaneous response. Each statement has four responses graded from 0-3. There will be a maximum possible score of 21 for both anxiety and depression. In order to make it a more effective and detailed tool, the scores can been further analysed: a patient sc | — |
Countries
Singapore
Outcome results
None listed