Table 3.
Characteristics of included studies: outcomes and findings.
| Study | Time points of assessment | Outcome measures | Tool | Findings |
|---|---|---|---|---|
| 28 | At time of discharge 1 month after discharge 3 months after discharge |
State and trait anxiety Stoma self-efficacy Stoma complication Stoma quality of life Care satisfaction |
STAI SSES SCPC Stoma–QOL CS |
EP had less anxiety; better self-efficacy; fewer complications; better quality of life scores and were more satisfied with the care. |
| 29 | At time of discharge 4 weeks after discharge 12 weeks after discharge |
Stoma self-efficacy Stoma quality of life Stoma complication Stoma reversal Care satisfaction |
SSES Stoma–QOL SCPC OSR CS |
EP had significantly improved self-efficacy; quality of life; significantly lower stoma complications. The stoma reversal in EP was more likely to occur and to occur earlier. EP reporting higher satisfaction. |
| 30 | At time of discharge 6 weeks after discharge 12 weeks after discharge |
Stoma-related data Sexual satisfaction |
QIIS GRISS |
EP had significantly improved the GRISS scores. |
| 31 | Within 30 days of discharge (satisfaction was measured at 2–3 months after discharge) | Hospital readmissions Acute kidney injury Care satisfaction Medical costs |
– – CS – |
EP did not reduce hospital readmissions or readmissions for Acute Kidney Injury. EP was neither costly nor cost-saving, and it did not increase patient satisfaction. |
| 32 | 2 weeks of discharge 4 weeks after discharge 12 weeks after discharge |
Stoma complications Quality of life Outpatient frequency Medical costs |
– Stoma–QOL – – |
In EP more patients had stoma complications/QoL were significantly better. There was no difference between groups in frequency of outpatient and medical costs. |
| 33 | At time of discharge 1 month after discharge 3 months after discharge |
Stoma adjustment Stoma self-efficacy Care satisfaction Stoma complications |
OAS SSES CS SCPC |
EP had significantly better stoma adjustment; higher stoma self-efficacy; higher satisfaction with care; less stoma complications. |
| 27 | 6 months after discharge | Anxiety Depression Stoma quality of life Stoma complications Care satisfaction Stoma knowledge |
SAS SDS Stoma–QOL – CS – |
In EP: SAS and SDS scores were significantly lower; QOL score was significantly higher; stoma complications were significantly lower; care satisfaction was significantly higher; and knowledge of stoma care was significantly higher. |
| 34 | At time of discharge 1 month after discharge 3 months after discharge |
Ostomy adjustment Stoma self-efficacy Stoma complications |
OAI-23 SSES SCPC |
In EP: adjustment and stoma self-efficacy score were significantly higher; stoma complications were tending to reduce. |
| 35 | At time of discharge 3 month after discharge 6 months after discharge |
Resilience Self-care agency Quality of Life Stoma complications |
CD-RISC ESCA Stoma–QOL SCPC |
In EP: the psychological resilience, self-care ability and quality of life were significantly better; the complications were significantly lower. |
Abbreviations: CD-RISC, Connor Davidson resilience scale; CS, care satisfaction (Likert 5 grade score); EP, experimental group; ESCA, exercise of self-care agency scale; GRISS, Golombok–Rust inventory of sexual satisfaction; QIIS, Questionnaire for Individuals with Intestinal Stoma; OAI-23, Ostomy Adjustment Inventory-23; OAS, Ostomy adjustment scale; OSR: outcomes of stoma reversal; SAS, self-rating anxiety scale; SCPC, stoma complication preset checklist; SDS, self-rating depression scale; SSES, stoma self-efficacy scale; STAI, State-Trait Anxiety Inventory; Stoma-QOL, stoma quality of life scale; -, not reported.