Authors (including presenting author) :
Tseng Y(1), Li YS(1), Yeung PS(1), Wong HC(1), Yeung CY(1), Kan WY(1), Chan MK(2), Ma KC(2)
Affiliation :
NTWC NSD / Wound Team(1), Department of ASC & Mixed Specialty Wards, POH(2)
Keyword 1: :
Pre-op stoma video
Introduction :
Patients undergoing stoma formation often experience significant anxiety before surgery, sometimes leading to hesitation about proceeding with the operation. This emotional distress can be heightened during the Pre operative Assessment Service (PAS) session, where multiple healthcare professionals provide information in a single day, resulting in confusion and difficulty processing the overload. Traditionally, stoma education is delivered by a stoma nurse using a booklet, occasionally with relatives present. To improve patient support, a pre operative stoma care video was introduced as an additional tool to reduce anxiety and stress levels.
Objectives :
1. To evaluate the effect of the stoma video on patients’ confidence in stoma care. 2. To assess the effect of the stoma video on patients’ anxiety levels.
Methodology :
Following the nurse led education session, patients received a QR code linking to the stoma care video. Three questionnaires were administered: a self-designed questionnaire to collect demographic data and feedback, and pre and post intervention DASS 21 forms to measure depression, anxiety, and stress. A paired samples t-test was used to compare pre and post scores for depression, anxiety, and pressure.
Result & Outcome :
Between March and September 2024, 45 patients were recruited, with 58% being male. Findings showed that patients perceived the video as highly effective in preparing them for stoma management. Most participants reported increased knowledge of stoma care, greater confidence in performing tasks, reduced worry about surgery, and fewer concerns about the long-term impact of stoma care on daily life. Psychological outcomes were mixed. Depression scores decreased significantly after watching the video, suggesting that it alleviated depressive symptoms related to surgery. Pressure scores also showed a significant reduction, indicating that the video helped relieve perceived stress. However, anxiety scores did not differ significantly between pre and post intervention, implying that the video did not have a measurable effect on anxiety levels. Conclusion The pre-operative stoma care video proved to be a valuable supplement to traditional nurse led education. It enhanced patients’ knowledge and confidence in stoma care while reducing worry about surgery and its long term impact. Statistically, the video was effective in lowering depression and stress, though it did not significantly influence anxiety. Overall, integrating video education into pre operative assessment can improve patient preparedness and emotional well being, contributing to a more positive surgical experience.
