Stoma Neuro Linguistic Programming Stoma Adaptation Quality of Life

Study Overview
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Brief Summary
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The aim of this study is to examine the effect of NLP techniques on stoma compliance and quality of life in patients with stoma. The study will be conducted using a prospective randomized controlled single-blind clinical trial model. The research will consist of patients with temporary or permanent colostomy/ileostomy, who are hospitalized in Mersin City Training and Research Hospital. Research data will be obtained with demographic questionnaire, Adjustment Scale for Individuals with Ostomy and Stoma Quality of Life Scale. Analysis of the study data will be done through the IBM SPSS Statistics 26 package program. While evaluating the study data, frequencies (number, percentage) for categorical variables and descriptive statistics (mean, standard deviation) for numerical variables will be given. Statistical significance in the analyzes will be interpreted at the 0.05 level.

Detailed Description
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Stomas are formed in order to provide stool output after surgery in cases that require removal of the bowel due to disease or trauma (Harputlu & Özsoy, 2016). Stoma surgery is a vital surgical intervention. However, the individual may have to cope with many problems that may negatively affect the adaptation process and quality of life in terms of living with a stoma. The literature is that despite the developing stoma products and professional nurse educators, the problems related to stoma compliance and quality of life of the patients continue, and complications affecting coping with these processes are seen at different rates. The aim of this study is to examine the effect of NLP techniques on stoma compliance and quality of life in patients with stoma. The study will be conducted using a prospective randomized controlled single-blind clinical trial model. The study will consist of patients with temporary or permanent colostomy/ileostomy, who are hospitalized in Mersin City Training and Research Hospital. Research data will be obtained with demographic questionnaire, Adjustment Scale for Individuals with Ostomy and Stoma Quality of Life Scale. Analysis of the study data will be done through the IBM SPSS Statistics 26 package program. While evaluating the study data, frequencies (number, percentage) for categorical variables and descriptive statistics (mean, standard deviation) for numerical variables will be given. The normality assumptions of the numerical variables according to the groups were examined with the Kolmogorov Smirnov test of normality and it was observed that the variables were normally distributed. For this reason, parametric statistical methods will be used in the study. Relationships between two independent categorical variables were interpreted by Chi-square analysis. The differences between the two independent groups were examined using the Independent Sample T Test. The differences between the two dependent numerical variables will be examined with Dependent Sample T. Statistical significance in the analyzes will be interpreted at the 0.05 level.

Official Title
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The Effect of Neuro-Linguistic Programming Techniques on Stoma Adaptation and Quality of Life in Patients With Stoma

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Behavioral: Neuro-Linguistic Programming Techniques


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having opened a stoma for the first time, at least two months and at most 24 months after stoma opening, 18 years of age or older, can speak and understand Turkish, can read and write at least, have no disease that may affect their decision-making ability (dementia, psychological disorder, etc.). ) were determined as patients who did not have a disease that could affect their quality of life (other cancers, uncontrolled diabetes, rheumatic diseases, kidney failure, etc.) accepted to participate in the study. Exclusion Criteria: Participants who want to leave voluntarily at any stage after being included in the study, - who cannot communicate verbally, who have hearing or vision problems, who have previously been diagnosed with a psychiatric illness will be excluded from the sample.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: NLP techniques will be applied to the experimental group, and no intervention will be applied to the control group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: The group to which NLP techniques will be applied<br>The new behavior creation technique of NLP is based on the argument that the imagination process and reality are recorded in the same way in the brain. Using the Participant's eye movements and imagination . He will be asked to imagine himself while caring for the stoma. participient will then be asked to re-enact the process with the correct stages of stoma care and the jurals that must be adhered to in order to successfully care for it. Questions will be asked about where he can find the support he needs to carry out this process successfully. At the end of this whole process, he will be expected to construct what life is like with a stoma.The technique will be applied to the patient once and will be instructed to remember this successful process every time he or she feels distressed about the stoma. At the end of 6 months, the quality of life and compliance will be evaluated by asking the scale questions again. | Behavioral: Neuro-Linguistic Programming Techniques<br>* The new behavior creation technique of NLP is based on the argument that the imagination process and reality are recorded in the same way in the brain. Using the Participant's eye movements and imagination . He will be asked to imagine himself while caring for the stoma. participient will then be asked to re-enact the process with the correct stages of stoma care and the jurals that must be adhered to in order to successfully care for it. Questions will be asked about where he can find the support he needs to carry out this process successfully. At the end of this whole process, he will be expected to construct what life is like with a stoma.The technique will be applied to the patient once and will be instructed to remember this successful process every time he or she feels distressed about the stoma. At the end of 6 months, the quality of life and compliance will be evaluated by asking the scale questions again.<br>|
| No Intervention: Control group<br>Participants in the control group will be followed up for 6 months after the questionnaire and scale questions are asked. no attempt will be made. Scale questions will be asked again after 6 months | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| stoma compliance scores of the participants | At the end of the 18th month In order to measure the quality of life of the participants, the average score of the Individual with Stoma Quality of Life Scale will be calculated The Ostomy Adjustment Scale (OAS-23) is a 23-item self- assessment scale developed by Simmons et al. to determine the stoma compliance level of individuals with stoma. It consists of 4 subfactors. Acceptance), anxiety/anxiety , social adaptation, and anger. In the scale, each item is evaluated in a 5-point Likert type (0-4 points; Strongly agree, Agree, Not sure, Disagree, Strongly disagree) and the high scores obtained from each item showed high adjustment. | 18th month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of life of the participants | At the end of the 18th month In order to measure the quality of life of the participants, the average score of the Individual with Stoma Quality of Life Scale will be calculated The Ostomy Adjustment Scale (OAS-23) is a 23-item self-assessment scale developed by Simmons et al. to determine the stoma compliance level of individuals with stoma. It consists of 4 subfactors. Acceptance), anxiety/anxiety , social adaptation, and anger. In the scale, each item is evaluated in a 5-point Likert type (0-4 points; Strongly agree, Agree, Not sure, Disagree, Strongly disagree) and the high scores obtained from each item are evaluated. High scores indicate good quality of life. | 18th month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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NLP, Nurse,, Compliance, Quality of Life, Stoma