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Educational programs improve self-care values in ostomized colorectal cancer patientsEducational programs boost self-care values in ostomized colorectal cancer patients

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Key Takeaway
Consider standardized, multidisciplinary educational programs to enhance self-care in ostomized colorectal cancer patients.

A systematic review with meta-analysis examined the impact of educational intervention programs on self-care values in ostomized patients with colorectal cancer. The analysis included over one thousand participants across various settings. The authors observed that educational programs yielded significant improvements in self-care values compared to no intervention or control groups. Multimedia-based interventions were noted as particularly effective in enhancing these outcomes.

The study highlights that while educational programs are beneficial, the interventions were highly heterogeneous in timing, length, and frequency. This variability makes it difficult to standardize the approach or directly compare different program structures. The authors emphasize that current evidence does not fully address long-term sustainability of benefits.

Practice relevance suggests that standardized, multidisciplinary programs with long-term follow-up are needed to sustain improvements and improve adherence. Clinicians should recognize that while educational components are valuable, the lack of uniformity in delivery methods presents challenges for implementation. Further research is required to define optimal program characteristics for this population.

This systematic review and meta-analysis examined educational intervention programs for ostomized patients with colorectal cancer. The analysis included 1,011 individuals who received these programs versus those who received no intervention or a control. The researchers found that participants in the educational programs showed significant improvements in their self-care values compared to the control group. The statistical analysis indicated a strong effect favoring the educational programs.

The study noted that multimedia-based interventions within these programs proved to be more effective than other methods. However, the programs varied greatly in their timing, length, session duration, frequency, and number of sessions. This lack of standardization makes it difficult to compare all the different approaches used across the included studies.

While the findings suggest that educational programs enhance self-care, the authors caution that standardized, multidisciplinary programs with long-term follow-up are needed. Such programs would help sustain the benefits and improve patient adherence. No safety concerns were reported in this analysis. Readers should understand that while the results are promising, the diversity of the programs limits the ability to draw firm conclusions about specific components.

What this means for you:
Educational programs improve self-care values in ostomized colorectal cancer patients, with multimedia methods showing promise.

Study Details

Study typeMeta analysis
Sample sizen = 1,011
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
INTRODUCTION: Colorectal cancer, which often requires ostomy construction, is increasingly prevalent. This highlights the need for ostomy self-care educational programs. This review assesses the effectiveness of these programs in improving self-care values and examines their key components. METHODS: We conducted a systematic review following the PRISMA statement using MEDLINE, Scopus, and Web of Science (September 2025). The risk of bias was assessed using the Cochrane tool and Downs and Blacks checklists. We included randomized controlled trials that tested the effect of educational intervention programs on ostomized colorectal patients compared to no intervention, control, or placebo intervention. Data were pooled, and a meta-analysis was performed. RESULTS: We included 11 studies with 1011 patients. Meta-analysis results demonstrated significant differences favoring educational programs (SMD = 1,44; 95 % CI = 0,86;2,02; p < 0.001). The programs were highly heterogeneous in terms of timing, length, session duration, frequency, and number of sessions. CONCLUSION: The results of this systematic review with meta-analysis suggest that educational intervention programs improve self-care values in ostomized colorectal patients. The intervention components are highly heterogeneous and challenging to standardize. Multimedia educational intervention programs achieved superior results compared to traditional educational programs. PRACTICE IMPLICATIONS: Educational programs enhance self-care, with multimedia-based interventions proving more effective. Standardized, multidisciplinary programs with long-term follow-up are needed to sustain benefits and improve adherence.
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