Colostomy Stoma

Currently a multiport robotic surgery platform (Intuitive Xi) is widely available and used for colorectal surgery indications. A Single port platform (Intuitive SP) is FDA approved for Head and Neck and Urology but has not been widely used in colorectal surgery. This study seeks to evaluate the safe and effective use of the SP platform for colorectal surgery indications.

The aim of this study is to examine the effect of colostomy care training based on Jeffries' Simulation Theory on nursing students' knowledge, skills, stress, self-efficacy, readiness, state anxiety, satisfaction, and self-confidence. The study seeks to answer the following hypotheses: H1: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' knowledge levels. H2: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' skill levels. H3: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' stress levels. H4: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' self-efficacy levels. H5: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' preparedness levels. H6: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' levels of situational anxiety. H7: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' levels of learning satisfaction and self-confidence. According to the Colostomy Care Training Booklet prepared by the researchers, all students will receive training on colostomy care procedures. Students in the intervention group will be individually taken to the simulation laboratory for colostomy care applications using moulage on standardized (simulated) patients, and they will be asked to perform the skills acquired during the training. The effectiveness of this intervention will be evaluated by comparing the intervention group with a control group. Participants: Students in the standardized patient simulation group will perform colostomy bag change and colostomy care skills in the simulation laboratory. Students in the low-fidelity simulation group (control group) will perform colostomy bag change and colostomy care skills using a low-fidelity patient model.

This study is a follow-up of the GRECCAR 07 cohort (NCT01380860). Patients will be evaluated 5 years following terminal colostomy to observe patient long-term patient outcomes from colostomy with and without mesh placement.