ArticleJournal of clinical nursing2025
Nursing Interventions for the Management of a Stoma Complicated by a Parastomal Hernia or Bulge: A Scoping Review.
Article in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
3 citing papers in PubMed.
- Development of a complex nursing intervention for the management of patients with a stoma complicated by a parastomal bulge.BMC nursing · 2025Article
- Beyond the Surface: The Critical Role of Interdisciplinary Collaboration in Managing Parastomal Hernias.Journal of abdominal wall surgery : JAWS · 2025Article
- Non-Operative Considerations in Relation to Parastomal Hernia.Journal of abdominal wall surgery : JAWS · 2025Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundParastomal hernia or bulging is a long-recognised complication in relation to a stoma. Around half of patients develop a parastomal bulge and up to 75% experience symptoms. Only a minority is offered surgical treatment; thus, most patients manage the bulge on their own or by interventions provided by stoma care nurses. AIMS AND
objectivesTo identify and present the available information on nursing interventions for the management of symptoms caused by the parastomal bulge.
methodsThis scoping review followed the framework by the Joanna Briggs Institute, conducting searches in 11 databases and through stoma organisations. Literature on nursing management of parastomal bulges was included. Two authors independently screened and selected the studies, with data-charting performed by one author and verified by another. The PAGER framework depicted the state of the evidence and the PRISMA-ScR checklist guided the process.
resultsOf 8361 screened publications, 44 were included. Management of the parastomal bulge and related symptoms were described in eight nursing interventions: appliances, support garments, irrigation and regulation of stool, strangulation, disguise and intimacy, physical activity, support and education, record keeping, follow-up and referral. Most evidence was based on expert opinion with only ⅓ of papers using study designs, such as cross-sectional, qualitative, review, before and after study, Delphi and RCT.
conclusionThis scoping review highlights the complexity of providing nursing interventions for parastomal bulging. It shows that one intervention can manage multiple symptoms and potentially several symptoms simultaneously, whereas several interventions may be needed to address a single symptom. Therefore, decisions on interventions must be based on the underlying cause of the problem. Due to the limited number of studies on the effects of nursing interventions, more rigorous research is needed in the future. RELEVANCE TO CLINICAL PRACTICE: The results can be used as an inspirational guide for clinical practice.
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