Effectiveness of an Educational Program on Self-Care Management of Colostomy Patients

Abdelkader, Hayat Ahmed; Belal, Fatma Belal; Mahdy, Naglaa EL-Sayed; Mohammed, Mona Abd ELRhamen

doi:10.21608/pssjn.2023.215532.1264

Effectiveness of an Educational Program on Self-Care Management of Colostomy Patients

Document Type : Original Article

Authors

¹ medical surgical nursing, Faculty of Nursing, Port Said University,

² Damietta

³ Department of Internal and Surgical Nursing, Faculty of Nursing, Cairo

⁴ Medical-Surgical, Nursing Faculty of Nursing, Port Said University.

10.21608/pssjn.2023.215532.1264

Abstract

Background: Colostomy is crucial in the treatment of many gastrointestinal problems and has long been one of the procedures that save lives in the globe. Colostomy can be used for many causes as bowel diseases, anastomotic site protection, stool diversion, or a combination of these. Self-care management program is vital for supporting, educating and improving patients’ self-care practice with colostomy. Aim: To evaluate the effect of an educational program on self-care management of colostomy patients'. Subject and Method: Design, Quasi-experimental design (one group). Setting: This study was conducted in the outpatient department of Al-Azhar University Hospital, New Damietta City. Subjects: The sample size was 50 patients. Tools: Three tools were used for data collections: Tool I: structure interview questionnaire to assess knowledge of patients' self-care management regarding colostomy care, Tool II: Patient's observational checklist to assess patient practice for colostomy care and Tool III: Stoma care Self - Efficacy scale to assess coping with difficulties of daily colostomy care. The Results: there was improvement in patients' knowledge, self-care practice and self-efficacy post program implementation with highly significant difference between pre and post program implementation (p<0.005). Conclusion: the educational program had positive effect to improve patients' knowledge, self-care practice and self-efficacy regarding colostomy care. Recommendations: In order to confirm the findings and generalizability, more studies should be conducted on a larger number of colostomy patients.

Keywords

References

Abdelmohsen, S. (2020). Effectiveness of structured education on patient's knowledge and practice regarding colostomy care at south Egypt Cancer Institute in Assiut. Asia-Pacific Journal of Oncology Nursing; 7(4): Pp. 370-374. doi: 10.4103\apjon-24-20

Abdulmutalib I., Al Nagshabandi E., & Alansari S., (2018). Effect of an educational protocol on knowledge and self-care practices among patients with the intestinal ostomy. American Journal of Nursing, Vol. (6 )P.P 553-561

Anaraki, F., Vafaie, M., Behboo, R., Maghsoodi, N., Esmaeilpour, S., & Safaee, A. (2012). Quality of life outcomes in patients living with stoma. Indian journal of palliative care, 18(3), 176.‏

Ayaz‐Alkaya S., (2019). Overview of psychosocial problems in individuals with stoma: A review of literature. International Wound Journal, 16 (1), 243- 249.

Baltazar-Martins, G., Brito de Souza, D., Aguilar-Navarro, M., Muñoz-Guerra, J., Plata, M. D. M., & Del Coso, J. (2019). Prevalence and patterns of dietary supplement use in elite Spanish athletes. Journal of the International Society of Sports Nutrition, 16(1), 30.‏

Bekkers, M. J. T. M., Van Knippenberg, F. C. E., Van Den Borne, H. W., & van Berge-Henegouwen, G. P. (1996). Prospective evaluation of psychosocial adaption to stoma surgery: the role of self-efficacy. Psychosomatic medicine, 58(2), 183-191.‏

Berti-Hearn, L., & Elliott, B. (2018). A resource guide to improve nursing care and transition to self-care for patients with ostomies. Home Healthcare Now, 36(1), 43-49.‏

Berti-Hearn, L., & Elliott, B. (2019). Ileostomy care: a guide for home care clinicians. Home healthcare now, 37(3), 136-144.‏

Campos K., Bot L., Petroianu A., Rebelo P., Souza A., & Panhoca I., (2017). The impact of colostomy on the patient's life. Journal of Coloproctology (Rio de Janeiro), 37 (3), 205-210.

Chen, C., & Ning, Z. (2019). The Effect of patient education interventions on stoma patients: A descriptive review. Medicine and health college. Lishui university, China, published Master thesis. P. 6-24.

Cheng, F., Meng, A. F., Yang, L. F., & Zhang, Y. N. (2013). The correlation between ostomy knowledge and self-care ability with psychosocial adjustment in Chinese patients with a permanent colostomy: a descriptive study. Ostomy Wound Manage, 59(7), 35-38.‏

Cox, G. M., Jarrett, A., Edwards, D., Crockford, P. W., Halverson, G. P., Collins, A. S., ... & Li, Z. X. (2016). Basin redox and primary productivity within the Mesoproterozoic Roper Seaway. Chemical Geology, 440, 101-114.‏

Cross, H. H., Roe, C. A., & Wang, D. (2014). Staff nurse confidence in their skills and knowledge and barriers to caring for patients with ostomies. Journal of Wound Ostomy & Continence Nursing, 41(6), 560-565.‏

Culha, I., Kosgeroglu, N., & Bolluk, O. (2016): Effectiveness of self-care education on patients with stomas. IOSR Journal of Nursing and Health Science, Vol.5, No. (2), P.P 70-76

El Sayed, S. M., Abd Elhameed, S. H., & Hassanen, A. A. (2018). Effect of nursing colostomy care training on geriatric patients' self-esteem and psychological status. IOSR Journal of Nursing and Health Science (IOSR-JNHS); 7(4): Pp.52-62

Elshatarat, R. A., Ebeid, I. A., Elhenawy, K. A., Saleh, Z. T., Raddaha, A. H. A., & Aljohani, M. S. (2020). Jordanian ostomates' health problems and self-care ability to manage their intestinal ostomy: a cross-sectional study. Journal of Research in Nursing, 25(8), 679-696.‏

Farahani, M. A., Dorri, S., & Yousefi, F. (2020). Design and validation of education multimedia program for patients with fecal diversions: A quality improvement project to enhance self-care. Journal of Wound Ostomy & Continence Nursing, 47(1), 39-44.‏

Gillian, E., & Lew, R. (2018). Incorporating research-based teaching techniques in E-learning to teach English articles. 3L, Language, Linguistics, Literature, 24(1).‏

Grant, M., McMullen, C. K., Altschuler, A., Mohler, M. J., Hornbrook, M. C., Herrinton, L. J., ... & Krouse, R. S. (2011, September). Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. In Oncology nursing forum (Vol. 38, No. 5, p. 587). NIH Public Access.

Lemon, C. A., Kim, J., Haraguchi, D., Sud, A., Branley, J., & Khadra, M. H. (2014). Maintaining continuity of care in a multidisciplinary health service by using m-health technologies to develop patient medical records. In The International Conference on Health Informatics: ICHI 2013, Vilamoura, Portugal on 7-9 November, 2013 (pp. 84-87). Springer International Publishing.‏

Meisner, S., Lehur, P. A., Moran, B., Martins, L., & Jemec, G. B. E. (2012). Peristomal skin complications are common, expensive, and difficult to manage: a population based cost modeling study. PLoS One, 7(5), e37813.‏

Mohamed S., Salem G., & Mohamed H., (2017). Effect of self‑care colostomy, management program on self‑efficacy among patients. American Journal of Nursing Research, 5 (5), P.p 191-199.

Mohamed, A., Mahmoud, M., & Ibrahim, R. (2022). Effect of self-care protocol for colostomy patients on pericolostomyl skin complications. Journal of Nursing Science Benha University, 3(1), 398-415.‏

Mohamed, M. G., Ahmed, G. H., Abdelall, H. A., Fahmy, H. M., Abd-Elfatah, S. H., & AbdelAziz, S. A. (2022). Effect of educational protocol on knowledge, practice and quality of life for two different age groups of colostomy patients:" comparative study.‏ Assiut Scientific Nursing Journal,10 (28),253-263

Momeni, R., Darvishpour, A., Mansour-Ghanaei, R., & Kazemnezhad Leyli, E. (2023). The effects of education based on the nursing process on ostomy self-care knowledge and performance of elderly patients with surgical stoma. Nursing Research and Practice, 2023.‏

Näsvall, P., Dahlstrand, U., Löwenmark, T., Rutegård, J., Gunnarsson, U., & Strigård, K. (2017). Quality of life in patients with a permanent stoma after rectal cancer surgery. Quality of Life Research, 26(1), 55–64. https://doi.org/10.1007/s11136-016-1367-6

Pandey, R. A., Baral, S., & Dhungana, G. (2015). Knowledge and practice of stoma care among ostomates at bp koirala memorial cancer hospital. Journal of Nobel Medical College, 4(1), 36-45.‏

Pate, K., Powers, K., Coffman, M. J., & Morton, S. (2022). Improving self-efficacy of patients with a new ostomy with written education materials: a quality improvement project. Journal of PeriAnesthesia Nursing, 37(5), 620-625.‏

Piras, S. E., & Hurley, S. (2011). Ostomy care: Are you-prepared?. Nursing made Incredibly Easy, 9(5), 46-48.‏

Pittman, J., Colwell, J., & Mulekar, M. S. (2022). Ostomy complications and quality of life of ostomy support belt/garment wearers: A web-based survey. Journal of Wound, Ostomy, and Continence Nursing, 49(1), 60.‏

Qalawa A., & Moussa M., (2019). Effectiveness of a multimedia educational package for cancer patients with colostomy on their performance, quality of life & body image, International Journal of Nursing Science 9 (3), 53-64

Roshandel, J., Ghonsooly, B., & Ghanizadeh, A. (2018). L2 motivational self-system and self- efficacy: A Quantitative survey-based study. International Journal of Instruction, 11(1), 329-344.‏

Seo, H. W. (2019). Effects of the frequency of ostomy management reinforcement education on self‐care knowledge, self‐efficacy, and ability of stoma appliance change among Korean hospitalized ostomates. International wound journal, 16, 21-28.‏

Vonk-Klaassen, S. M., de Vocht, H. M., den Ouden, M. E., Eddes, E. H., & Schuurmans, M. J. (2016). Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Quality of life research, 25, 125-133.‏