Assessment of Self-Care Practice and Its Associated Variables among Colostomy Patients

Document Type : Original Article

Authors

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

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

3 Damietta

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

10.21608/pssjn.2024.193008.1248

Abstract

Background: A colostomy is a major surgery, so assessment of self-care practice and self-efficacy among patients with a colostomy is very important and essential to enhance patient's adaptation. Aim: To assess self-care practice and its associated variables among colostomy patients. Research Design: A descriptive design was employed. Subjects: the data were gathered from all adult participants (50 patients) in 9 months. Setting:  study was conducted at the outpatient clinics at AL-Azhar University Hospital in New Damietta City. Tools: Tool I: structured questionnaire to assess the knowledge of patients' self-care practice regarding colostomy care Tool II: Patient's practice observational checklist to assess patients' self-care practice regarding colostomy care Tool III:  colostomy Self-Efficacy Scale to assess coping with difficulties of daily colostomy care. Results: The study revealed that 84%of colostomy patients had inadequate practice, and 0% of patients had self-efficacy regarding colostomy care. Conclusion: The studied patients had lack of self-care practice and self-efficacy regarding colostomy care. Recommendations: Developing and implementing educational programs for patients with colostomy in order to improve their self-care practice and self-efficacy regarding colostomy care.

Keywords

Main Subjects

References

Abd El-Hay, S., Mohamed, H., & Sharshor, S. (2019). Self-Care Knowledge and Practice for Patients with Permanent Stoma and their Effect on Their Quality of Life and Self Care Efficacy. An International Peer-reviewed Journal, 60(4), 131-138.‏
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
 Ahmadi, H., Skinner, E.C., Simma-Chiang, V., Miranda, G., Cai, J., Penson, D.F. & Daneshmand, S. (2019). Colon Functional Outcome Following Radical Colostomy. The Journal of Surgical, 189(5), pp 1782-1788.
Ahmed M., Mohammed E., Tohamy T., & Mohammed J., (2018). Effect of A Designed Nursing and Patients Self Care Protocol on Reducing the Colostomy and Peristomal Skin Complications among the Elderly Patients, Minia Scientific Nursing Journal, 4 (1), P.p68-75
Ayaz‐Alkaya S., (2019). Overview of psychosocial problems in individuals with stoma: A review of literature. International Wound Journal, 16 (1), 243- 249.
Ayik, C., Özden, D. İ. L. E. K., & Cenan, D. (2020). Ostomy Complications, Risk Factors, and Applied Nursing Care: A Retrospective, Descriptive Study. Wound Management & Prevention, 66(9), 20-30.‏
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.‏
Burgess-Stocks, J., Gleba, J., Lawrence, K., & Mueller, S. (2022). Ostomy and Continent Diversion Patient Bill of Rights: Research Validation of Standards of Care. Journal of Wound, Ostomy, and Continence Nursing, 49(3), 251.‏‏
Carlsson, E., Gustafsson, Å., & Hallén, A. M. (2019). The Role of the Enterostomal Therapist for Patients Operated with a Kock Pouch. The Kock Pouch, 93-111.‏
Chauhan, Y., Sreedharan, M., & Jindal, S.(2017). Efficacy of Structured Teaching Program on Patient’s Knowledge regarding Colostomy Care, Scientific Research. International Journal of Recent Scientific Research, 8(11), P. 21378- 21382.
Dellafiore, F., Pittella, F., Arrigoni, C., Baroni, I., Conte, G., Di Pasquale, C., ... & Caruso, R. (2020). A multi‐phase study for the development of a self‐efficacy measuring scale for ostomy care nursing management. Journal of Advanced Nursing, 76(1), 409-419.‏
El-Rahman, A., Ali, W., Mekkawy, M. M., & Ayoub, M. T. (2020). Effect of Nursing Instructions on Self Care for Colostomy Patients. Assiut Scientific Nursing Journal, 8(23), 96-105.‏
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.‏
Ferlay, J., Colombet, M., Soerjomataram, I., Dyba, T., Randi, G., Bettio, M., ... & Bray, F. (2018). Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018. European journal of cancer, 103, 356-387.‏
Geleta, T. (2017). Assessment of Knowledge and Associated Factors regarding           Colostomy Care among Staff Nurses Working in Surgical, ICU and Oncology Units at Selected Public Hospitals, Addis Ababa, Ethiopia, (published doctoral dissertation, Addis Ababa University).
Habiba, R. S. A., Bedier, N. A., & Ahmed, H. A. M. (2021). Assessment of Knowledge and Self-efficacy among Patients with Colostomy.‏ retrieved from. https://www.noveltyjournals.com/upload/paper/Assessment%20of%20Knowledge.pdf 
Lemone, C. H. (2015). Perceptual and neural responses to sweet taste in humans and rodents. Chemosensory perception, 8, 46-52.‏
Leow, J. J., Cole, A. P., Seisen, T., Bellmunt, J., Mossanen, M., Menon, M., ... & Trinh, Q. D. (2018). Variations in the costs of radical cystectomy for bladder cancer in the USA. European urology, 73(3), 374-382.‏
Nishikawa, J., Iizasa, H., Yoshiyama, H., Shimokuri, K., Kobayashi, Y., Sasaki, S., ... & Sakaida, I. (2018). Clinical importance of Epstein–Barr virus-associated gastric cancer. Cancers, 10(6), 167.‏
McKiernan, E. C., Schimanski, L. A., Muñoz Nieves, C., Matthias, L., Niles, M. T., & Alperin, J. P. (2019). Use of the Journal Impact Factor in academic review, promotion, and tenure evaluations. Elife, 8, e47338.‏
Mohamed, S. S., Salem, G. M., & Mohamed, H. A. (2017). Effect of self-care management program on self-efficacy among patients with colostomy. Am J Nurs Res, 5(5), 191-9.‏
Nazmy, M., Yuh, B., Kawachi, M., Lau, C.S., Linehan, J., Ruel, N.H., Torrey, R.R., Yamzon, J., Wilson, T.G. & Chan, K.G. (2019). Early and late complications of robot-assisted radical cystectomy: a standardized analysis by urinary diversion type. The Journal of Urology, 191(3), pp 681-687.
Pandey, R. A., Baral, S., & Dhungana, G. (2019). Knowledge and practice of stoma care among ostomates at bp koirala memorial cancer hospital. Journal of Nobel Medical College, 4(1), 36-45.‏
Rouholiman, D., Gamble, J. G., Dobrota, S. D., Encisco, E. M., Shah, A. G., Grajales III, F. J., & Chu, L. F. (2018). Improving health-related quality of life of patients with an ostomy using a novel digital wearable device: protocol for a pilot study. JMIR research protocols, 7(3), e7470.‏
Sabea, M. T. M., & Shaqueer, T. T. (2021). EFFECT OF SELF-CARE PROGRAM FOR PATIENTS USING COLOSTOMY AT MANSOURA CITY. The Malaysian Journal of Nursing (MJN), 12(3), 76-87.‏
    Santos, R. D. P., Fava, S. M. C. L., & Dázio, E. M. R. (2019). Self-     care of elderly people with ostomy by colorectal cancer. Journal of Coloproctology (Rio de Janeiro), 39, 265-273.‏
Shrief, S. E., & Mokhtar, M. I. (2019). Effect of structured teaching guidelines on patient’s knowledge, practice, and self-efficacy regarding colostomy care. International Journal of Advance Research in Nursing [Internet], 2(2), 41-51.‏
Summers, M. C. (2018). The Effect of Ostomate-to-Ostomate Support on Psychosocial Adaptation to Stoma, Puplished Doctorate Thesis, Eastern Kentucky Universitsy, United States.
Tao, H., Songwathana, P., Isaramalai, S. A., & Wang, Q. (2019). Taking Good Care of Myself: A Qualitative Study on Self‐care Behavior among Chinese Persons with a Permanent Colostomy. Nursing & Health Sciences, 16(4), P.P 483-489.
Van Hecke, A., Heinen, M., Fernández‐Ortega, P., Graue, M., Hendriks, J. M., Høy, B., ... & Van Gaal, B. G. (2017). Systematic literature review on effectiveness of self‐management support interventions in patients with chronic conditions and low socio‐economic status. Journal of advanced nursing, 73(4), 775-793.‏
Wang, W., Ding, Y., Lu, Q., Qi, J., & Zhang, S. (2021). The development of a behaviour questionnaire for stoma self‐management for persons with bladder cancer and an ileal conduit. Journal of Advanced Nursing, 77(2), 1085-1095.‏
Wannipurage, D., Marru, S., Piece, M., Abeysinghe, E., Pamidighantam, S., Christie, M., ... & Jayathilaka, L. (2019). Implementing a flexible, fault tolerant job management system for science gateways. In Proceedings of the Practice and Experience in Advanced Research Computing on Rise of the Machines (learning) (pp. 1-8).‏
Wonggom, P., Kourbelis, C., Newman, P., Du, H., & Clark, R. A. (2019). Effectiveness of avatar-based technology in patient education for improving chronic disease knowledge and self-care behavior: a systematic review. JBI Evidence Synthesis, 17(6), 1101-1129.‏

Files

Share

How to cite

Statistics