Effect of structured teaching guidelines on patient's knowledge, practice, and self-efficacy regarding colostomy care

 
 
 
  • Abstract
  • Keywords
  • References
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  • Abstract


    Background: nurses are primarily health professional who is engaged in the management of colostomized individuals who go through different physical and psychosocial transformations.

    Aim: to evaluate the effect of applying structured teaching guidelines on patient's knowledge, practice, and self-efficacy regarding colostomy care.

    Hypothesis: application of structured teaching guidelines will have a positive impact on patient's knowledge, practice, and self-efficacy regarding colostomy care. Design: pre-post analytic study.

    Setting: the study was carried out in the surgical department, and outpatient clinic at Beni-Suef University hospital and Aswan oncology Hospital.

    Sample: A total number of 50 adult patients, both sex, conscious, having a permanent colostomy

    Tools: four tools were utilized in this study; Tool I: A structured interview questionnaire sheet which comprised two parts: Part I: Personal characteristics of the studied patients, Part II: Patients` knowledge about colostomy care; Tool II: Patient's Generalized Self-Efficacy Scale; Tool III: An observation checklist (pre/post /follow – up assessment) and Tool IV: The structured teaching Guidelines.

    Results: There was a statistically significant distinction between both the study and control group regarding patient's knowledge, practice, and self-efficacy regarding colostomy care.

    Conclusion: Application of the structured teaching guidelines had a positive impact on patient's knowledge, practice and self-efficacy regarding colostomy care with an obvious statistically significant distinction between pre and post-intervention.

    Recommendations: Replication of the same study on larger probability sample at different geographical locations for data generalizability, and distribution of the booklet for patients with a colostomy to improve their outcomes.

     

     


  • Keywords


    Guidelines; Knowledge; Practice; Self-Efficacy; Colostomy

  • References


      1. [1] Ai-Hua Y., Mei Y., and Ya-Hui Q. (2016): The development status of specialized nursing in ostomy care both in China and abroad. Chinese Nursing Research 3, 117-120. https://doi.org/10.1016/j.cnre.2016.06.014.

        [2] American Society of Clinical Oncology, (2017): Colorectal Cancer: Risk Factors and Prevention https://www.cancer.net/cancer-types/colorectal-cancer/risk-factors-and-prevention.

        [3] Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F (2016): Global patterns and trends in colorectal cancer incidence and mortality. Gut. Journal, 310912.

        [4] Bechara RN, Bechara MS, Bechara CS, Queiroz HC, Oliveira RB, and Mota RS, (2015): Abordagem multidisciplinar do ostomizado.Rev Bras Colop;25:146.

        [5] Canadian Cancer Society, (2018): Colostomy and ileostomy. Available at: http://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/tests-and-procedures/colostomy-and-ileostomy/?region=nb&p=1.

        [6] Chauhan Y, Sreedharan M, and Jindal S(2017): Efficacy of structured teaching programme on patient’s knowledge regarding colostomy care, Scientific Research International Journal of Recent Scientific Research Vol. 8, Issue, 11, pp. 21378-21382, Available Online at http://www.recentscientific.com International Journal of Recent Scientific Research.

        [7] Cheng, F., Meng, A., Yan, L. and Zhang, Y. (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 Management; 59(7):35-38.

        [8] Culha I, Kosgeroglu N, and Bolluk O (2016): Effectiveness of Self-care Education on Patients with Stomas, IOSR Journal of Nursing and Health Science (IOSR-JNHS) Volume 5, Issue 2 Ver. I PP 70-76, ISSN: 2320–1940, www.iosrjournals.org.

        [9] Cutsema E V, Borràs JM, Castellsc A, Ciardiello F, Ducreux M, Haq A, Schmollb H, Tabernero J (2013): Improving outcomes in colorectal cancer: Where do we go from here?, European Journal of Cancer, Volume 49, Issue 11, Pages 2476-248. https://doi.org/10.1016/j.ejca.2013.03.026.

        [10] Engida A, Ayelign T, Mahteme B, Aida T, and Abreham B (2016): Types and Indications of Colostomy and Determinants of Outcomes of Patients After Surgery, Ethiop J Health Sci. 26(2): 117–120. PMCID: PMC4864340, PMID: 27222624. https://doi.org/10.4314/ejhs.v26i2.5.

        [11] Erwin, P. (2013). Ostomy care and rehabilitation in colorectal cancer. Oncology nursing journal, 22(3): 174-77.

        [12] Favoriti P., Carbone G., and Greco M., Pirozzi F., Pirozzi R. E., Corcione F. (2016): Worldwide burden of colorectal cancer: A review. Updates in Surgery, 68(1):7-11. https://doi.org/10.1007/s13304-016-0359-y.

        [13] Ferlay J., Soerjomataram I., Dikshit R., Eser S., Mathers C., Rebelo M., Bray F.( 2015): Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer, 136(5): E359-E386. https://doi.org/10.1002/ijc.29210.

        [14] Grant, M., McCorkle, R., Hornbrook, M. C., Wendel, C. S., & Krouse, R. (2013). Development of a chronic care ostomy self-management program. Journal of Cancer Education, 28(1), 70-78. https://doi.org/10.1007/s13187-012-0433-1.

        [15] Gulbake A., Jain A., and Jain M., and Jain S K., (2016): Insight to drug delivery aspects for colorectal cancer. World J Gastroenterology.; 22(2): 582–599.Published online 2016 Jan 14. https://doi.org/10.3748/wjg.v22.i2.582.

        [16] Helentjaris D (2017): 10 Signs and Symptoms of Colon Cancer. https://www.livestrong.com/article/22295-warning-signs-colon-cancer/.

        [17] Hocevar B, Bambrick M. (2010): an overview of Ostomy management past, present, and future. The annual meeting of the Egyptian society of surgeons, Congress on colorectal surgery, the Cleveland clinic foundation and University of Alexandria.

        [18] Kózka M, Bazaliński D, Jakubowski K, Pudło M. (2010): Determinants funkcjonowania psycho-społecznego osób z przetoką jelitową. Pielęg Chir Angiol.; 4:123- 9. (Polish)

        [19] Krau SD. (2015): Technology in nursing: the mandate for new implementation and adoption approaches. Nurs Clin North Am.; 50(2): xi-xii. https://doi.org/10.1016/j.cnur.2015.03.011.

        [20] Kumar C. N (2016): Effectiveness of STP on Knowledge and Practice of Patients With Colostomy, Journal of Nursing Today, Vol. 4 Issue 1, www.jolnt.com e-ISSN 2456-1630.

        [21] Mendonça SN, Lameira CC, Souza NVDO, Costa CCP, Maurício VC, Silva PAS.( 2015): Orientações de enfermagem e implicações para a qualidade de vida de pessoas estomizadas. Rev Enferm UFPE on line. 9(1):296-304.

        [22] Mohamed S S, Salem G M, and Mohamed H A (2017): Effect of Self-care Management Program on Self-efficacy among Patients with Colostomy, American Journal of Nursing Research, Vol. 5, No. 5, 191-199 Available online at http://pubs.sciepub.com/ajnr.

        [23] Rafiemanesh H., Pakzad R., Abedi M., Kor Y., Moludi J., Towhidi F., Salehiniya H.(2016): Colorectal cancer in Iran: Epidemiology and morphology trends. EXCLI Journal.15:738-744.

        [24] Younis J, Salerno G, Fanto D, Hadjipavlou M, Chellar D, Trickett J P. (2012): Focused preoperative patient stoma education, prior to ileostomy formation after anterior resection, contributes to a reduction in delayed discharge within the enhanced recovery programme. Int J Colorectal Dis.; 27(1):43–47. https://doi.org/10.1007/s00384-011-1252-2.


 

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Article ID: 16823
 
DOI: 10.14419/ijans.v8i1.16823




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