Effect of colostomy care education on self-care among patients with permanent colostomy in a Public Hospital in Lahore: Effect of Colostomy Care Education on Self-Care among Patients

Noreen Ashraf; Mussarat Saleem; Saba Munir

doi:10.54393/nrs.v2i01.28

Authors

Noreen Ashraf Sir Gangaram Hospital, Lahore, Pakistan
Mussarat Saleem Sir Gangaram Hospital, Lahore, Pakistan
Saba Munir Sir Gangaram Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/nrs.v2i01.28

Keywords:

Colostomy Self-Care, Permanent Colostomy Patients, Complications, Colostomy Care Education

Abstract

A colostomy is a surgical opening in the abdomen to create a stoma, a portion of the colon is pushed outside the abdominal wall by which digested food goes into an external pouching system. Objectives: To compare the effect of colostomy care education and standard care on self-care among patients with a permanent colostomy at tertiary care hospital in Lahore. Methods: A quasi experimental study was conducted in a public hospital in Lahore, Pakistan. Purposive Sampling technique was used to collect the data. The order within the participants belonging to the control group or intervention group was chosen randomly by the sealed envelope method. Results: In this study, 46 adult patients with permanent colostomy of both genders were included. Patients were divided into two equal groups. The colostomy self-care in the interventional group of patients had increased significantly after the implementation of educational intervention as compared to the control group. Similarly, the complications in the interventional group have decreased due to self-care practices as compared to the control group. Conclusions: Educational interventions can increase the level of self-care which may ultimately decrease the risk of complications after a colostomy. Educating the patients with coping strategies after colostomy can help in keeping the stoma healthy, maintaining lifestyle and also reducing the risk of postoperative complications

References

Almarzooq BA, Alshuflut AA, Al-Amyateem AA, Neazy SA, Alhadlaq AI, Alnazawi FF, et al. An overview in the management of stoma and care of patients. Archives of Pharmacy Practice. 2020 Oct; 11(4): 55-59.

Massenga A, Chibwae A, Nuri AA, Bugimbi M, Munisi YK, Mfinanga R, et al. Indications for and complications of intestinal stomas in the children and adults at a tertiary care hospital in a resource-limited setting: a Tanzanian experience. BMC Gastroenterology. 2019 Dec; 19(1): 1-10. doi: 10.1186/s12876-019-1070-5.

Geleta T. 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, (Doctoral dissertation, Addis Ababa University). 2017.

Ran L, Jiang X, Qian E, Kong H, Wang X, Liu Q. Quality of life, self-care knowledge access, and self-care needs in patients with colon stomas one month post-surgery in a Chinese Tumor Hospital. International Journal of Nursing Sciences. 2016 Sep; 3(3): 252-8. doi: 10.1016/j.ijnss.2016.07.004.

Jin Y, Tian X, Li Y, Jiménez-Herrera M, Wang H. Effects of continuous care on health outcomes in patients with stoma: a systematic review and meta-analysis. Asia-Pacific Journal of Oncology Nursing. 2021 Dec; 9(1): 21-31. doi: 10.1016/j.apjon.2021.12.006.

Ceylan H and Vural F. Living with stoma-a phenomenological study. Journal of Nursing Research and Practice. 2017 Dec; 1(1): 6-12.

Andrews GR and Sharma A. Impact of in Effect of Instructional booklet on the knowledge, attitude, problems faced and coping strategies adopted by colostomy patients in selected hospitals of Delhi. Current Medicine Research and Practice. 2018 May; 8(3): 92-5. doi: 10.1016/j.cmrp.2018.05.003.

Collado-Boira EJ, Machancoses FH, Folch-Ayora A, Salas-Medina P, Bernat-Adell MD, Bernalte-Martí V, et al. Self-care and health-related quality of life in patients with drainage enterostomy: a multicenter, cross sectional study. International Journal of Environmental Research and Public Health. 2021 Mar; 18(5): 2443. doi: 10.3390/ijerph18052443.

Goldblatt J, Buxey K, Paul E, Foot‐Connolly R, Leech T, Bell S. Study on the time taken for patients to achieve the ability to self‐care their new stoma. ANZ Journal of Surgery. 2018 Jun; 88(6): E503-6. doi: 10.1111/ans.14195.

Millard R, Cooper D, Boyle MJ. Improving Self-Care Outcomes in Ostomy Patients via Education and Standardized Discharge Criteria. Home Healthcare Now. 2020 Jan; 38(1): 16-23. doi: 10.1097/NHH.0000000000000816.

Santos RD, Fava SM, Dázio EM. Self-care of elderly people with ostomy by colorectal cancer. Journal of Coloproctology (Rio de Janeiro). 2019 Sep; 39: 265-73. doi: 10.1016/j.jcol.2019.01.001.

Alenezi AN and Mansour EA. Impact of stoma care education in minimizing the incidence of stoma skin complications. Bahrain Medical Bulletin. 2016 Sep; 38(3): 151-3. doi: 10.12816/0047489.

Elmusharaf K, Byrne E, Manandhar M, Hemmings J, O’Donovan D. Participatory ethnographic evaluation and research: Reflections on the research approach used to understand the complexity of maternal health issues in South Sudan. Qualitative Health Research. 2017 Jul; 27(9): 1345-58. doi: 10.1177/1049732316673975.

Abdulmutalib I, Al Nagshabandi E, Alansari S. Effect of an Educational Protocol on Knowledge and Self-Care Practices among Patients with the Intestinal Ostomy. American Journal of Nursing. 2018 Oct; 6(6): 553-61. doi: 10.12691/ajnr-6-6-25.

Chauhan Y, Sreedharan M, Jindal S. Efficacy of structured teaching programme on patient’s knowledge regarding colostomy care, Scientific Research. International Journal of Recent Scientific, International Journal of Recent Scientific Research. 2017; 8(11): 21378-82.

Mohamed SS, Salem GM, Mohamed HA. Effect of self-care management program on self-efficacy among patients with colostomy. American Journal of Nursing Research. 2017 Oct; 5(5): 191-9.

El-Rahman A, Ali W, Mekkawy MM, Ayoub MT. Effect of Nursing Instructions on Self Care for Colostomy Patients. Assiut Scientific Nursing Journal. 2020 Dec; 8(23): 96-105. doi: 10.21608/asnj.2020.48530.1066.

Culha I, Kosgeroglu N, Bolluk O. Effectiveness of self-care education on patients with stomas. IOSR Journal of Nursing and Health Science. 2016 Mar; 5(2): 70-6.

Xu S, Zhang Z, Wang A, Zhu J, Tang H, Zhu X. Effect of self-efficacy intervention on quality of life of patients with intestinal stoma. Gastroenterology Nursing. 2018 Jul; 41(4): 341. doi: 10.1097/SGA.0000000000000290.

Wu HK, Chau JP, Twinn S. Self-efficacy and quality of life among stoma patients in Hong Kong. Cancer Nursing. 2007 May; 30(3): 186-93. doi: 10.1097/01.NCC.0000270704.34296.86.