The Effects of Patient Care Results of Applied Nursing Intervention to Individuals With Stoma According to the Health Belief Model.
Journal
Cancer nursing
ISSN: 1538-9804
Titre abrégé: Cancer Nurs
Pays: United States
ID NLM: 7805358
Informations de publication
Date de publication:
Historique:
pubmed:
14
12
2018
medline:
25
11
2020
entrez:
14
12
2018
Statut:
ppublish
Résumé
Individuals who have undergone stoma surgery take time to adjust to the stoma, and their quality of life is decreasing. The aim of this study was to examine the effects of home-based nursing interventions informed by the Health Belief Model on patient care outcomes for individuals having a stoma. This pretest, posttest, and semiexperimental design with a control group included adults who underwent a stoma operation in the previous 3 months. In total, 30 were assigned to the experimental group and 31 to the control group. Study forms included a sociodemographic questionnaire, the Stoma Quality of Life Scale, the Ostomy Adjustment Inventory, and the Pittman Complication Severity Index. After home nursing interventions, there was a significant difference between the compliance rates of the individuals in the experimental group and the complication rates and cost averages (P < .05) with individuals in the control group; no significant difference in quality-of-life scores was found between the 2 groups. In order to effectively support postoperative individuals following stoma surgery when they are released from the hospital, postdischarge follow-up care informed by the Health Belief Model components should be offered. We recommend creating hospital-based, home care teams that follow individuals with a stoma for at least 6 months after discharge.
Sections du résumé
BACKGROUND
Individuals who have undergone stoma surgery take time to adjust to the stoma, and their quality of life is decreasing.
OBJECTIVE
The aim of this study was to examine the effects of home-based nursing interventions informed by the Health Belief Model on patient care outcomes for individuals having a stoma.
METHODS
This pretest, posttest, and semiexperimental design with a control group included adults who underwent a stoma operation in the previous 3 months. In total, 30 were assigned to the experimental group and 31 to the control group. Study forms included a sociodemographic questionnaire, the Stoma Quality of Life Scale, the Ostomy Adjustment Inventory, and the Pittman Complication Severity Index.
RESULTS
After home nursing interventions, there was a significant difference between the compliance rates of the individuals in the experimental group and the complication rates and cost averages (P < .05) with individuals in the control group; no significant difference in quality-of-life scores was found between the 2 groups.
CONCLUSION
In order to effectively support postoperative individuals following stoma surgery when they are released from the hospital, postdischarge follow-up care informed by the Health Belief Model components should be offered.
IMPLICATIONS FOR PRACTICE
We recommend creating hospital-based, home care teams that follow individuals with a stoma for at least 6 months after discharge.
Identifiants
pubmed: 30543570
doi: 10.1097/NCC.0000000000000678
pii: 00002820-202003000-00014
doi:
Types de publication
Controlled Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E87-E96Références
Knowles SR, Tribbick D, Connell WR, Castle D, Salzberg M, Kamm MA. Exploration of health status, illness perceptions, coping strategies, psychological morbidity, and quality of life in individuals with fecal ostomies. J Wound Ostomy Contin Nurs. 2017;44(1):69–73.
Su X, Qin F, Zhen L, et al. Self-efficacy and associated factors in patients with temporary ostomies: a cross-sectional survey. J Wound Ostomy Cont Nurs. 2016;43(6):623–629.
Altuntas YE, Kement M, Gezen C, et al. The role of group education on quality of life in patients with a stoma. Eur J Cancer Care. 2012;21:776–781.
Popek S, Grant M, Gemmill R, et al. Overcoming challenges: life with an ostomy. Am J Surg. 2010;200(5):640–645.
Vural F, Sutsunbuloglu E, ve Selimen D. Literature review: profile of publications for the patients with stoma in Turkey. Turk J Colorectal Dis. 2016;26:59–70.
Traa MJ, Vries J, Roukema J, Rutten HJ, Den Oudsten B. The sexual health care needs after colorectal cancer: the view of patients, partners, and health care professionals. Support Care Cancer. 2014;22:763–772.
Knowles S, Wilson J, Wilkinson A. Psychological well-being and quality of life in Crohn's disease patients with an ostomy. J Wound Ostomy Continence Nurs. 2013;40(6):623–629.
Poletto D, Silva D. Living with intestinal stoma: the construction of autonomy for care. Latino Am Enferm. 2013;21(2):531–538.
Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S, Safae A. Quality of life outcomes in patients living with stoma. Indian J Palliat Care. 2013;18:3.
Danielsen AK, Rosenberg J. Health related quality of life may increase when patients with a stoma attend patient education—a case-control study. PLoS ONE. 2014a;9(3):e90354.
Phatak UR, Li LT, Karanjawala B, Chang GJ, Kao LS. Systematic review of educational interventions for ostomates. Dis Colon Rectum. 2014;57(4):529–537.
Danielsen AK, Soerensen EE, Burcharth K, Rosenberg J. Impact of a temporary stoma on patients' everyday lives: feelings of uncertainty while waiting for closure of the stoma. J Clin Nurs. 2013b;22:1343–1352.
McKenna LS, Taggart E, Stoelting J, Kirkbride G, Forbes GB. The impact of preoperative stoma marking on health-related quality of life: a comparison cohort study. J Wound Ostomy Cont Nurs. 2016;43(1):57–61.
Danielsen AK, Rosenberg J. Patient education after stoma creation may reduce health-care costs. Dan Med J. 2014b;61(4):4659–4659.
Karabulut H, Dinç L, Karadağ A. Effects of planned group interactions on the social adaptation of individuals with an intestinal stoma: a quantitative study. J Clin Nurs. 2014;23(19–20):2800–2813.
Cheng F, Xu Q, Dai XD, Yang LL. Evaluation of the expert patient program in a Chinese population with permanent colostomy. Cancer Nurs. 2012;35(1):27–33.
Harputlu D. The Effect of Home Care Nursing on the Healing of Peristomal Skin Complications and Quality of Life [PhD thesis]. Izmir, Turkey: Ege University Public Health Nursing; 2014.
Taneja C, Netsch D, Rolstad BS, Inglese G, Lamerato L, Oster G. Clinical and economic burden of peristomal skin complications in patients with recent ostomies. J Wound Ostomy Contin Nurs. 2017;44(4):1–8.
Iqbal A, Raza A, Huang E, Goldstein L, Hughes SJ, Tan SA. Cost effectiveness of a novel attempt to reduce readmission after ileostomy creation. J Soc Laparoendosc Surg. 2017;21(1).
Forsmo HM, Pfeffer F, Rasdal A, Sintonen H, Körner H, Erichsen C. Pre-and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery. Int J Surg. 2016;36:121–126.
Younis J, Salerno G, Fanto D, Hadjipavlou M, Chellar D, Trickett JP. 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. 2012;27(1):43–47.
Sier MF, Oostenbroek RJ, Dijkgraaf MGW, et al. Home visits as part of a new care pathway (iAID) to improve quality of care and quality of life in ostomy patients: a cluster-randomized stepped-wedge trial. Colorectal Dis. 2017;1–10.
Werth SL, Shutte DL, Stommel M. Bridging the gap: perceived educational needs in the inpatient to home care setting for the person with a new ostomy. J Wound Ostomy Continence Nurs. 2014;41(6):566–572.
Champion V, Skinner CS. Health Belief Model. In: Glanz K, Rimer B, Viswanath K, eds. Health Behaviour and Health Education Theory, Research and Practice. 4th ed. San Francisco, CA: Jossey-Bass, A Wiley Imprint; 2008:45–62.
Gozum S, Capik C. A guide to the development of health behaviors: the Health Belief Model. Dokuz Eylul Univ Nurs Faculty Electr J. 2014;7(3):230–237.
Cengiz B, Bahar Z. Perceived barriers and home care needs when adapting to a fecal ostomy: a phenomenological study. J Wound Ostomy Cont Nurs. 2017;44(1):63–68.
The Health Practice Statement. http://hastane.ege.edu.tr/duyurular/UT/default.aspx. Accessed November 16, 2017.
Baxter NN, Novotny PJ, Jacobson T, Maidl LJ, Sloan J, Young-Fadok TM. A stoma quality of life scale. Dis Colon Rectum. 2006;49(2):205–212.
Karadağ A, Ozturk D, Celik B. Adaptation of Quality Life Scale for the Ostomy Patients into Turkish. Turk J Colorectal Dis. 2011a;21:173–181.
Karadağ A, Gocmen ZB, Korkut H, Celik B. Adaptation of the Ostomy Adjustment Inventory into Turkish language. Turk J Surg. 2011b;27(4):206–211.
Pittman JA. Ostomy Complications and Associated Risk Factors: Development and Testing of Two Instruments [PhD thesis]. University of Indiana; 2012. https://scholarworks.iupui.edu/handle/1805/2640. Accessed October 20, 2018.
Chaudhri S, Brown L, Hassan I, Horgan AF. Preoperative intensive, community-based vs. traditional stoma education: a randomized, controlled trial. Dis Colon rectum. 2005;48(3):504–509.
Lim SH, Chan SW, He HG. Patients' experiences of performing self-care of stomas in the initial postoperative period. Cancer Nurs. 2015;38(3):185–193.
Liao C, Qin Y. Factors associated with stoma quality of life among stoma patients. Int J Nurs Sci. 2014;30,1(2):196–201.
Kit-Man H, Pak-Chun J, Twinn S. Self-efficacy and quality of life among stoma patients in hong kong. Cancer Nurs. 2007;30:3.
Simmons KL, Smith JA, Bobb KA, Liles LL. Adjustment to colostomy: stoma acceptance, stoma care self-efficacy and interpersonal relation-ships. J Adv Nurs. 2007;60(6):627–635.
Lo SF, Wang YT, Wu LY, Hsu MY, Chang SC, Hayter M. A cost-effectiveness analysis of a multimedia learning education program for stoma patients. J Clin Nurs. 2010;19:1844–1185.
Pucciarelli S, Zorzi M, Gennaro N, et al. In-hospital mortality, 30-day readmission, and length of hospital stay after surgery for primary colorectal cancer: a national population-based study. Eur J Surg Oncol. 2017;1–12.