The Perceived Ostomy Educational Needs of Pediatric Patients With Inflammatory Bowel Disease and Their Caregivers.


Journal

Journal of pediatric gastroenterology and nutrition
ISSN: 1536-4801
Titre abrégé: J Pediatr Gastroenterol Nutr
Pays: United States
ID NLM: 8211545

Informations de publication

Date de publication:
06 2020
Historique:
entrez: 23 5 2020
pubmed: 23 5 2020
medline: 22 6 2021
Statut: ppublish

Résumé

Inflammatory bowel disease (IBD) is a chronic disease causing inflammation of the gastrointestinal tract. Some patients require ostomy surgery to optimize their health. This study assessed perceived medical and psychosocial educational needs related to ostomy surgery in pediatric patients with IBD. This mixed-methods study included qualitative interviews of pediatric patients and caregivers with demographic/medical variables obtained from medical records. Participants (n = 8) had an average age of 15.62 years (standard deviation = 2.97). Mean length of diagnosis was 4.5 years (standard deviation = 3.6 years). Interviews were transcribed and coded. Qualitative coding of narratives identified main codes of Ostomy Surgery, Preoperative Concerns, Postoperative Concerns, Education Preferences, and Social Concerns, with various subcodes. Codes captured unfamiliarity with the ostomies, preferences for education from a medical provider, and psychosocial concerns. Results suggest pediatric patients with IBD have limited understanding of ostomies and limited insight into educational preferences. These findings highlight the importance of developmentally appropriate information for accessible ostomy education.

Identifiants

pubmed: 32443045
doi: 10.1097/MPG.0000000000002665
pii: 00005176-202006000-00028
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

849-852

Références

Sauer CG, Kugathasan S. Pediatric inflammatory bowel disease: highlighting pediatric differences in IBD. Med Clin North Am 2010; 94:35–52.
Danielsen AK, Soerensen EE, Burcharth K, et al. Learning to live with a permanent intestinal ostomy: impact on everyday life and educational needs. J Wound Ostomy Cont 2013; 40:407–412.
Bekkers MJ, Van Knippenberg FC, Van Den Borne HW, et al. Psychosocial adaptation to stoma surgery: a review. J Behav Med 1995; 18:1–31.
David JG, Jofriet A, Seid M, et al. A Guide to Gutsy Living”: patient-driven development of a pediatric ostomy toolkit. Pediatrics 2018; 141:e20172789.
Kirkman M. What's the plot? Applying narrative theory to research in psychology. Aust Psychol 2002; 37:30–38.
Lieb RJ, Kanofsky S. Toward a constructivist control mastery theory: an integration with narrative therapy. Psychother Theor Res 2003; 40:187.
David J, Seid M, Mongiat J, et al. Clinicians’ perspectives on the current status of preparation and barriers for pediatric patients undergoing ostomy surgery. Poster Presentation at the Society of Pediatric Psychology Annual Conference; 2016; Atlanta, GA.
Schaffner A. Pediatric ostomy surgery. J Wound Ostomy Continence Nurs 2010; 37:546–548.

Auteurs

Jennie G David (JG)

Nationwide Children's Hospital, Columbus, OH.

Steffany Moreno (S)

Drexel University College of Medicine.

Rhea Daniel (R)

St. Christopher's Hospital for Children, Philadelphia, PA.

Harpreet Pall (H)

Hackensack Meridian Health, Hackensack, NJ.

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