EFFECT OF SELF-CARE PROGRAM FOR PATIENTS USING COLOSTOMY AT MANSOURA CITY
DOI:
https://doi.org/10.31674/mjn.2021.v12i03.009Abstract
Background: Colostomy is defined as an artificial opening of the colon onto the abdominal surface. It may originate from: The sigmoid colon, the descending colon, the transverse colon or the ascending colon, the colostomy need to care so that the patients need to determine self-care to prevent colostomy problems. Aim: The study was applied to evaluate effect of self-care program for patients using colostomy at Mansoura City. Design: A quasi-experimental research design was used to accomplish the aim of this study. Setting: The present study was conducted at the Surgical Outpatients Clinic in Mansoura University Hospital. Sample: A purposive sample was used in this study, is composed of 40 colostomy patients. Tools: An interviewing tools was used in this study divided to three parts, 1) Socio-demographic characteristics, 2) Patients' knowledge regarding to colostomy, and 3) Patients' reported self-care practices toward colostomy. Results: The present study results showed that patients' total score knowledge pre self-care program was 14.4040 ± 9.15423, while post self-care program it improved to 35.3200 ± 6.9390. As well, the results showed that total score reported self-care practices pre self-care program was (6.320 ± 6.735) improved to (15.300 ± 2.262) post self-care program, with highly statistically significant differences. Conclusion: The self-care program improved patients' knowledge and reported self-care practices toward colostomy. Recommendations: This study recommended that a further research is needed to investigate the long term effect of such educational intervention on the health of patients with colostomy and should be carried out on a larger number of colostomy patients for evidence of the results and generalization.
Keywords:
Self-care Program, Patients Using Colostomy, Mansoura CityDownloads
References
Abufaraj, M., Gust, K., Moschini, M., Foerster, B., Soria, F., Mathieu, R. & Shariat, S.F. (2016). Management of muscle invasive, locally advanced and metastatic carcinoma of the colon: A literature review with emphasis on the role of surgery. Translational andrology and surgical, 5(5), pp 735-744.
Ahmadi, H., Skinner, E.C., Simma-Chiang, V., Miranda, G., Cai, J., Penson, D.F. & Daneshmand, S. (2016). Colon Functional Outcome Following Radical Colostomy. The journal of surgical, 189(5), pp 1782-1788.
Al Hussein Al Awamlh, B., Wang, L.C., Nguyen, D.P., Rieken, M., Lee, R.K., Lee, D.J., Flynn, T., Chrystal, J., Shariat, S.F. & Scherr, D.S. (2015). Is continent cutaneous urinary diversion a suitable alternative to orthotopic bladder substitute and ileal conduit after cystectomy?. BJU international, 116(5), pp 805-814.
Al-Maskari, F., El-Sadig, M., Al-Kaabi, J.M., Afandi, B., Nagelkerke, N. & Yeatts, K.B. (2013). Knowledge, attitude and practices of diabetic patients in the United Arab Emirates. PloS one, 8(1), p e52857.
American Cancer Society (2019). Retrieved from: www.cancer.org/cancer/bladdercancer/detailedguide /colon-cancer -key-statistics
Annual Statistics of the National Cancer Institute (2017). Retrieved from: https://www.cancer.gov/about-cancer/understanding/statistics
Black, J.M. & Matassarin-Jacobs E. (2018). Medical-surgical nursing: clinical management for continuity of care (5th ed.). Saunders, Philadelphia, pp 1582-1595.
Dawson, B.D. & Trapp, R.G. (2001). Reading the medical literature: Basic & clinical biostatistics (3rd ed.). Newyork: Lange Medical Book/McGraw–Hill. Medical Publication Division, Ch. 7-9, pp. 161-218 and Ch. 13, pp 305-314.
Elhoty, M.A. (2017). Assessment of physical and psychosocial needs in patients undergoing colostomy, Thesis for Master Degree in Medical Surgical Nursing, Faculty of Nursing, Helwan University, pp146-169.
Ferlay, J., Soerjomataram, I., Ervik, M., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., Parkin, D.M., Forman, D. & Bray, F. (2018). Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. GLOBOCAN 2012 v1. 0 2013. Retrieved from: http://globocan.iarc.fr
Ferlay, J.S.H.R., Shin, H.R., Bray, F., Forman, D., Mathers, C. & Parkin, D.M. (2010). Cancer incidence and mortality worldwide. Lyon: International Agency for Research on Cancer.
Gacci, M., Saleh, O., Cai, T., Gore, J.L., D’Elia, C., Minervini, A., Masieri, L., Giannessi, C., Lanciotti, M., Varca, V. & Simonato, A. (2013). Quality of life in women undergoing urinary diversion for bladder cancer: results of a multicenter study among long-term disease-free survivors. Health and quality of life outcomes, 11(1), pp 1-6.
Goldberg, H., Baniel, J., Mano, R., Rotlevy, G., Kedar, D. & Yossepowitch, O. (2016). Orthotopic neo bladder vs. ileal conduit urinary diversion: a long-term quality-of-life comparison. In Urologic Oncology: Seminars and Original Investigations (Vol. 34, No. 3, pp. 121-e1). Elsevier.
Gregg, J.R., Cookson, M.S., Phillips, S., Salem, S., Chang, S.S., Clark, P.E. & Barocas, D.A. (2017). Effect of preoperative diet al deficiency on mortality after radical cystectomy for colon cancer. The Journal of Surgical Medicine, 185(1), pp 90-96.
Hugar, L.A., Turner, R.M., Gusenoff, J.A., Correa, A.F., Jacobs, B.L. & Davies, B.J. (2016). Panniculectomy and Cystectomy: An Approach to the Morbidly Obese Patient. Case reports in urology, 2016.
Khaled, H. (2019). Fourth International Conference of the Egyptian Society for Liver Cancer; Retrived from: www.alhayat.com
Klaassen, Z., DiBianco, J.M., Jen, R.P., Harper, B., Yaguchi, G., Reinstatler, L. & Madi, R. (2016). The impact of radical cystectomy and colostomy on suicidal death in patients with bladder cancer. Journal of Wound, Ostomy and Continence Nursing, 43(2), pp 152-157.
Large, M.C., Kiriluk, K.J., DeCastro, G.J., Patel, A.R., Prasad, S., Jayram, G. & Steinberg, G.D. (2018). The impact of mechanical bowel preparation on postoperative complications for patients undergoing cystectomy and colostomy. The Journal of Surgical Medicine, 188(5), pp 1801-1805.
Leow, J.J., Reese, S., Trinh, Q.D., Bellmunt, J., Chung, B.I., Kibel, A.S. & Chang, S.L. (2018). Impact of surgeon volume on the morbidity and costs of radical cystectomy in the USA: A contemporary population-based analysis. BJU International; 115(5), pp 713–721
Luis, D.A., Raed, A.A., Andre, B.K., Sameer, C. & Arnaud, M. (2017). Robotic implantation of biodegradable regenerative colon conduit: experimental study, Journal of Surgical; 29, (1), 52-57,
Miller, K.D., Siegel, R.L., Lin, C.C., Mariotto, A.B., Kramer, J.L., Rowland, J.H., Stein, K.D., Alteri, R. & Jemal, A., 2016. Cancer treatment and survivorship statistics, 2016. CA: a cancer journal for clinicians, 66(4), pp 271-289.
Mohamed, S.H. (2018). The effect of health teaching programme on the patient self-care related to colostomy at Zagazig University Hospitals, Thesis for Doctorate Degree in Medical Surgical Nursing, Faculty of Nursing Zagazig University, p 131.
Mohamed, S.S., Salem, G.M. & Mohamed, H.A. (2017). Effect of self-care management program on self-efficacy among patients with colostomy. American Journal of Nursing, 5(5), pp 191-199.
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. (2014). 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.
Nishikawa, M., Miyake, H., Yamashita, M., Inoue, T. & Fujisawa, M. (2018). Long-term changes in renal function outcomes following radical cystectomy and colostomy. International Journal of Clinical Oncology, 19(6), pp 1105–11111.
Nygren, J., Thacker, J., Carli, F., Fearon, K.C.H., Norderval, S., Lobo, D.N. & Ramirez, J. (2019). Guidelines for colostomy care. World Journal of Surgery, 37(2), pp 285-305.
Sack, B.S., Langenstroer, P., Guralnick, M.L., Jacobsohn, K.M. & O’Connor, R. (2016). Cystectomy and colostomy for the management of a devastated lower colon following radiotherapy. Wisconsin Medical Society Journal, 115(2), pp 127-130.
SEER Cancer Statistics Fact sheets (2017). colostomy Cancer National Cancer Institute. Bethesda, MD; Retrieved from: http://seer.cancer.gov/statfacts/html/urinb.html
Shariat, S.F., Milowsky, M. & Droller, M.J. (2009). November. Bladder cancer in the elderly. In Urologic Oncology: Seminars and Original Investigations (Vol. 27, No. 6, pp. 653-667). Elsevier.
Zarzour, A.H., Selim, M., Abd-Elsayed, A.A., Hameed, D.A. & AbdelAziz, M.A. (2008). Muscle invasive bladder cancer in Upper Egypt: the shift in risk factors and tumor characteristics. BMC Cancer, 8(1), p.2
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