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

Abstract

<jats:p>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 colostomyTools: 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. </jats:p>

Nurses' viewpoints on factors affecting ostomy care: A qualitative content analysis

“…The patient who is shocked after discovering his/her ostomy is mournful and does not accept it and cannot be cooperative with the nurse. Outcomes of surgical treatment depend on the patient's preoperative psychosocial preparedness (Ferreira et al, 2017), and several studies emphasize the effect of psychosocial adjustment to the ostomy if stoma nurses take care of patients (dos Reis, 2016;Shrief & Mokhtar, 2019). From the viewpoint of the participants, stoma siting was also necessary.…”

The Effect of Education Via Videoconferencing at Home on Individuals’ Self-efficacy and Adaptation to Life with a Stoma: A Randomized Controlled Study

“…13,15 The literature describes a variety of nursing education interventions in individuals with a stoma, including methods such as a mobile app, a model-based intervention, phone counseling, and a telehealth program. 2,19,21,25 These types of interventions increase individuals' self-efficacy 2,[16][17][18][19][20] and adaptation, 2,9,20,21 support self-care management, [16][17][18][19] and reduce complications. 20,22 The COVID-19 pandemic significantly impacted how nurses provide stoma care, with a move toward counseling via telephone, email, and videoconference.…”

“…The literature describes a variety of nursing education interventions in individuals with a stoma, including methods such as a mobile app, a model-based intervention, phone counseling, and a telehealth program 2,19,21,25 . These types of interventions increase individuals’ self-efficacy 2,16–20 and adaptation, 2,9,20,21 support self-care management, 16–19 and reduce complications 20,22 …”