Evaluation of the Effect of Two Different Methods on Stoma Compliance and Self-efficacy
Condition: Patient Relations, Nurse; Patient Satisfaction
Study type: Interventional

Summary: 
      In patients with stoma, apart from traditional methods, different methods whşch can be used
      in visual, auditory and motor skills are recommended as a part of education methods regarding
      stoma care.

      The aim of this study is to evaluate the effects of two different methods in teaching stoma
      care skills considering patients with colostomy/ileostomy on stoma compliance and
      self-efficacy levels. This research is the thesis study designed within the scope of the
      Surgical Diseases Nursing Master's program.
    

Detailed description: 
      Stoma is the opening of the intestine to the abdominal wall. In recent years, the number of
      individuals with ostomy has been increasing, and it is stated that there are 800,000
      individuals in North America alone and approximately 15,000 in Hong Kong.. As a result of
      this surgical procedure, regardless of ileostomy or colostomy, the daily life of individuals
      who went through this procedure has been affected in terms of not only the way their bodies
      excretes but also way of their eating habits, sexual life, self-esteem, religious/cultural
      needs, social life, sense of independence, self-care and the rest of their daily life..
      Gaining patients' self-care activities related to stoma care begins in the preoperative
      period.

      The self-care and development of activities in patients with stoma consists of cognitive,
      emotional, and psychomotor learning processes.

      Patients need to acquire the necessary knowledge and skills to meet their new care needs.
      This learning process is based on the nurse's practical experience and teaching methods..
      After the surgery of individuals with stoma; these individuals need training and counseling
      in order to manage the stoma functionally and to adapt a life with a stoma in psychological
      terms. Wound ostomy incontinence nurses; are an unique source of information when it comes to
      educating the individuals who have stoma.. The American Society of Colon and Rectal Surgeons
      recommends preoperative stoma training. In the post-operative period after a proper training
      given to individuals with stoma; It is stated that reduces stoma-related complications,
      shortens hospital stay, and reduces the cost of stoma care. In the literature, it is stated
      that the stoma training performed before the surgery shortens the discharge time, reduces the
      cost and improves the adequacy of the individuals.. The environment, duration, patient's
      readiness level, past knowledge and experience of patient, education method to be used,
      education content and material have an important place in patient training. The language of
      instruction should be plain and simple.. Today, in patient training, verbal information is
      provided by giving written materials or showing the care practices on the patient after the
      surgery. While increasing the permanence and effectiveness of the materials used with the
      developing technology, educational content such as brochures, models, booklets,
      question-answers, videos and slides also provide good results. However, since the socio
      demographic characteristics and learning styles of the patients are different from each
      other, the desired permanence may not be fully achieved. Since stoma care is frequently
      encountered in nursing practices, is of vital importance, and affects the quality of health
      care of the individual, family and society, overall it is expected that the permanence of
      education in this practice will be increased using audio-visual and motor skills, behavior
      change and self-efficacy will be improved considering the increasing compliance situation in
      patients with stoma.. Pouresmail et al. (2019) shows that the use of simulation to learn
      ostomy self-care improves self-efficacy in patients.. In the literature, studies on the
      subject are limited, and the aim of this study is to determine the effects of two different
      methods in stoma care education on stoma compliance and self-efficacy levels of patient
    

Intervention name(s): Education material - Patient Compatible Stoma Educational Material
Intervention type(s): Other
Intervention description(s): It is an educational material made of rubber, similar to a stoma, that can be placed on the patient.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Stoma Adaptation; Self efficacy; Stoma Care education