The Effectiveness of Applying Multimedia on Self-Care and Quality of Life in Patient With Enterostomy

Study Overview
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Brief Summary
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This report was an effective evaluation of using multimedia educational program for self-care and quality of life in patients with a stoma at postoperative and established a simple threshold for enterostomy self-care skills.

Detailed Description
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In a systematic review, evaluated the effectiveness of multimedia education program (MLEP) and confirmed that MLEP reduced cost significantly and improved patient participation in enterostomy care and self-care ability. However, research was insufficient for whether a multimedia education program (MLEP) interventions can improve patient self-care and quality of life.

Official Title
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The Effectiveness of Applying Multimedia on Self-Care and Quality of Life in Patient With Enterostomy

Conditions
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Multimedia Learning Education, Self-care, Quality of Life, Enterostomy

Intervention / Treatment
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* Other: multimedia education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≧ 20 Operation with ostomy Exclusion Criteria: Dementia, mental illness, and central nervous system diseases Unable self-care Visual or hearing impairs

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: conventional education service program<br>received only standard enterostomy care brochure | Other: multimedia education<br>* The MLEP intervention was based on a literature review of prior research on the content and format of self care related multimedia education programmes<br>|
| Experimental: multimedia education service program<br>received multimedia education service program introduction | Other: multimedia education<br>* The MLEP intervention was based on a literature review of prior research on the content and format of self care related multimedia education programmes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| self-care ability | Assessment scale of self-care ability of enterostomy care was a quantitative scale for nursing staff to evaluate self-care skills in patients with enterostomy. It consisted of 7 items related to: Prepare items, removing the pouching system, measuring the enterostomy diameter, adjusting the size of the enterostomy diameter in a new stoma appliance, skin care, fitting a new enterostomy appliance, and emptying procedure. Each skill was rated on a 4-point scale: Likert scale (1: not at all, 2: some, 3: quite a lot, 4: very much). Higher scores indicated that patient had a higher level of self-care skills for changing enterostomy pouching system | One and a half years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Promote quality of life | The Enterostomy quality of life was comprised of 30 questionnaires, it covered seven domains: relations with family and friends, Sleep, activity, sexual activity, social relationship, physiology and psychology. The responses rated on a4-point scale Likert scale (1: extremely, 2: quite a lot, 3: somewhat, 4: not at all). The possible scores range was from 37 to 148. Higher scores indicated that patient had a higher level of quality of life | One and a half years |