Comparison of Face-to-Face Education and Multimedia Software Education on Adjustment of Patients With Intestinal Ostomy

Abstract

PURPOSE: The aim of this study was to compare the effect of face-to-face versus multimedia education on the adjustment of patients to an intestinal ostomy. DESIGN: Randomized clinical trial. SUBJECT AND SETTING: The sample comprised 135 patients with new ostomies randomly assigned to 3 groups (control, face-to-face, and multimedia education). Data were collected from November 2018 to May 2019; the study setting was Rasul-e Akram and Imam Khomeini Hospitals, Tehran, Iran. METHODS: The control group received no additional ostomy education. The face-to-face education group was educated individually in the hospital environment during four 3-hour sessions delivered over 4 consecutive days. The multimedia group viewed a multimedia educational program using a laptop. Data were collected at baseline and 3 months after the intervention. Data collection forms comprised a demographic questionnaire and the Ostomy Adjustment Inventory-23 (OAI-23). RESULTS: Before the intervention, the mean OAI-23 adjustment score did not significantly differ among the 3 groups (P = .752). Three months after the intervention, the mean score of adjustment score in the multimedia software group was significantly higher than those of the face-to-face and control groups (P = .000). In addition, the mean score of adjustment of the face-to-face education group was significantly higher than that of the control group (P = .002). CONCLUSION: Findings indicate that multimedia education was associated with higher levels of adjustment when compared to face-to-face teaching.

Characteristics, Hospital Length of Stay, and Readmissions Among Individuals Undergoing Abdominal Ostomy Surgery

“…28,33 Three months after discharge, scores on the Ostomy Adjustment Inventory-23 were better for patients who initially viewed a multimedia educational program during hospitalization when compared to the control and traditional education groups in a randomized controlled trial, where intervention patients were regularly contacted via phone after hospitalization and encouraged to apply educational content. 28…”

“…Furthermore, a prospective study in Sweden suggested that their low prevalence of peristomal skin complications was likely influenced by regular follow-up care for 1 year by a WOC nurse 13. In recent studies, use of technology, where the resource can be taken home and viewed as needed following hospital discharge, has been found to be beneficial for patients undergoing ostomy surgery 28,33. Three months after discharge, scores on the Ostomy Adjustment Inventory-23 were better for patients who initially viewed a multimedia educational program during hospitalization when compared to the control and traditional education groups in a randomized controlled trial, where intervention patients were regularly contacted via phone after hospitalization and encouraged to apply educational content 28…”

“…Preoperative patient education and stoma site marking and postoperative ostomy nurse care may help improve patient satisfaction and operative outcomes, decrease LOS, and lessen stoma and peristomal complications 19–21,23,25–28. However, education and counseling must occur postoperatively among those undergoing emergent ostomy surgery 1,4.…”

“…1,4,5 Preoperative patient education and stoma site marking and postoperative ostomy nurse care may help improve patient satisfaction and operative outcomes, decrease LOS, and lessen stoma and peristomal complications. [19][20][21]23,[25][26][27][28] However, education and counseling must occur postoperatively among those undergoing emergent ostomy surgery. 1,4 Additional research on the prevalence of elective surgeries, hospital LOS, and the proportion of patients receiving preoperative stoma site marking is needed.…”

Does Resilience Predict Ostomy Adjustment in Patients With Permanent Ostomy?

“…24 A Persian language version of the OAI-23 was evaluated for face and content validity; the test-retest correlation coefficient for this instrument was 0.81. 13,26 Resilience Scale…”