Effect of a Stoma Nursing Care Program on the Adjustment of Patients with an Ostomy

Abstract

Objective: To evaluate the effect of a stoma nursing care program on the personal adjustment to an ostomy. Materials and methods: A quasi-experimental study with a control group. The sample of 105 patients with stoma was divided into two groups (intervention group and control group), with assessments in the first and sixth month after hospital discharge. Information was collected using the Elimination Ostomy Adjustment Scale. Student’s t-tests analysis were performed. Results: One month after hospital discharge, the adjustment to the stoma was satisfactory and similar (p > 0.05) in both groups, and in the sixth month, statistically more favorable in the intervention group (p < 0.001); a statistically significant difference between the two assessments (p < 0.001) is found in the intervention group only. Conclusions: The intervention program has a positive influence on the adjustment to the stoma, and its contribution is significant six months after hospital discharge. Systematic interventions of an ostomy care specialized nurse have shown positive effects on ostomy adjustment, which is recommended since the preoperative period.

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

“…Patients adapt to life with a stoma by accepting the difficulties related to the stoma and reorganizing and reorienting their life. [8][9][10][11] Having knowledge about stomas and stoma care, the ability to perform stoma care independently, and having regular access to health professionals and stoma care nurses all increase patients' stoma adaptation. [43][44][45] In the present study, experimental group participants received online education with theoretical and practical content about stomas and stoma care and could easily communicate with the researcher.…”

“…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 prevalence of anxiety and depression in patients with ostomy: A systematic review and meta‐analysis

“…This can affect the level of anxiety, depression, social interactions and how a person adapts to changes caused by ostomy in their daily lives. 59,60 Because the data about type of ostomy in the anxiety related studies was not enough, it was not possible to compare the prevalence of anxiety based on temporary or permanent ostomy. The results of subgroup analysis showed that the prevalence of depression was higher in studies that included only permanent ostomy patients but the difference was not significant.…”

“…In the early stages of ostomy implantation, patients may have less information about ostomy, underlying disease, and available resources. This can affect the level of anxiety, depression, social interactions and how a person adapts to changes caused by ostomy in their daily lives 59,60 …”

Analysis of self-care videos on YouTube about exchange of intestinal ostomy bags

“…Sabe-se que muitas complicações na pele perestomal pode ser evitada com cuidados adequados com a pele e o uso apropriado da bolsa para cada pessoa (9) . Diante disto, o planejamento de enfermagem, atrelado ao uso de intervenções, com tecnologias educativas, mostra-se eficaz na adaptação da pessoa com estomia às mudanças enfrentadas com a nova realidade, utilizadas desde o pré operatório até o acompanhamento ambulatorial (10) .…”