Effect of Self-Care Program for Patients Using Colostomy at Mansoura City

Abstract

Background: Colostomy means an artificial opening of the colon onto the abdominal surface. It may originate from: The sigmoid colon, the descending colon, the transverse colon or the ascending colon. the colostomy need care so that the patients can determine self-care to prevent complications. Aim: Evaluate effect of self-care program for patients using colostomy at Mansoura City. Design: A quasi-experimental research design. Setting: Conducted at the Surgical Outpatients Clinic in Mansoura University Hospital. Sample: A purposive sample (40) colostomy patients. Tools: An interviewing tools was used in this study divided to three parts, 1) Socio-demographic characteristics, 2) Patients' knowledge regarding colostomy, and 3) Patients' reported self-care practices toward colostomy. Results: The present study results showed that patients' total score knowledge pre self-care program was 14.4040±9.15423, while after post self-care program it improved to 35.3200±6.9390. As well, the results showed that total score reported self-care practices pre self-care program was 6.320±6.735, which improved to 15.300±2.262 post self-care program, with highly statistically significant differences. Conclusion: The self-care program improved patients' knowledge and reported self-care practices toward colostomy. Recommendations: This study recommended that a further research is needed to investigate the long-term effect of such educational intervention on the health of patients with colostomy and should be carried out on a larger number of colostomy patients for evidence of the results and generalization.

Assessment Self-Care Knowledge of Patients with Colostomy

“…The great majority of people were illiterate, and an even larger proportion did not get sufficient formal instruction, which would have helped them become more knowledgeable about the problem. This conclusion is consistent with that of Sabea and Shaqueer (2021), who reported that the participants' understanding of colostomy selfcare was inadequate.…”

“…In addition, the findings of Qalawa and Moussa (2019), who discovered that the majority of patients (73.1 percent) came from rural areas, provide weight to these findings. despite the fact that I disagree with Sabea and Shaqueer (2021), who found that the vast majority of patients (60%) lived in urban areas. It is conceivable to draw the conclusion that the patients' knowledge of colostomy self-care was inadequate based on the data shown in summary table (2) as well as on the data presented in an overall evaluation table (3).…”

Self-care knowledge in patients with intestinal stomas in a selected hospital in the south of Viet Nam: A descriptive cross-sectional study

“…Consideration of participants’ background characteristics, such as education level and marital status, is crucial during the implementation of the education program to improve self-care abilities for patients with intestinal stomas. This importance arises from the association of educational level and marital status with self-care knowledge, which has been supported by studies conducted by Ran et al ( 2016 ) and Sabea and Shaqueer ( 2021 ). To maximize the effectiveness of the education program to improve self-care abilities for patients with intestinal stomas, it is recommended to include periodic repetitions of the education sessions as suggested by Ran et al ( 2016 ) and supported by the research conducted by Sabea and Shaqueer ( 2021 ).…”

“…As a result, there is a clear need to establish an education program with the objective of enhancing patients’ knowledge in this area. To develop an effective program, it is essential to conduct an analysis of the specific requirements of actual patients (Sabea & Shaqueer, 2021 ).…”

“…Vo ( 2019 ) indicated that 26.3% of patients had good knowledge of intestinal stoma self-care. Forty percent of patients were evaluated as having good knowledge of stoma self-care after receiving a program focused on stoma self-care (Sabea & Shaqueer, 2021 ). Factors related to patients’ knowledge of intestinal self-care were reported in different studies.…”