Effect of Telephone Counseling (Telenursing) on the Quality of Life of Patients with Colostomy

Abstract

Background: The number of patients with colostomy is increasing every day. Caring of patients with colostomy after operation should be based on different aspects of their quality of life (QoL). This study was conducted to determine the effect of telephone counselling (telenursing) by nurses on the QoL of patients with permanent colostomy. Methods: This research was a randomized clinical trial study with the control group. It was conducted on the patients referring to Iranian Ostomy Society, Tehran, Iran. At first, a total of 70 patients with permanent colostomy were selected by convenience sampling method and then randomly assigned in the experimental group (with telephone counselling) and control group. Patients in both groups followed training sessions as usual and participated in it. Data collection tool was City of Hope-quality of life-Ostomy questionnaire. QoL was measured at the beginning of the intervention and then 16 weeks later. Statistical data were analyzed using descriptive statistics, paired t test, independent t test, and analysis of covariance. Data analysis was performed by SPSS version 22. Results: After telephone counseling, significant differences were observed between two groups with regard to physical (P=0.007), mental (P˂0.001), and social (P˂0.001) aspects of patients' QoL. Regarding the spiritual aspect of QoL, no significant difference was found between two groups (P=0.111) after telephone counselling. All in all and compared with the control group, telephone counselling was significantly effective on the patients' QoL (P˂0.001). Conclusion: Based on the results, telephone counselling was effective on physical, mental, and social aspects of patients' QoL and can be used to improve the QoL and health of the patients with colostomy. In this regard, nurses as the main members of the health staff can use telephone counselling program to help their patients.

A Health Mobile Application for Self-Care of Colostomy Patients

“…6 Precise statistical information is not available on the number of ostomy patients in Iran; however, according to the Iranian Ostomy Association, about 30 thousand ostomy patients live in Iran, 70% of whom have undergone colostomy, 20%, ileostomy, and 10%, urostomy, with the total number of ostomy patients increasing every year. 7 Colostomy can lead to a wide range of physical, psychological, and social problems for the patients. Given the significance of the problems and complications that can arise after surgery, self-care and patient education play important roles in ameliorating complications and improving adjustment and QoL.…”

The clarification of the concept of colostomy nursing care in ostomy care centers: A concept analysis through Walker and Avant’s method

“…[ 18 ] The number of patients with an ostomy in Iran is also around 30000, with 70% of them having a colostomy. [ 19 ]…”

Comparison of a novel herbal skin care ointment with regular ointments to treat skin around the abdominal stoma: A clinical trial study

“…According to the Iranian Ostomy Association, the number o� stoma in Iran is about 30 000, in� cluding 70% colostomy, 20% ileostomy and 10% urostomy. 6,7 Patients with stoma are prone to osmotic necrosis, post� stroke, prolapse, stenosis or obstruction and skin irritation. 5 Despite extensive advances in the treatment and manage� ment o� stoma in recent years, the prevalence o� skin damage around the ostomy is a constant case.…”