Improving Self-Efficacy and Self-Care in Adult Patients With a Urinary Diversion: A Pilot Study

Abstract

Purpose/Objectives To evaluate the feasibility and acceptability of a multimodality educational intervention for improving self-efficacy (SE) and self-care in patients with a new urinary diversion (UD). Design Two-arm randomized, controlled trial. Setting Academic medical center in New York. Sample 8 adults diagnosed with bladder cancer requiring UD. Methods A multimodality educational intervention consisting of video, Microsoft PowerPoint® slides, and medical illustrations was developed. SE was assessed pre- and postintervention related to care of the UD. Education scale scores provided evidence for intervention acceptability and assessment of UD self-care skills. Main Research Variables Feasibility, acceptability, results of SE, and self-care scales. Findings Enrollment and retention was 100%. All participants took part in every aspect of the study. No issues were apparent with administration of the study; however, a lack of self-care independence was noted between the study arms. The control group was younger in age than the intervention group. Conclusions A supplemental multimethod educational intervention is acceptable in this population and feasible to integrate into hospital care or into an appropriately powered study. Implications for Nursing A need exists for ongoing postdischarge support and education in this population. Additional studies are needed to determine the best approach for this.

Supportive interventions to improve physiological and psychological health outcomes among patients undergoing cystectomy: a systematic review

“…The remaining 19 articles (representing 15 individual studies) were included in the review. Studies were published between 1989 [ 12 ] and 2017 [ 13 – 15 ] and were conducted in ten different countries; one was UK-based [ 14 ] (see Table 1 ).…”

“…All studies involved patients with bladder cancer undergoing radical cystectomy. Sample sizes ranged from 8 [ 15 ] to 280 [ 16 ], with a total of 1145 participants across all studies. The average age of participants ranged from 45.3 years (mean) [ 12 ] to 74.5 years (median) [ 15 ].…”

“…Sample sizes ranged from 8 [ 15 ] to 280 [ 16 ], with a total of 1145 participants across all studies. The average age of participants ranged from 45.3 years (mean) [ 12 ] to 74.5 years (median) [ 15 ]. Most studies included both sexes, except two studies that included males only [ 15 , 17 ].…”

“…The average age of participants ranged from 45.3 years (mean) [ 12 ] to 74.5 years (median) [ 15 ]. Most studies included both sexes, except two studies that included males only [ 15 , 17 ]. Other patient characteristics, though not reported consistently included BMI, ethnicity, comorbidities, smoking history, and socio-economic data.…”

The Effect of Self-Care Program Training on Self-Efficacy in Veteran with Spinal Cord Injury: A Randomized Clinical Trial Study

“…A variety of educational methods have been used to improve the self-efficacy of patients in chronic diseases (17); one of which is self-care education (18,19). Self-care is any kind of human activity, which is under personal deliberate control and self-initiated.…”