The effect of phone counselling service on adaptation to stoma and quality of life among patients with intestinal stoma: a randomized controlled trial

Abstract

ÖzPurpose: Stoma is a surgical intervention that negatively affects the quality of life and adaptation to social life. The problems experienced by patients with stoma negatively affect the quality of life especially in the postoperative first weeks. Many kinds of nursing interventions to ensure adaptation to social life and to increase the quality of life. The aim of this study was to determine the effect of phone counselling service on adaptation to stoma and quality of life among patients with intestinal stoma Materials and Methods: The study was conducted on patients with intestinal stoma followed up in stoma therapy outpatient clinic of a university hospital. A total of 60 patients (30 in the control group and 30 in the test group) were assigned to two groups by making randomization via computer through "simple randomization method". "Informed Consent Form, Questionnaire for Individuals with Intestinal Stoma, Ostomy Adjustment Inventory and Adaptation of Quality Life Scale" were filled in. The scales were re-applied in both groups in the stoma therapy outpatient clinic in the postoperative 6th and 10th weeks. Results: Phone counselling was effective in increasing the adjustment to stoma and quality of life among patients with stoma in the first 10 weeks after the operation. Conclusion:The test group had higher levels of life quality and social adaptation and also had more responsibilities for self-care. Amaç: Stoma, yaşam kalitesini ve sosyal yaşama uyumu olumsuz etkileyen cerrahi bir müdahaledir. Stomalı hastaların yaşadığı sorunlar özellikle ameliyat sonrası ilk haftalarda yaşam kalitesini olumsuz etkilemektedir. Sosyal yaşama uyumu sağlamak ve yaşam kalitesini arttırmak için birçok türde hemşirelik müdahalesi. Bu çalışmanın amacı, bağırsak stomalı hastalarda telefonla danışmanlık hizmetinin stomaya uyum ve yaşam kalitesine etkisini belirlemektir. Gereç ve Yöntem: Çalışma bir üniversite hastanesinin stoma tedavisi polikliniğinde takip edilen bağırsak stomalı hastalar üzerinde yapıldı. Bilgisayarla "basit randomizasyon yöntemi" ile randomizasyon yapılarak toplam 60 hasta (kontrol grubunda 30, test grubunda 30) iki gruba ayrıldı. "Bilgilendirilmiş Onam Formu, Bağırsak Stomalı Bireyler Anketi, Ostomi Uyum Envanteri ve Yaşam Kalitesi Uyarlama Ölçeği" dolduruldu. Ölçekler her iki gruba da stoma tedavi polikliniğinde ameliyat sonrası 6. ve 10. haftalarda tekrar uygulandı. Bulgular: Telefon danışmanlığı, operasyon sonrası ilk 10 hafta stomalı hastalarda stomaya uyum ve yaşam kalitesinin artmasında etkili oldu. Sonuç: Test grubu, daha yüksek yaşam kalitesi ve sosyal uyum düzeylerine sahipti ve ayrıca öz bakım için daha fazla sorumluluğu vardı.

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

“…The present findings are also similar to the results of experimental research examining the adaptation levels of individuals with a stoma. In the study conducted by Taylan and Aksoy, 21 individuals with a stoma received education and counseling in three face-to-face interviews. In addition to these interviews, those researchers also provided telephone counseling.…”

“…In addition to these interviews, those researchers also provided telephone counseling. In evaluating the effect of telephone follow-up on the postdischarge stoma adaptation of patients with a colostomy, the researchers found that the experimental group had significantly better ostomy adaptation than the control group 21 . In the study by Wang et al, 2 individuals with a stoma received home care services from the nurse, including evaluation of their stoma by uploading a photograph and counseling through a mobile application.…”

“…Patients should be encouraged to participate in ostomy care and stoma-related activities as soon as possible after discharge 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 2,16–20 and adaptation, 2,9,20,21 support self-care management, 16–19 and reduce complications 20,22 …”