The Effects of an Empowerment Program on the Stress Among Mothers of Neonates Undergoing Colostomy

Abstract

Background: It is difficult and stressful for mothers to care for neonates undergoing colostomy. The mothers of neonates undergoing colostomy usually lack knowledge and skills of home caring procedures; hence, they may experience great stress. Objectives: The current study aimed to evaluate the effects of an empowerment program on the stress level of the mothers of neonates undergoing colostomy. Patients and Methods:This clinical trial was conducted in the neonatal intensive care units of the Bahrami, Mofid, and Ali-Asghar pediatric hospitals and the pediatric medical center hospital, Tehran, Iran. In total, 42 mothers were recruited and were randomly and equally allocated to the control and the experimental groups. Primarily, mothers' stress level was assessed one day after colostomy surgery by the depression, anxiety, and stress scale-21 (DASS-21). An empowerment educational program was implemented for the mothers in the experimental group while the mothers in the control group only received the routine care of the study setting. The level of mothers' stress was reassessed one month after the study intervention. Data analysis was performed through conducting the Wilcoxon test and was applied by SPSS version 19. Results:The results of the study showed that after the study intervention, stress levels in the control and the experimental groups were significantly lower than the baseline stress level (P < 0.001). The decrease in the stress level of mothers in the experimental group was significantly larger than that of the control group. Conclusions: The implementation of the empowerment program in the neonatal colostomy care alleviated mothers' stress.

Identifying the difficulties faced by parents of children with colostomy due to hirschsprung's disease: a phenomenological study

“…Dabas et al (2016) determined that educating parents with pediatric colostomy video teaching program and Dhanalakshmi (2016) instructional package are effective in colostomy management [25,26]. Goudarzi et al (2016) found that the empowerment program signi cantly reduced the stress levels of parents [21]. David et al (2020) determined that colostomy patients and their families need training to reduce their psychosocial concerns (eg, coping with an ostomy) as well as learn colostomy care [27].…”

“…They were mainly ashamed of odor while taking care of their children. Reports in the literature have determined that as a result of having pediatric colostomy, parents are embarrassed and experience a diminished quality of life; in most cases, the mother is more affected than father [8, 14,21]. The literature reports that when parents of children with a colostomy rst encounter the colostomy bag, they feel afraid, helpless, uncertain and anxious.…”

Educação em saúde para crianças com estomias intestinais: o enfermeiro como mediador do cuidar

“…Todo esse cuidado deve ser repassado individualmente em forma de conversa (dialógo) e reforçado com uso de materiais educativos impressos, videos, brinquedo terapêntico (CHU;DUONG, 2015;DABAS et al, 2016;GOUDARZI et al, 2016).…”

“…Em três estudos da amostra, os autores utilizaram como estratégias de educação em saúde: um programa de educação estruturado, um programa educacional utilizando vídeo com informações inerentes a estomização, e um programa de capacitação educacional para pais, utilizando grupo de intervenção e o grupo controle (CHU;DUONG, 2015;DABAS et al, 2016;GOUDARZI et al, 2016).…”

“…O programa de capacitação educacional para pais/cuidadores revelou ser eficaz em alívio do estresse das mães por fornecer informações de saúde de seus filhos, além de capacitá-las para melhor prestação de cuidados, dessa forma a implementação de programas como esse torna-se essencial nos serviços de saúde (GOUDARZI et al, 2016).…”