Effectiveness of a Tailored Educational Package for Patients with Colostomy on Their Adherence and Psychosocial Adjustment | ||||
| Egyptian Journal of Health Care | ||||
| Article 97, Volume 13, Issue 3, September 2022, Page 1290-1307 PDF (275.05 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.259948 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ayman Muhammad Kamel Senosy; Eman Ahmed Ibrahim Elhaweet | ||||
| Lecturer of Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University | ||||
| Abstract | ||||
| Background: Colostomy reveals to the colon artificial opening which is on the abdominal surface. Usually, the patient with an ostomy may have the negative aspects of the stoma rather than its function. Patients do not know how to deal and care. So, most of them need training and education to improve their self-image, acceptance of a new lifestyle, and ability to self-care. Aim: This study aimed to evaluate the effectiveness of a tailored educational package for patients with colostomy on their adherence and psychosocial adjustment. Study design: A quasi-experimental design was utilized to meet the aim of this study was from June 2021, to February 2022. Subject: A convenient sample consisted of 86 patients. Setting: The study was conducted in surgery departments and surgery outpatient clinics at El-Demerdash Surgical Hospital which is affiliated to Ain Shams University Hospitals, Cairo Governorate, Egypt. Data collection tools:1) Patients` interviewing Questionnaire included two parts; to get data in relation to the socio demographic characteristics, and present & past history. 2)Patients’ bio-psychosocial needs questionnaire. 3) Patients’ observational checklist. Results: Based on findings of the current study, the mean age (Mean ±SD) of the study was 42.63±7.6., in relation to adherence related to patients with colostomy, there was the more than three quarters of the studied patients had adherence to life style changes during follow up while less than one quarter before the program applying. Also, the majority of the studied patients post program had adherence to medication. Regarding the ostomates' adjustment inventory-23, there was more than half had high acceptance on post program stage and nearly half of the studied patients had high acceptance during follow up stage Conclusion: Based on findings of the current study, can be concluded that, teaching and training patients with colostomy through providing educational program had affect positively on their adherence and psychosocial adjustment. Regarding physical needs, nearly half of the studied patients had low needed during follow up stage while was nearly to two thirds of them before applying program had high physical needed. Also, there were nearly half of the studied patients had high acceptance post program and follow up stages, while regarding to social engagement there were nearly two thirds had good social engagement in post program and follow up stages. Recommendations: In service education should be provided in hospital to improve patients' performance regarding care and medication adherence. Proper training for patients and their families and continues needs assessment for patients with colostomy. | ||||
| Keywords | ||||
| Educational Package; Colostomy; Adherence and Psychosocial Adjustment | ||||
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