The Effects of Patient Care Results of Applied Nursing Intervention to Individuals With Stoma According to the Health Belief Model.

Cancer Nurs

Author Affiliations: Department of Public Health Nursing, Faculty of Nursing, Dokuz Eylül University, Izmir (Dr Cengiz); Department of Public Health Nursing, Faculty of Nursing, Koç University, İstanbul (Prof Bahar); and Department of General Surgery, Faculty of Medicine, Dokuz Eylul University, Izmir (Prof Canda), Turkey.

Published: November 2020

Background: Individuals who have undergone stoma surgery take time to adjust to the stoma, and their quality of life is decreasing.

Objective: The aim of this study was to examine the effects of home-based nursing interventions informed by the Health Belief Model on patient care outcomes for individuals having a stoma.

Methods: This pretest, posttest, and semiexperimental design with a control group included adults who underwent a stoma operation in the previous 3 months. In total, 30 were assigned to the experimental group and 31 to the control group. Study forms included a sociodemographic questionnaire, the Stoma Quality of Life Scale, the Ostomy Adjustment Inventory, and the Pittman Complication Severity Index.

Results: After home nursing interventions, there was a significant difference between the compliance rates of the individuals in the experimental group and the complication rates and cost averages (P < .05) with individuals in the control group; no significant difference in quality-of-life scores was found between the 2 groups.

Conclusion: In order to effectively support postoperative individuals following stoma surgery when they are released from the hospital, postdischarge follow-up care informed by the Health Belief Model components should be offered.

Implications For Practice: We recommend creating hospital-based, home care teams that follow individuals with a stoma for at least 6 months after discharge.

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Source
http://dx.doi.org/10.1097/NCC.0000000000000678DOI Listing

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