American Journal of Nursing Research
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American Journal of Nursing Research. 2017, 5(5), 191-199
DOI: 10.12691/ajnr-5-5-5
Open AccessArticle

Effect of Self-care Management Program on Self-efficacy among Patients with Colostomy

Sabah S. Mohamed1, , Gihan M. M. Salem2 and Hayam Ahmed Mohamed1

1Lecturers of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

2Lecturer of Psychiatric Nursing, Faculty of Nursing, Benha University, Egypt

Pub. Date: October 28, 2017

Cite this paper:
Sabah S. Mohamed, Gihan M. M. Salem and Hayam Ahmed Mohamed. Effect of Self-care Management Program on Self-efficacy among Patients with Colostomy. American Journal of Nursing Research. 2017; 5(5):191-199. doi: 10.12691/ajnr-5-5-5

Abstract

Self-management program is vital for supporting, educating and improving patients’ self-efficacy with stoma. Aim of the study: was evaluated the effect of a self-care management program on self-efficacy of patients with colostomy. Hypothesis: self-management program had a positive effect on self-efficacy among patients with colostomy. Design: Quasi-experimental research design was used. Setting: The study was conducted at Benha Teaching Hospital, oncology unit in the general surgical department and outpatient Clinic. Subjects: A purposive sample of 30 patients from both genders. Tools: four tools were designed to collect data; stoma- related knowledge sheet, which was developed to assess Patients` knowledge about colostomy care. Self-care performance checklist, Ostomy Skin Tool to assess the extent and severity of peristomal skin complications and Stoma care self-Efficacy Scale. Results: mean score of age was 55.7± 8.56, 63.3% was mal, 80% was married, and 73.3% had bowel cancer. Mean score of total knowledge pre-program was 10.700±1.022, which increased to 24.70± 1.441 post program. 66.7% of patients had severe peristomal skin complications preprogram which decreased to 60% post program, while in follow up 56.7% of patients had mild peristomal skin complications. Related to stoma care self-efficacy there was statistical significant differences between three phases (p=.000). Conclusion: there was highly significant statistically improvement in all items of knowledge, practices and self-efficacy pre/post program of self-care management regarding colostomy patients. Recommendations: assessment of patients’ self-care performance during first six months after operation considered as evidence to his educational needs and concern.

Keywords:
self-care management self-efficacy stoma

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