@article{ajnr2017555,
author={{Mohamed, Sabah S. and Salem, Gihan M. M. and Mohamed, Hayam Ahmed},
title={Effect of Self-care Management Program on Self-efficacy among Patients with Colostomy},
journal={American Journal of Nursing Research},
volume={5},
number={5},
pages={191--199},
year={2017},
url={http://pubs.sciepub.com/ajnr/5/5/5},
issn={2378-5586},
abstract={Self-management program is vital for supporting, educating and improving patients¡¯ self-efficacy with stoma. <b>Aim of the study</b><b>:</b> was evaluated the effect of a self-care management program on self-efficacy of patients with colostomy. <b>Hypothesis:</b> self-management program had a positive effect on self-efficacy among patients with colostomy.<b> Design: </b>Quasi-experimental research design was used.<b> </b><b>Setting: </b>The study was conducted at Benha Teaching Hospital, oncology unit in the general surgical department and outpatient Clinic.<b> </b><b>Subjects: </b>A purposive sample of 30 patients from both genders. <b>Tools:</b> four tools were designed to collect data; stoma- related knowledge sheet, which was developed to assess Patients` knowledge about colostomy care.<b> </b>Self-care performance checklist, Ostomy Skin Tool to assess the extent and severity of peristomal skin complications and Stoma care self-Efficacy Scale.<b> Results</b><b>:</b> mean score of age was 55.7¡À 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¡À1.022, which increased to 24.70¡À 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). <b>Conclusion</b><b>:</b> 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. <b>Recommendations</b><b>:</b><b> </b>assessment of patients¡¯ self-care performance during first six months after operation considered as evidence to his educational needs and concern.},
doi={10.12691/ajnr-5-5-5}
publisher={Science and Education Publishing}
}