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Impact of Nursing Intervention on Urostomy Patients Outcome Regarding Practicing Self-Care

Research Authors
Zienab Abd EI-LatifMohamed*, Amal Mohamed Ahmad
Research Department
Research Journal
Bulletin of High of Institute of Puplic Healty
Research Member
Research Rank
1
Research Vol
Vol. 37, No. 2
Research Year
2007
Research Abstract

Urinary diversion operations (urostomy) patients reqUlre a great deal of emotional and
physical adjustment. They usually face many problems such as loss of body function and
relationship with others, and change in lifestyle. They need to adapt to the external appliance, stoma
alteration in toileting habits, skin irritation problems, infection, and odor problems. Self-care for
these patients is considered the most important factor that can minimize the complaints and
complications. The aim of this study was to evaluate the impact of nursing intervention among
urostomy patients regarding practicing self-care. The sample comprised 100 urostomy patients,
divided into two groups: 50 study, and 50 control. For both groups, patients' knowledge about
urostomy and related self-care performance were assessed before intervention, immediately after,
and after six-months follow-up at outpatient clinic. Data were analyzed using Epi-info 6.04
computer software package. Findings revealed statistically significant improvements in knowledge
and performance among patients in the study group, compared to the control group. The study
group became more knowledgeable about the definition, function, anatomy, and physiology of
urostomy, and in self-care performance. The rates of complaints and complications were found to
be lower in the study group than in the control one. The study suggests that urostomy patients
should receive their self-care training regarding urostomy during hospitalization. Follow-up at
outpatient clinic is highly recommended as well.