학술논문
Effects of a perioperative educational pathway on ostomy self-care, level of independence and need for visiting nurse services: a comparative observational cohort study.
Document Type
Academic Journal
Author
van Pelt KAAJ; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.; van Loon YT; Department of Surgery, Maastricht University Medical Centre+, Maastricht, The Netherlands.; Schots JPM; Department of Surgery, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.; Ketelaers SHJ; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.; Zimmerman DDE; Department of Surgery, Elisabeth - TweeSteden Hospital, Tilburg, The Netherlands.; Nieuwenhuijzen GAP; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.; Rutten HJT; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.; GROW, School for Developmental Biology and Oncology, Maastricht University, Maastricht, The Netherlands.; Burger JWA; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.; Bloemen JG; Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Source
Publisher: Blackwell Science Ltd Country of Publication: England NLM ID: 100883611 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1463-1318 (Electronic) Linking ISSN: 14628910 NLM ISO Abbreviation: Colorectal Dis Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: Most new ostomy patients are not able to manage ostomy self-care when they are discharged and rely on visiting nurse services for ostomy care. The aim of this study was to determine if a perioperative ostomy educational pathway increases the level of independence and decreases the need for visiting nurse services in new ostomy patients.
Method: A prospective longitudinal study was conducted between July 2018 and February 2020. Patients who received a colostomy or ileostomy and were treated on the surgery ward were included. Patients who followed a perioperative ostomy educational pathway were compared to a historical control group. The primary outcome measure was the level of independence in ostomy care and the need for visiting nurse services.
Results: After discharge, 67.6% of patients in the intervention group (n = 244) were able to independently perform ostomy care and were therefore not relying on visiting nurse services, compared to 15.2% of the patients in the control group (n = 33). The need for visiting nurse services was higher in patients aged ≥70 years (OR 3.20, P < 0.001), those who did not attend the preoperative practice session (OR 3.02, P = 0.002), those with a history of transient ischaemic attack (OR 10.22, P = 0.045) and those with mild cognitive impairment (OR 28.98, P = 0.002).
Conclusion: A perioperative ostomy educational pathway effectively increased the level of independence and decreased the need for visiting nurse services in new ostomy patients.
(© 2024 Association of Coloproctology of Great Britain and Ireland.)
Method: A prospective longitudinal study was conducted between July 2018 and February 2020. Patients who received a colostomy or ileostomy and were treated on the surgery ward were included. Patients who followed a perioperative ostomy educational pathway were compared to a historical control group. The primary outcome measure was the level of independence in ostomy care and the need for visiting nurse services.
Results: After discharge, 67.6% of patients in the intervention group (n = 244) were able to independently perform ostomy care and were therefore not relying on visiting nurse services, compared to 15.2% of the patients in the control group (n = 33). The need for visiting nurse services was higher in patients aged ≥70 years (OR 3.20, P < 0.001), those who did not attend the preoperative practice session (OR 3.02, P = 0.002), those with a history of transient ischaemic attack (OR 10.22, P = 0.045) and those with mild cognitive impairment (OR 28.98, P = 0.002).
Conclusion: A perioperative ostomy educational pathway effectively increased the level of independence and decreased the need for visiting nurse services in new ostomy patients.
(© 2024 Association of Coloproctology of Great Britain and Ireland.)