Cancer Nursing

Skip Navigation LinksHome > January/February 2012 - Volume 35 - Issue 1 > Evaluation of the Expert Patient Program in a Chinese Popula...
Cancer Nursing:
doi: 10.1097/NCC.0b013e318217cbe9
Articles: Online Only

Evaluation of the Expert Patient Program in a Chinese Population With Permanent Colostomy

Cheng, Fang MS, RN; Xu, Qin MS RN; Dai, Xiao-dong BS, RN; Yang, Lin-li BS, RN

Collapse Box


Background: A colostomy can negatively impact patients’ quality of life. Recent research findings suggest that self-efficacy and psychosocial adjustment are positively associated with quality of life, but there are few research reports about the self-efficacy and psychosocial adjustment of patients with a permanent colostomy.

Objectives: The objective of the study was to evaluate the effect of a 3-week Expert Patient Program (EPP) on colostomy knowledge, stoma care self-efficacy, self-management, and psychosocial adjustment in Chinese patients who had a permanent colostomy.

Methods: Eleven patients with permanent colostomy volunteered to be trained to be expert patients. Eighty-one patients with permanent colostomy were recruited and participated in the 3-week EPP courses. Questionnaires with items about knowledge on colostomy, stoma care self efficacy, self-management, and psychosocial adjustment were administered before and at 4 weeks following the EPP courses. Each EPP participant also completed a verbal interview at the end of the program.

Results: The EPP participants demonstrated statistically significant improvement (P < .01) in knowledge, self-efficacy, self-management, and psychosocial adjustment to colostomy (mean [SD]: 51.89 [11.45] vs 89.22 [19.90], 71.56 [5.93] vs 85.61 [14.32], 125.44 [19.27] vs 140.78 [15.34], 47.59 [9.64] vs 53.37 [10.68], respectively). Most participants gave positive ratings to the EPP.

Conclusions: This study showed that the EPP was applied effectively in patients with permanent colostomy.

Implications for Practice: This study highlights the importance of psychosocial support for patients with permanent colostomy. It offers a model of self-help practice in colostomy patients, supported by community that can benefit more patients with permanent colostomy.

© 2012 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.