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The Effects of Patient Care Results of Applied Nursing Intervention to Individuals With Stoma According to the Health Belief Model

Cengiz, Burcu, PhD; Bahar, Zuhal, PhD; Canda, Aras Emre, PhD

doi: 10.1097/NCC.0000000000000678
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Background Individuals who have undergone stoma surgery take time to adjust to the stoma, and their quality of life is decreasing.

Objective The aim of this study was to examine the effects of home-based nursing interventions informed by the Health Belief Model on patient care outcomes for individuals having a stoma.

Methods This pretest, posttest, and semiexperimental design with a control group included adults who underwent a stoma operation in the previous 3 months. In total, 30 were assigned to the experimental group and 31 to the control group. Study forms included a sociodemographic questionnaire, the Stoma Quality of Life Scale, the Ostomy Adjustment Inventory, and the Pittman Complication Severity Index.

Results After home nursing interventions, there was a significant difference between the compliance rates of the individuals in the experimental group and the complication rates and cost averages (P < .05) with individuals in the control group; no significant difference in quality-of-life scores was found between the 2 groups.

Conclusion In order to effectively support postoperative individuals following stoma surgery when they are released from the hospital, postdischarge follow-up care informed by the Health Belief Model components should be offered.

Implications for Practice We recommend creating hospital-based, home care teams that follow individuals with a stoma for at least 6 months after discharge.

Author Affiliations: Department of Public Health Nursing, Faculty of Nursing, Dokuz Eylül University, Izmir (Dr Cengiz); Department of Public Health Nursing, Faculty of Nursing, Koç University, İstanbul (Prof Bahar); and Department of General Surgery, Faculty of Medicine, Dokuz Eylul University, Izmir (Prof Canda), Turkey.

Financial support was provided by the Scientific and Technological Research Council of Turkey—3001 Initial R & D Projects Support Program (no. 115S057).

This study was presented as an oral presentation at the 4th National and International Participatory Home Health and Care Congress on November 22 to 26, 2017, Istanbul, Turkey.

Correspondence: Burcu Cengiz, PhD, Department of Public Health Nursing, Faculty of Nursing, Dokuz Eylül University, Izmir, Turkey (burcu_altunay@hotmail.com).

Accepted for publication August 29, 2018.

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