Ngo Thi Dung, Hawks Miranda, Nguyen Thi Thanh Truc, Nguyen Thi Ngoc Han, Nguyen Hong Thiep, Mai Nguyen Thanh Truc
Faculty of Nursing and Medical Technology, Can Tho University of Medicine and Pharmacy, Viet Nam.
WellStar College of Health and Human Services, Kennesaw State University, USA.
Belitung Nurs J. 2023 Aug 28;9(4):331-338. doi: 10.33546/bnj.2711. eCollection 2023.
Intestinal stomas are surgical interventions that have an impact on both physical and psychological health, necessitating patient self-care. Insufficient knowledge regarding peristomal skin care, prevention, and treatment of potential problems can lead to an increase in stoma-related complications.
This study aimed to assess patients' knowledge of self-care for intestinal stomas and examine the relationship between background information and self-care knowledge.
A descriptive cross-sectional study was conducted from December 2021 to December 2022 at the Can Tho University of Medicine and Pharmacy Hospital in Vietnam, involving 74 participants with intestinal stomas. A questionnaire consisting of 24 closed-ended questions was used to evaluate participants' knowledge of self-care for intestinal stomas. Descriptive statistics, Chi-square, and Fisher's exact tests were employed for data analysis.
The findings revealed that 54.1% of participants had good knowledge of general self-care for intestinal stomas. The distribution of good knowledge among participants was as follows: basic knowledge (66.2%), self-care practice (56.8%), recognizing and managing complications (31.1%), and dietary knowledge (64.8%). Significant relationships were observed between participants' self-care knowledge and their education level ( = 0.002), marital status ( = 0.017), nurses' education ( = 0.021), and hospitalization ( = 0.001).
The proportion of participants with good knowledge of self-care for intestinal stomas was relatively low, and it was associated with individuals' education level, marital status, nurses' education, and hospitalization. This study highlights the need for ongoing development of educational programs on self-care for intestinal stomas. These programs should be tailored to address the specific needs of each patient and aim to improve their self-care knowledge in a meaningful and sustainable manner. By investing in patient education, healthcare professionals, particularly nurses, can assist individuals with intestinal stomas in achieving better outcomes and preventing potential complications.
肠道造口术是一种对身心健康都有影响的外科手术干预措施，需要患者进行自我护理。对造口周围皮肤护理、潜在问题的预防和治疗知识不足可能会导致造口相关并发症增加。
本研究旨在评估患者对肠道造口自我护理的知识，并探讨背景信息与自我护理知识之间的关系。
2021年12月至2022年12月在越南芹苴医科大学医院进行了一项描述性横断面研究，纳入74名有肠道造口的参与者。使用一份由24个封闭式问题组成的问卷来评估参与者对肠道造口自我护理的知识。采用描述性统计、卡方检验和费舍尔精确检验进行数据分析。
研究结果显示，54.1%的参与者对肠道造口的一般自我护理有良好的知识。参与者中良好知识的分布如下：基础知识（66.2%）、自我护理实践（56.8%）、识别和处理并发症（31.1%）以及饮食知识（64.8%）。观察到参与者的自我护理知识与其教育水平（P = 0.002）、婚姻状况（P = 0.017）、护士教育（P = 0.021）和住院情况（P = 0.001）之间存在显著关系。
对肠道造口自我护理有良好知识的参与者比例相对较低，且与个人的教育水平、婚姻状况、护士教育和住院情况有关。本研究强调了持续开展肠道造口自我护理教育项目的必要性。这些项目应根据每个患者的具体需求进行定制，旨在以有意义和可持续的方式提高他们的自我护理知识。通过投资患者教育，医疗保健专业人员，特别是护士，可以帮助有肠道造口的个体取得更好的结果并预防潜在并发症。
