Shoja Maryam, Arsalani Narges, Fallahi-Khoshknab Masoud, Mohammadi-Shahboulaghi Farahnaz, Shirozhan Shima
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Nursing, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
J Educ Health Promot. 2024 Apr 29;13:132. doi: 10.4103/jehp.jehp_482_23. eCollection 2024.
Specialist nurses need to have an accurate understanding of colostomy care-related concepts to provide care. Although patients with different types of ostomy have different types of needs, terms such as ostomy care, colostomy care, and ileostomy nursing are interchangeably used. Moreover, there are limited concept analysis studies into the concept of colostomy nursing care (CNC) in ostomy care centers (OCCs). The aim of this study was to analyze and clarify the concept of CNC in outpatient OCCs.
This was a concept analysis study. This concept analysis was conducted using Walker and Avant's eight-step method. The online databases were searched until 2022 to retrieve documents on CNC. Finally, 35 articles and four books were included in the analysis, the defining attributes, antecedents, and consequences of the concepts were determined, and model and additional cases as well as empirical referents were presented.
The defining attributes of CNC in OCCs are the development of professional role, participatory practice and interdisciplinary care, selection of the best clinical procedures, care based on patient education, and patient rehabilitation. The antecedents of the concept are nurse-related antecedents, patient- and family-related antecedents, environmental antecedents, and professional rules and regulations. Its consequences are patients' and families' greater care-related knowledge, improvement of nurses' care quality, patient autonomy, and self-efficacy.
The concept of CNC in OCCs can be defined as "a continuous and coherent care based on knowledge, skill, expertise, experience, and colostomy type which uses interdisciplinary collaboration and the best available evidence in order to select and provide the best services according to patients' and families' culture and background, fulfill patients' physical, mental, sexual, social, and spiritual needs, and timely refer patients to specialists, with the ultimate goal of improving patient autonomy and facilitating their return to normal life."
专科护士需要准确理解结肠造口护理相关概念以提供护理。尽管不同类型造口的患者有不同类型的需求，但造口护理、结肠造口护理和回肠造口护理等术语却被交替使用。此外，造口护理中心（OCCs）对结肠造口护理（CNC）概念的概念分析研究有限。本研究的目的是分析并阐明门诊OCCs中CNC的概念。
这是一项概念分析研究。本概念分析采用沃克和阿万特的八步法进行。检索在线数据库直至2022年，以获取关于CNC的文献。最后，35篇文章和4本书被纳入分析，确定了概念的定义属性、前因和后果，并呈现了模型、附加案例以及实证参照物。
OCCs中CNC的定义属性是专业角色的发展、参与性实践和跨学科护理、最佳临床程序的选择、基于患者教育的护理以及患者康复。该概念的前因包括与护士相关的前因、与患者及家庭相关的前因、环境前因以及专业规章制度。其后果是患者及其家庭在护理相关知识方面的增加、护士护理质量的提高、患者自主性和自我效能感的提升。
OCCs中CNC的概念可定义为“基于知识、技能、专业知识、经验和结肠造口类型的持续连贯护理，利用跨学科协作和最佳现有证据，以便根据患者及其家庭的文化和背景选择并提供最佳服务，满足患者的身体、心理、性、社会和精神需求，并及时将患者转诊给专科医生，最终目标是提高患者自主性并促进其回归正常生活”。
