Evaluatıon Of Effectıveness Of The Traınıng That Gıven According To Self Care Defıcıt Theory In Preventıon Of Perıstomal Skın Complıcatıons


Thesis Type: Doctorate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı, Turkey

Approval Date: 2019

Thesis Language: Turkish

Student: ALİ AY

Supervisor: Hülya Bulut

Abstract:

This quasi-experimental study was conducted to evaluate the effectiveness of the education

given according to the Self-Care Deficiency Theory(SCDT) on peristomal skin

complications prevention. The study was carried out between March-December 2018 in

Gazi University Health Research and Application Center General Surgery Clinic and

Stomatherapy Unit.The study sample consisted of 45 patients who had a newly opened

stoma and met the inclusion criteria.The patients were divided into two groups as

experimental and control groups. Data were collected with ”Patient-Related Characteristics

Form”, “Self-Care Agency Scale(SCAS)”,“Stoma Quality of Life

Scale(SQOL)”,“Peristomal Skin Complications Management Training Booklet”,“Patient

Results Evaluation Form”, and “Patient Opinions Questionnaire for Education Booklet.

Patient follow-up was carried out on the basis of SCDT’s parameters. The mean age of the

experimental group was 57.04±11.07 and the control group was 53.66±13.11. 53.3% of the

patients were male and 44.4% were retired.It was found that 73.3% of patients had stoma

due to cancer, 86.7% of them underwent elective surgery, 73.3% of them had stoma region

marked before surgery, 71.1% of them had temporary stoma and 53.3% of them had

ileostomy. It was determined that 54.2% of the experimental group and 95.2% of the

control group had complications and this was statistically significant(p<0.05). The most

common complications were determined as irritant dermatitis(71.42%) and

hyperplasia(22.68%).Complication recovery time was 21±12.95 days in the experimental

group and 44.65±23.56 days in the control group and a significant difference was found

between the two groups(p<0.05).In addition it was determined that the experimental group

was more attended to stoma care than the control group(p<0.05).It was determined that

there was no significant difference in the mean scores of SCAS but there was a significant

increase in the scores of the SQOL’sWork/Social Life and Sexuality/Body Image subdimensions(

p<0.05).As result, the follow up, education and counseling services provided

during the study according to SCDT were found to be effective in decreasing the

peristomal skin complications and their recovery time and increasing the participation of

patients with stoma in self care.


Key Words : Peristomal skin complications, Self-care deficit theory of nursing,

Patient education.