Research Information System
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.