Volume 2, Issue 2 (Spring 2016 -- 2016)                   JCCNC 2016, 2(2): 123-130 | Back to browse issues page

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Parchami Iraqi M, Ahmadi Z. Effect of Telephone Counseling (Telenursing) on the Quality of Life of Patients with Colostomy. JCCNC. 2016; 2 (2) :123-130
URL: http://jccnc.iums.ac.ir/article-1-96-en.html
1- Department of Nursing, Khatam-Ol-Anbia Hospital, Tehran University of Medical Sciences, Tehran, Iran.
2- PhD Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (694 Views)

Background: The number of patients with colostomy is increasing every day. Caring of patients with colostomy after operation should be based on different aspects of their quality of life (QoL). This study was conducted to determine the effect of telephone counseling (telenursing) by nurses on the QoL of patients with permanent colostomy.

Methods: This study was a randomized clinical trial with the control group. It was conducted on the patients of Iranian Ostomy Society, Tehran, Iran. At first, a total of 70 patients with permanent colostomy were selected by convenience sampling method and then allocated randomly in experimental group (with phone consultation) and control group. Patients in both groups followed training sessions as usual and participated in it. Data collection tool was City of Hope quality of life [COH-QOL]-Ostomy questionnaire. QoL was measured at the beginning of the intervention and then 16 weeks later. Statistical data were analyzed using descriptive statistics, paired t test, independent t test, and analysis of covariance. Data analysis was performed by SPSS version 22.

Results: After telephone counseling, significant differences were observed between the two groups with regard to physical (P= 0.007), mental-psychological (P˂ 0.001), and social (P˂ 0.001) aspects of patients’ QoL. Regarding the spiritual aspect of QoL, no significant difference was found between two groups (P= 0.111) after telephone counseling. All in all and compared with the control group, telephone counseling was significantly effective on the patients’ QoL (P˂ 0.001).

Conclusion: Because of telephone counseling was effective on physical, mental, and social aspects of patients’ QoL, the results of this study can be used to improve the QoL and the health of patients with colostomy. In this regard, nurses as the main members of the health staff can use telephone counseling program.

Full-Text [PDF 565 kb]   (1756 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/01/13 | Accepted: 2016/04/12 | Published: 2016/05/1

References
1. Agarwal, S & Ehrlich, A 2010, 'Stoma dermatitis: prevalent but often overlooked', Dermatitis, vol.21, no.3, pp.138-47. [PMID]
2. Aghabarari, M, Ahmadi, F, Mohammadi, E, Hajizadeh, E & Farahani, A 2006, '[Physical, spiritual, psychological and social dimensions of quality of life in breast cancer woman receiving chemotherapy (Persian)]', Nursing Research, vol.3, no.2, pp.55-65.
3. Ali Akbari F, Khalifehzadeh A, Parvin, A 2009, 'The effect of short time telephone follow-up on physical conditions and quality of life in patients after pacemaker implantation (Persian)], Shahrekord University of Medical Sciences Journal, vol.11, no.3, pp.23-8.
4. Allen-Davis, JT, Beck, A, Parker, R, Ellis, JL & Polley, D 2002, 'Assessment of vulvovaginal complains: accuracy of telephone triage and in- office diagnosis', Obstetrics and Gynecology, vol.99, no.1, pp.18-22. https://doi.org/10.1016/S0029-7844(01)01670-2 [DOI:10.1097/00006250-200201000-00005]
5. Azar, M & Gabbay, R 2009, 'Web-based management of diabetes through glucose uploads: has the time come for telemedicine?', Diabetes Research Clinical Practice, vol.8, no.3, pp.9-17. [DOI:10.1016/j.diabres.2008.09.055] [PMID]
6. Beaver, K, Wilson, C, Procter, D, Sheridan, J, Towers, G, Health J et al. 2011, 'Colorectal cancer follow-up: patient satisfaction and amenability to telephone after care', European Journal of Oncology Nursing, vol.15, no.1, pp.23-30. doi: 10.1016/j.ejon.2010.05.006 [DOI:10.1016/j.ejon.2010.05.006]
7. Beaver, K, Bogg, J & Luker, K 1999, 'Decision-making role preferences and information needs: a comparison of colorectal and breast cancer', Health Expectations, vol.2, no.4, pp.266-76. [DOI:10.1046/j.1369-6513.1999.00066.x] [PMID] [PMCID]
8. Beaver, K, Williamson, S & Chalmers, K 2010, 'Telephone follow-up after treatment for breast cancer: views and experiences of patients and specialist breast care nurses', Journal of Clinical Nursing, vol.19, no.(19-20), pp.2916-24. doi: 10.1111/j.1365-2702.2010.03197.x. [DOI:10.1111/j.1365-2702.2010.03197.x]
9. Black, PK 2005, 'Psychological, sexual, and cultural issues for patients with the stoma', British Journal of Nursing, vol.13, no.12, pp.692-5. doi: 10.12968/bjon.2004.13.12.13254 [DOI:10.12968/bjon.2004.13.12.13254]
10. Braun, E, Baidusi A, Alroy, G, Azzem, ZS, Braun, E, Baidusi et al. 2009, 'Telephone follow-up improves patients satisfaction following hospital discharge', European Journal of Internal Medicine, vol.20, no.2, pp.221-5. doi: 10.1016/j.ejim.2008.07.021 [DOI:10.1016/j.ejim.2008.07.021]
11. Burch, J 2005, 'Caring for peristomal skin: What every nurse should know', British Journal of Nursing, vol.19, no.3, pp.166-72. doi: 10.12968/bjon.2010.19.3.46538 [DOI:10.12968/bjon.2010.19.3.46538]
12. Care of Ostomy. 2007 [7 Oct 2007]. Available from: www.hbd.ir.
13. Charua-Guindic, L, Benavides-Leon, CJ, Vhllanueva-Herreo, JA, Jimenez-Bobadilla, B, Abdo-Francis, JM & Herandez-Labra, E 2011, 'Quality of life in ostomized patient', Cirugía y Cirujanos journal, vol.79, no.2, pp.136-41. PMID:21631976
14. Cinar, FI, Akbayrak, N, Cinar, M, Karadurmus, N, Sahin, M, Dogru, T, Sonmez, A, Tosun, N & Kilic, S 2010, 'The effectiveness of nurse-led telephone follow-up in patients with type 2 diabetes mellitus', Turkish Journal of Endocrinology and Metabolism, no.14, pp.1-5. doi: 10.1007/s00384-002-0462-z
15. Duchesne, JC, Wang, YZ, Weintraub, SL & Boyle, S 2002, 'Stoma complications: a multivariate analysis', The American Journal of Surgery, vol.68, no.11, pp.961-6. PMID:12455788
16. Grinspun, D 2009, Ostomy care and management: Clinical best practice guidelines, Registered Nurses' Association Of Ontario Pub, Toronto.
17. Holst, M, Willenheimer, R, Martensson, J, Lindholm, M & Stromberg, A 2007, 'Telephone follow-up of self-care behaviour after a single session education of patients with heart failure in primary health care', European Journal of Cardiovascular Nursing, vol.6, no.2, pp.153-62. doi: 10.1016/j.apnr.2016.03.005 [DOI:10.1016/j.apnr.2016.03.005]
18. International Nurses Concil. 2006. Available from: http://www.icn.ch.
19. Iranian Ostomy Society 2012, 'About the Iranian Ostomy Society [Internet]', viewed 2 June 2012, http://www.iranostomy.com/index.php
20. Karadag, A, Mentes, BB, Uner, A, Irkorucu, O & Ayaz S 2003, 'Impact of stomatherapy on quality of life in patients with permanent colostomies or ileostomies', International Journal of Colorectal Disease, vol.18, no.3, pp.234-8. doi: 10.1111/j.1365-2702.2010.03197.x [DOI:10.1111/j.1365-2702.2010.03197.x]
21. Kimman, ML, Dirksen, CD, Voogd, AC, Falger, P, Gijsen, BC, Thuring, M et al. 2011, 'Nurse-led telephone follow-up and an educational group programme after breast cancer treatment: results of a 2 × 2 randomised controlled trial', European Journal of Cancer, vol.47, no.7, pp.1027-63. doi: 10.1016/j.ejcnurse.2006.06.006 [DOI:10.1016/j.ejcnurse.2006.06.006]
22. Krouse, R, Grant, M, Ferrell, B, Dean, G, Nelson, R & Chu, D 2007, 'Quality of life outcomes in 599 cancer and 599 non-cancer patients with colostomies', Journal of Surgical Research, vol.138, no.1, pp.79-87. doi: 10.1016/j.jss.2006.04.033 [DOI:10.1016/j.jss.2006.04.033]
23. Liu, JE, Mok, E, Wong, T 2005, 'Perceptions of supportive communication in Chinese patients with cancer: experiences and expectations', Journal of Advanced Nursing, vol.52, no.3, pp.262-70. [DOI:10.1111/j.1365-2648.2005.03583.x] [PMID]
24. Mistiaen, P & Poot, E 2006, 'Telephone follow-up, initiated by a hospital-based health professional, for post discharge problems in patients discharged from hospital to home (review)', Cochrane Database of Systematic Reviews, vol.18, no.4, pp.CD004510. doi: 10.1002/14651858.CD004510.pub3 [DOI:10.1002/14651858.CD004510.pub3]
25. Nobahar, M 2002, '[Nursing in digestive tract cancer and stomas (Persian)]', Boshra Pub, Tehran.
26. Ontario, R 2009, 'Ostomy care and management: Clinical best practice guidelines', Registered Nurses's Association of Ontari Pub, Toronto. [PMID]
27. Peck, A 2005, 'Changing the fact of standard nursing practice through telehealth and telenursing', Nursing Administration Quarterly, vol.29, no.4, pp.339-43. [DOI:10.1097/00006216-200510000-00008] [PMID]
28. Persson, E, Severinsson, E & Hellstrom, AL 2004, 'Spouses' perceptions of and reactions to living with a partner who has undergone surgery for rectal cancer resulting in a stoma', Journal of Cancer Nursing, vol.27, no.1, pp.85-90. doi:10.1097/WON.0b013e3181a39347 [DOI:10.1097/WON.0b013e3181a39347]
29. Pisani, P, Bray, F & Parkin, DM 2002, 'Estimates of the world-wide prevalence of cancer for 25 sites in the adult population. International Journal of Cancer, vol.97, no.1, pp.72-81. [DOI:10.1002/ijc.1571] [PMID]
30. Pittman, J, Kozell, K & Gray, M 2009, 'Should woc nurses measure health-related quality of life in patients undergoing intestinal ostomy surgery?', Journal of Wound Ostomy & Continence Nursing, vol.35, no.5, pp.493-503. doi: 10.12968/bjon.2001.10.19.10000 [DOI:10.12968/bjon.2001.10.19.10000]
31. Pringle, W, Swan, E 2001, 'Continuing care after discharge from hospital for stoma patients', British Journal of Nursing, vol.10, no.19, pp.1275-88. doi: 10.12968/bjon.2001.10.19.10000 [DOI:10.12968/bjon.2001.10.19.10000]
32. Ralston, JD, Hirsch, IB, Hoath, J, Mullen, M, Cheadle, A & Goldberg, HI 2009, 'Web-based collaborative care for type 2 diabetes: a pilot randomized trial. Diabetes Care, vol.32, no.2, pp.234-9. [DOI:10.2337/dc08-1220] [PMID] [PMCID]
33. Richbourg, L, Thorpe, JM & Rapp, CG 2007, 'Difficulties experienced by the ostomates after hospital discharge', Journal of Wound, Ostomy & Continence Nursing, vol.34, no.1, pp.70-9. doi: 10.1016/j.ejca.2010.12.003 [DOI:10.1016/j.ejca.2010.12.003]
34. Sacco, WP, Morrison, AD, Malon, JI 2004, 'A brief, regular, proactive telephone "coaching" intervention for diabetes rational, description, and preliminary results. Journal of Diabetes Complications, vol.18, no.2, pp.113-8. doi: 10.1016/S1056-8727(02)00254-4 [DOI:10.1016/S1056-8727(02)00254-4]
35. Sadeghi, T, Shahabinejhad, M, Derakhshan, R, Balaii, P 2010, '[Effect of nurse-led telephone follow up (telenursing) on hba1c among diabetic patients (Persian)]', Journal of Rafsanjan University of Medical Sciences, vol.9, no.3, pp.175-84.
36. Sammarco, A 2001, 'Psychosocial stages and quality of life of women with breast cancer', Journal of Cancer Nursing, vol.24, no.4, pp.272-9. doi: 10.1111/j.1365-2648.2005.03583.x [DOI:10.1111/j.1365-2648.2005.03583.x]
37. Smith, DM, Loewenstein, G, Rozin, P, Sherriff, RL & Ubel, PA 2007, 'Sensitivity to disgust, stigma, and adjustment to life with a colostomy', Journal of Research in Personality, vol.41, no.4, pp.787-803. doi:10.1016/j.jrp.2006.09.006 [DOI:10.1016/j.jrp.2006.09.006]
38. Williams, J 2007, 'Stoma care nursing: what the community nurse needs to know', British Journal of Community Nursing, vol.12, no.8, pp.342-6. doi: 10.12968/bjcn.2007.12.8.24361 [DOI:10.12968/bjcn.2007.12.8.24361]
39. Wu, HK, Chau, JP & Twinn, S 2007, 'Self- efficacy and quality of life among stoma patients in Hong Kong', Cancer Nursing, vol.30, no.31, pp.186-93. [DOI:10.1097/01.NCC.0000270704.34296.86] [PMID]
40. Xu, HL 2009, 'A review of stoma care and enterostomal therapist', Shanghai Nursing, no.3, pp.93-5. PMID: 17228210
41. Yang, FY, Liu, LH & Chen, YF 2003, 'Survey of nursing care needs for cancer patients after discharge', Chinese Tomor, no.12, pp.269-271. PMID:15108956
42. Zakerimoghadam, M, Bassampour, S, Rajab, A, Faghihzadeh, S & Nesari, M 2008, '[Effect of nurse-led telephone follow ups (tele-nursing) on diet adherence among type 2 diabetic patients (Persian)], The Journal of Faculty of Nursing & Midwifery, vol.14, no.2, pp.63-71.
43. Zhang, JE, Wong, FK, You, LM & Zheng, MC 2012, 'A qualitative study exploring the nurse telephone follow-up of patients returning home with a colostomy', Journal of Clinical Nursing, vol.21, no.9-10, pp.1407-15. doi: 10.1111/j.1365-2702.2011.03824.x [DOI:10.1111/j.1365-2702.2011.03824.x]
44. Zheng, MC, Zhang, JE, Qin, YJ, Fang, YJ & Wu, XJ 2013, 'Telephone follow-up for patients returning home with colostomies: views and experiences of patients and enterostomal nurses', European Journal of Oncology Nursing, vol.17, no.2, pp.184-9. doi: 10.1016/j.ejon.2012.05.006 [DOI:10.1016/j.ejon.2012.05.006]

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