Construction and empirical study of self management program for patients with ureteral skin stoma

Abstract

Objective To construct a management program for patients with ureteral stoma, then validate the proposal. Methods The expert consensus reached an agreement after 2 rounds of Delphi expert consultation of self management programme, according with the contents of the manual requirements, the intervention patients (41 cases) were given these management interventions: regular one-on-one ostomy skills training, mental support and motivational interview, recording stoma diary, the control patients were given routine nursing interventions, after 1, 3 and 6 months of implementation, their results of management was evaluated. Results The total score of self-management ability was 99.32±10.41, 105.34±13.75, 109.18±10.91 in the control group after the intervention of 1, 3 and 6 months respectively, and 106.73 ± 13.82, 117.65 ± 15.47, 129.43 ± 12.37 in the test group, the differences were statistically significant (t=7.847, 9.318, 11.416, P<0.01). The total score of quality of life was 167.18 ± 24.62, 173.36 ± 25.33, 179.48 ± 22.17 in the control group after the intervention of 1, 3 and 6 months respectively, and 178.66 ± 23.47, 185.41 ± 22.67, 213.17 ± 26.75 in the test group, the differences were statistically significant (t=6.839, 10.241, 13.926, P<0.01). Conclusions The construction of the ureterostomy self-management program, enhance patients’ self-management consciousness, and improve the ability of self-management. Key words: Ureterostomy; Self-management; Continuing nursing; Delphi technique