Effects of a perioperative educational pathway on ostomy self‐care, level of independence and need for visiting nurse services: a comparative observational cohort study

Aim Most new ostomy patients are not able to manage ostomy self‐care when they are discharged and rely on visiting nurse services for ostomy care. The aim of this study was to determine if a perioperative ostomy educational pathway increases the level of independence and decreases the need for visit...

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Published in:Colorectal disease 2024-06, Vol.26 (6), p.1258-1265
Main Authors: Pelt, Kirsten A. A. J., Loon, Yu Ting, Schots, Judith P. M., Ketelaers, Stijn H. J., Zimmerman, David D. E., Nieuwenhuijzen, Grard A. P., Rutten, Harm J. T., Burger, Jacobus W. A., Bloemen, Johanne G.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Colostomy - nursing
Community Health Nursing
educational pathway
Female
Humans
Ileostomy
Ileostomy - nursing
Ischemia
Longitudinal Studies
Male
Middle Aged
Ostomy
Ostomy - nursing
Patient Discharge
patient education
Patient Education as Topic - methods
Perioperative Care - methods
Prospective Studies
Self Care
Transient ischemic attack
visiting nurse services
Visiting nurses
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Summary:Aim Most new ostomy patients are not able to manage ostomy self‐care when they are discharged and rely on visiting nurse services for ostomy care. The aim of this study was to determine if a perioperative ostomy educational pathway increases the level of independence and decreases the need for visiting nurse services in new ostomy patients. Method A prospective longitudinal study was conducted between July 2018 and February 2020. Patients who received a colostomy or ileostomy and were treated on the surgery ward were included. Patients who followed a perioperative ostomy educational pathway were compared to a historical control group. The primary outcome measure was the level of independence in ostomy care and the need for visiting nurse services. Results After discharge, 67.6% of patients in the intervention group (n = 244) were able to independently perform ostomy care and were therefore not relying on visiting nurse services, compared to 15.2% of the patients in the control group (n = 33). The need for visiting nurse services was higher in patients aged ≥70 years (OR 3.20, P 
ISSN:1462-8910
1463-1318
1463-1318
DOI:10.1111/codi.17044