The Effect of Web-Based Patient Education on Quality of Life of Patients With Colostomy and Ileostomy: A Randomized Controlled Trial


Ozel H., KAYA H.

Journal of Wound, Ostomy and Continence Nursing, cilt.52, sa.4, ss.313-319, 2025 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 52 Sayı: 4
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1097/won.0000000000001198
  • Dergi Adı: Journal of Wound, Ostomy and Continence Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE
  • Sayfa Sayıları: ss.313-319
  • Anahtar Kelimeler: Colostomy, Ileostomy, Ostomy, Patient education, Web-based ostomy education
  • Bezmiâlem Vakıf Üniversitesi Adresli: Evet

Özet

PURPOSE: The purpose of the study was to compare a web-based education program designed for purposes of this study to a control group receiving usual care in patients undergoing colostomy and ileostomy. Groups were compared on the basis of three outcome measures: health-related quality of life, knowledge of ostomy care, and incidence of stomal or peristomal complications. DESIGN: Randomized controlled trial. SUBJECTS AND SETTING: The sample comprised 70 patients who had undergone colorectal surgery with formation of colostomy and ileostomy; 35 patients were enrolled in the experimental and control groups. The study was conducted in a 761-bed tertiary research and training hospital in Istanbul, Turkey, between December 2017 and May 2018. METHODS: Research data were collected using an Information Form, City of Hope-Quality of Life-Ostomy Questionnaire (CoH-QoL-OQ), Ostomy Care Knowledge Assessment Test (OCKAT), and Ostomy Complications Assessment Form (OCAF). Data were analyzed with Student t test, paired sample t test, Fisher's exact chi-square test, Fisher-Freeman-Halton test, and Yates continuity correction test. RESULTS: No significant differences were identified between the intervention group and control group for quality-of-life total scores (t = 0.030; P =.97) and ostomy care knowledge scores (t = 0.80; P =.42) before training (baseline). A significant difference was found between the two groups following training (t = 4.117; P =.00; t = 11.87; P =.00). Health-related quality-of-life scores and ostomy care knowledge of the intervention group were higher than those in the control group. CONCLUSION: Web-based education may be provided as a time-effective option to patients with colostomy and ileostomy to improve their quality of life.