DOI QR코드

DOI QR Code

The Knowledge and Performance Confidence of, and Educational Needs on Ostomy Care among Nurses in Long-Term Care Hospitals

요양병원 간호사의 장루관리에 관한 지식, 수행자신감 및 교육요구도

  • Received : 2019.10.17
  • Accepted : 2019.12.06
  • Published : 2019.12.31

Abstract

Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.

Keywords

References

  1. Bagnasco, A., Watson, R., Zanini, M., Catania, G., Aleo, G., & Sasso, L. (2017). Developing a stoma acceptance questionnaire to improve motivation to adhere to enterostoma self-care. Journal of Preventive Medicine and Hygiene, 58(2), 190-194.
  2. Burch, J. (2011). Providing information and advice on diet to stoma patients. British Journal of Community Nursing, 10(16), 479-484. https://doi.org/10.12968/bjcn.2011.16.10.479
  3. Cengiz, B., & Bahar, Z. (2017). Perceived barriers and home care needs when adapting to a fecal ostomy: A phenomenological study. Journal of Wound, Ostomy and Continence Nursing, 44(1), 63-68. https://doi.org/10.1097/WON.0000000000000271
  4. Chae, S. Y., & Kim, K. H. (2013). Physical symptoms, hope and family support of cancer patients in the general hospitals and long-term care hospitals. Korean Journal of Adult Nursing, 25(3), 298-311. https://doi.org/10.7475/kjan.2013.25.3.298
  5. Choi, I., Park, J., & Lee, E. (2009). Building of effective delivery system for he connection between medical care or the aged and long-term care. Seoul: National Health Insurance.
  6. Chun, J. H. (2000). The development of practice standards for WOCN (Wound Ostomy Continence Nurse). Unpublished doctoral dissertation, Yonsei University, Seoul.
  7. Davidson, F. (2016). Quality of life, wellbeing and care needs of Irish ostomates. British Journal of Nursing, 25(17), S4-S12. https://doi.org/10.12968/bjon.2016.25.17.S4
  8. Eun, Y., Kang, H. S., & Jeon, M. Y. (2016). Survey on online continuing education requirements according to practical experience of nurses at small and medium sized hospitals. Journal Muscle Joint Health, 23(3), 197-205. https://doi.org/10.5953/JMJH.2016.23.3.197
  9. Fisher, S. E., & Daniels, I. R. (2006). Quality of life and sexual function following surgery for rectal cancer. Colorectal Disease, 8(3), 40-42. https://doi.org/10.1111/j.1463-1318.2006.01071.x
  10. Han, A. K. (1987). A study on the relationship between the revel of knowledge about colostomy self care actual colostomy self care in colostomy patients. Unpublished master's thesis, Yonsei University, Seoul.
  11. Holland, D. E., Mistiaen, P., & Bowles, K. H. (2011). Problems and unmet needs of patients discharged "home to self-care". Professional Case Management, 16(5), 240-250. https://doi.org/10.1097/NCM.0b013e31822361d8
  12. Jang, A. Y., & Park, J. S. (2018). Factors influencing quality of life of cancer patients hospitalized in long-term care hospitals. Journal Korean Gerontology Nursing, 20(1), 298-311. https://doi.org/10.17079/jkgn.2018.20.1.35
  13. Kim, H. K., & Kim, H. (2015). Influences of symptom experience and depression on quality of life in colorectal cancer patients with stoma reversal. Journal of Korean Biological Nursing Science, 17(4), 306-314. https://doi.org/10.7586/jkbns.2015.17.4.306
  14. Kim, J. M., & Park, J. S. (2018). Comparison of unmet need and quality of life between permanent ostomates and temporary ostomates. Journal of the Korea Academia-Industrial cooperation Society, 19(9), 374-383. https://doi.org/10.5762/KAIS.2018.19.9.374
  15. Kim, M. J., Kim, J. H., & Choi, Y. S. (2019). The effect the stoma self-care education using social network service (SNS) on anxiety of the stoma owner, ability to exchange the stoma pouch and skin condition. Journal of the Korean Society for Wellness, 5(1), 395-403. https://doi.org/10.21097/ksw.2019.05.14.2.395
  16. Kim, S. M., Jeong, S. H., Lee, M. H., & Kim, H. K. (2017). Importance, performance and rates of nurse performance of nursing interventions in long-term care hospitals. Journal Korean Academy Nursing Administration, 23(4), 359-372. https://doi.org/10.11111/jkana.2017.23.4.359
  17. Kim, Y. H., Kwon, I. G., Hwang, K. J., Kim, H. S., Lee, B. S., Lee, H. S., et al. (2013). A study on the role and present state of advanced practice nurses in Korea. Journal of Korean Clinical Nursing Research, 9(1), 55-75.
  18. Korea Central Cancer Registry. (2018, December). Annual report of cancer statistics in Korea in 2016. Retrieved October 13, 2019, from https://www.ncc.re.kr/cancerStatsView.ncc?bbsnum=478&searchKey=total&searchValue=&pageNum=1
  19. Korea Institute for Health and Social Affairs. (2018). Disability Survey in 2017(2017-90). Seoul: Ministry of Health and Welfare.
  20. Oh, E. G., Sung, J. H., Park, Y. S., Lee, H. J., & Kim, Y. K. (2016). Physiological functional status and the levels of unmet care needs after discharge in patients with chronic pulmonary disease, colorectal cancer, and strokes. Journal of Korean Clinical Nursing Research, 22(2), 194-204. https://doi.org/10.22650/JKCNR.2016.22.2.194
  21. Park, H. S., & Park, K. S. (2018). Health care utilization of cancer patient women at nursing hospital. Journal of Digital Contents Society, 19(11), 2139-2147. https://doi.org/10.9728/dcs.2018.19.11.2139
  22. Park, J. S. (2012). The relationship among family support, depression and quality of life of elderly having colostomy. Unpublished master's thesis, University of Hanyang, Seoul.
  23. Rattiliff, C. R. (2010). Early peristomal skin complications reported by WOC nurse. Journal of Wound, Ostomy and Continence Nursing, 37(5), 505-510. https://doi.org/10.1097/won.0b013e3181edac57
  24. Vonk-Klaassen, S. M., de Vocht, H. M., den Ouden, M. E., Eddes, E. H., & Schuurmans, M. J. (2016). Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: A systematic review. Quality of Life Research, 25(1), 125-133. https://doi.org/10.1007/s11136-015-1050-3
  25. Yeom, J. W., & Shin, S. S. (2017). Factors related to nutritional status among olders adults with an ostomy. Journal Korean Gerontology Nursing, 19(1), 39-47. https://doi.org/10.17079/jkgn.2017.19.1.39
  26. Yeom, J. W., & Suh, Y. O. (2019). The effect of symptom experience, nutritional status, and self care on quality of life in elderly patients with colorectal cancer macologic treatment for elderly. Korean Journal of Rehabilitation Nursing, 22(1), 48-57. https://doi.org/10.7587/kjrehn.2019.48
  27. Zang, I. S., & Park, S. M. (2014). Ostomate ostomy management and welfare needs. The Journal of Research Institute for Basic Sciences Hoseo University, 22(1), 77-85.