IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i9-10p1936-1951.html
   My bibliography  Save this article

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Author

Listed:
  • Sha‐Li Wen
  • Juan Li
  • An‐Ni Wang
  • Meng‐Meng Lv
  • Hui‐Yuan Li
  • Yan‐Fang Lu
  • Jing‐Ping Zhang

Abstract

Aims and objectives To determine the effect of a transtheoretical model (TTM)‐based intervention on patients with an ostomy and provide patient‐centred, accessible assistance and dynamic education to improve patient self‐management. Background Proper self‐management may promote the rehabilitation of patients with an ostomy. TTM‐based interventions have resulted in positive health behavioural changes. Design Randomised controlled trial performed according to the CONSORT guidelines. Subject and setting The sample comprised 55 men and 37 women (24–77 years old, mean ± SD = 52.8 ± 11.13 years). The study settings included three tertiary hospitals in Changsha, Hunan, China. Methods The 92 patients, recruited from August 2012 to March 2013, were randomised into a control group and an intervention group. Randomisation was done by using a block randomisation list with a block size of 4. Self‐management behaviours were assessed at the baseline, 2 days before discharge and after 1, 3 and 6 months of follow‐up. The chi‐squared test, independent sample t test and repeated measures analysis of variance were used to analyse the data. Results Patients in the intervention group were more likely to be at the action and maintenance stages compared with those in the control group. We also observed significant improvements in the self‐management ability in the process of change, the decisional balance and self‐efficacy in the intervention group compared with those in the control group after four intervention sessions and up to 6 months of follow‐up. No serious intervention‐related adverse events were observed. Conclusions The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy. Relevance to clinical practice The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy and may provide a reference for health providers to develop behaviour promotion programmes to improve the self‐management of patients with an ostomy.

Suggested Citation

  • Sha‐Li Wen & Juan Li & An‐Ni Wang & Meng‐Meng Lv & Hui‐Yuan Li & Yan‐Fang Lu & Jing‐Ping Zhang, 2019. "Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1936-1951, May.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:9-10:p:1936-1951
    DOI: 10.1111/jocn.14731
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14731
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.14731?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hatice K Karabulut & Leyla Dinç & Ayişe Karadag, 2014. "Effects of planned group interactions on the social adaptation of individuals with an intestinal stoma: a quantitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2800-2813, October.
    2. Hui Tao & Praneed Songwathana & Sang‐arun Isaramalai & Ying Zhang, 2014. "Personal awareness and behavioural choices on having a stoma: a qualitative metasynthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1186-1200, May.
    3. Kinta Beaver & Saima Latif & Susan Williamson & Debbie Procter & Janet Sheridan & Jonathan Heath & Shabbir Susnerwala & Karen Luker, 2010. "An exploratory study of the follow‐up care needs of patients treated for colorectal cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3291-3300, December.
    4. Hui Tao & Praneed Songwathana & Sang‐arun Isaramalai & Qingxi Wang, 2014. "Taking good care of myself: A qualitative study on self‐care behavior among Chinese persons with a permanent colostomy," Nursing & Health Sciences, John Wiley & Sons, vol. 16(4), pages 483-489, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Xi Zhang & Rui Gao & Jin Ling Lin & Ning Chen & Qin Lin & Gui Fang Huang & Long Wang & Xiao Huan Chen & Fang Qin Xue & Hong Li, 2020. "Effects of hospital‐family holistic care model on the health outcome of patients with permanent enterostomy based on the theory of ‘Timing It Right’," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2196-2208, July.
    2. Samantha Jakimowicz & Christine Stirling & Maree Duddle, 2015. "An investigation of factors that impact patients’ subjective experience of nurse‐led clinics: a qualitative systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 19-33, January.
    3. Margaret Landers & Geraldine McCarthy & Vicki Livingstone & Eileen Savage, 2014. "Patients’ bowel symptom experiences and self‐care strategies following sphincter‐saving surgery for rectal cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(15-16), pages 2343-2354, August.
    4. Maria Reinwalds & Andrea Blixter & Eva Carlsson, 2018. "Living with a resected rectum after rectal cancer surgery—Struggling not to let bowel function control life," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 623-634, February.
    5. Ann‐Caroline Johansson & Eva Brink & Christina Cliffordson & Malin Axelsson, 2018. "The function of fatigue and illness perceptions as mediators between self‐efficacy and health‐related quality of life during the first year after surgery in persons treated for colorectal cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1537-1548, April.
    6. Qing‐Qing Wang & Jing Zhao & Xiao‐Rong Huo & Ling Wu & Li‐Fang Yang & Ju‐Yun Li & Jie Wang, 2018. "Effects of a home care mobile app on the outcomes of discharged patients with a stoma: A randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3592-3602, October.
    7. Thora G Thomsen & Lisbeth Soelver & Bibi Hølge‐Hazelton, 2017. "The influence of contextual factors on patient involvement during follow‐up consultations after colorectal cancer surgery: a case study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3688-3698, November.
    8. Marianne Krogsgaard & Thordis Thomsen & Anders Vinther & Ismail Gögenur & Gudrun Kaldan & Anne Kjærgaard Danielsen, 2017. "Living with a parastomal bulge ‐ patients’ experiences of symptoms," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5072-5081, December.
    9. Hui Tao & Praneed Songwathana & Sang‐arun Isaramalai & Qingxi Wang, 2014. "Taking good care of myself: A qualitative study on self‐care behavior among Chinese persons with a permanent colostomy," Nursing & Health Sciences, John Wiley & Sons, vol. 16(4), pages 483-489, December.
    10. Jenny Jakobsson & Ewa Idvall & Christine Kumlien, 2017. "The lived experience of recovery during the first 6 months after colorectal cancer surgery," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4498-4505, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:9-10:p:1936-1951. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.