.: ORİJİNAL ARAŞTIRMA
Effect of Information-Motivation-Behavioral Skills Model-Based Intervention on Quality of Life of Ostomy Patients
Stomalı Bireylere Uygulanan Bilgi, Motivasyon, Davranış Becerileri Modeli (IMB Modeli) Rehberliğindeki Müdahalenin Yaşam Kalitesi Üzerine Etkisi
Turkiye Klinikleri J Nurs Sci. 2020;12(2):182-9
doi: 10.5336/nurses.2019-72070
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The aim of this study was to assess the effect of the Information-Motivation-Behavioral Skills model on the quality of life of ostomy patients. Material and Methods: This was a prospective randomized controlled clinical trial. This study was conducted between May 2018 and August 2019 in the general surgery clinic of a training and research hospital. The study sample consisted of 60 patients 18 years of age or older who had a temporary/permanent colostomy and ileostomy to be closed in more than 6 months. Patients were randomized into two groups; intervention (n=30) and control (n=30). In this study, data were obtained by using a Demographic Characteristics Questionnaire, Information Assessment Test (pretest- posttest) (Information), the Behavior Assessment Form (Behavior Skills) and the 36-Item Short Form Survey Quality of Life Scale (SF-36QoLS). The intervention group participants were trained by a general surgery nurse about the information stages of the model and received either telephone or face-to-face counseling during the first and third months as part of the motivation stage. Their ostomy care behavior was evaluated as part of the behavioral skills stage at the end of the sixth month. The control group received no intervention. The quality of life in both groups was assessed at the end of the sixth month. Results: The intervention group had a higher mean SF-36 behavior evaluation score than the control group before and after the intervention (p <0.001). Although there was an increase in the median information assessment test scores of both intervention and control groups, that in the former was statistically significantly higher than that in the latter (p <0.001). Conclusion: The Information Motivation- Behavioral Skills model had an effect on the quality of life of ostomy patients.
Keywords: Ostomy; models; nursing; quality of life
Objective: The aim of this study was to assess the effect of the Information-Motivation-Behavioral Skills model on the quality of life of ostomy patients. Material and Methods: This was a prospective randomized controlled clinical trial. This study was conducted between May 2018 and August 2019 in the general surgery clinic of a training and research hospital. The study sample consisted of 60 patients 18 years of age or older who had a temporary/permanent colostomy and ileostomy to be closed in more than 6 months. Patients were randomized into two groups; intervention (n=30) and control (n=30). In this study, data were obtained by using a Demographic Characteristics Questionnaire, Information Assessment Test (pretest- posttest) (Information), the Behavior Assessment Form (Behavior Skills) and the 36-Item Short Form Survey Quality of Life Scale (SF-36QoLS). The intervention group participants were trained by a general surgery nurse about the information stages of the model and received either telephone or face-to-face counseling during the first and third months as part of the motivation stage. Their ostomy care behavior was evaluated as part of the behavioral skills stage at the end of the sixth month. The control group received no intervention. The quality of life in both groups was assessed at the end of the sixth month. Results: The intervention group had a higher mean SF-36 behavior evaluation score than the control group before and after the intervention (p <0.001). Although there was an increase in the median information assessment test scores of both intervention and control groups, that in the former was statistically significantly higher than that in the latter (p <0.001). Conclusion: The Information Motivation- Behavioral Skills model had an effect on the quality of life of ostomy patients.
Keywords: Ostomy; models; nursing; quality of life
ÖZET
Amaç: Araştırma Bilgi, Motivasyon, Davranış Becerileri Modeli'nin stomalı hastalarda yaşam kalitesi üzerindeki etkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma prospektif, randomize kontrollü klinik bir çalışmadır. Araştırma Mayıs 2018-Agustos 2019 tarihleri arasında bir eğitim ve araştırma hastanesinin genel cerrahi kliniğine başvuran toplam 60 hasta ile gerçekleştirildi.18 yaş üstü, 6 aydan daha uzun sürede kapatılacak geçici/kalıcı kolostomisi ve ileostomisi olan hastalar araştırmaya dahil edildi. Hastalar müdahale grubu (n=30) ve kontrol grubu (n=30) olarak iki eşit gruba randomize edildi. Bu çalışmada Demografik Özellikler Formu, Bilgi Değerlendirme Testi (ön test'son test) (Bilgi), Davranış Değerlendirme Formu (Davranış Becerileri) ve Kısa-Form 36 Yaşam Kalitesi Ölçeği (SF36YKO) kullanılarak veriler elde edildi. Müdahale grubuna genel cerrahi hemşiresi tarafından modelin bilgi basamağı kapsamında eğitim verildi; motivasyon basamağı kapsamında 1. ve 3. aylarda telefonla veya yüzyüze görüşülerek danışmanlık hizmeti verildi; davranış becerileri basamağı kapsamında 6. ayın sonunda stoma bakımına yönelik davranışları değerlendirildi. Kontrol grubuna ise bu model uygulanmadı. Altıncı ayın sonunda her iki grubun da yaşam kalitesi değerlendirildi. Bulgular: Uygulama öncesi ve sonrası müdahale grubunda kontrol grubuna göre SF-36, davranış değerlendirme puan ortalamalarının anlamlı düzeyde arttığı saptandı (p<0,001). Her iki grubun bilgi puanlarında artış olmakla beraber, müdahale grubundaki artış anlamlıydı ve kontrol grubuna göre daha fazlaydı (p<0,001). Sonuç: Bilgi, Motivasyon, Davranış Becerileri Modeli'nin stomalı hastalarda yaşam kalitesi üzerinde etkili olduğu bulundu.
Anahtar Kelimeler: Stoma; modeller; hemşirelik; yaşam kalitesi
Amaç: Araştırma Bilgi, Motivasyon, Davranış Becerileri Modeli'nin stomalı hastalarda yaşam kalitesi üzerindeki etkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma prospektif, randomize kontrollü klinik bir çalışmadır. Araştırma Mayıs 2018-Agustos 2019 tarihleri arasında bir eğitim ve araştırma hastanesinin genel cerrahi kliniğine başvuran toplam 60 hasta ile gerçekleştirildi.18 yaş üstü, 6 aydan daha uzun sürede kapatılacak geçici/kalıcı kolostomisi ve ileostomisi olan hastalar araştırmaya dahil edildi. Hastalar müdahale grubu (n=30) ve kontrol grubu (n=30) olarak iki eşit gruba randomize edildi. Bu çalışmada Demografik Özellikler Formu, Bilgi Değerlendirme Testi (ön test'son test) (Bilgi), Davranış Değerlendirme Formu (Davranış Becerileri) ve Kısa-Form 36 Yaşam Kalitesi Ölçeği (SF36YKO) kullanılarak veriler elde edildi. Müdahale grubuna genel cerrahi hemşiresi tarafından modelin bilgi basamağı kapsamında eğitim verildi; motivasyon basamağı kapsamında 1. ve 3. aylarda telefonla veya yüzyüze görüşülerek danışmanlık hizmeti verildi; davranış becerileri basamağı kapsamında 6. ayın sonunda stoma bakımına yönelik davranışları değerlendirildi. Kontrol grubuna ise bu model uygulanmadı. Altıncı ayın sonunda her iki grubun da yaşam kalitesi değerlendirildi. Bulgular: Uygulama öncesi ve sonrası müdahale grubunda kontrol grubuna göre SF-36, davranış değerlendirme puan ortalamalarının anlamlı düzeyde arttığı saptandı (p<0,001). Her iki grubun bilgi puanlarında artış olmakla beraber, müdahale grubundaki artış anlamlıydı ve kontrol grubuna göre daha fazlaydı (p<0,001). Sonuç: Bilgi, Motivasyon, Davranış Becerileri Modeli'nin stomalı hastalarda yaşam kalitesi üzerinde etkili olduğu bulundu.
Anahtar Kelimeler: Stoma; modeller; hemşirelik; yaşam kalitesi
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