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Multimedia education programme for patients with a stoma: effectiveness evaluation

Authors

  • Shu-Fen Lo,

    1. Shu-Fen Lo PhD MSc RN Assistant Professor Department of Nursing, Tzu Chi College of Technology, Hualien, Taiwan
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  • Yun-Tung Wang,

    1. Yun-Tung Wang PhD MSW Associate Professor Department of Social Work, National Taiwan University, Taipei, Taiwan
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  • Li-Yue Wu,

    1. Li-Yue Wu BSc RN Wound, Ostomy and Incontinence Nurse Department of Nursing, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
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  • Mei-Yu Hsu,

    1. Mei-Yu Hsu BSc RN Wound, Ostomy and Incontinence Nurse Department of Nursing, Buddhist Tzu Chi General Hospital, and Graduate Student, Graduate Institute of Nursing, Tzu Chi University, Hualien, Taiwan
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  • Shu-Chuan Chang,

    1. Shu-Chuan Chang PhD RN Director Department of Nursing, Buddhist Tzu Chi General Hospital, and Associate Professor, Department of Nursing, Tzu Chi University, Hualien, Taiwan
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  • Mark Hayter

    1. Mark Hayter MSc PhD RN Reader in Nursing School of Nursing and Midwifery, University of Sheffield, Sheffield, UK
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Y.-T. Wang: e-mail: ytwang@ntu.edu.tw

Abstract

lo s.-f., wang y.-t., wu l.-y., hsu m.-y., chang s.-c. & hayter m. (2011) Multimedia education programme for patients with a stoma: effectiveness evaluation. Journal of Advanced Nursing67(1), 68–76.

Abstract

Aim.  This paper is a report of an evaluation of the effectiveness of a multimedia education program in relation to stoma knowledge, self-care attitudes and behaviour with patients with a stoma in the postoperative period.

Background.  Multimedia education programmes not only give patients with useful information in the absence of health professionals, but can also augment information given in traditional clinical practice. However, the literature on the effectiveness of different approaches to stoma education is limited.

Method.  A randomized experimental study design was used. Participants were recruited from a surgical unit in a large hospital in Taiwan. A total of 102 patients with a stoma were randomly assigned to either the multimedia education programme (= 46) or a conventional stoma education programme (= 56) with a follow-up of 1 week. Outcome variables measured were levels of self-care knowledge, attitudes towards self-care and self-care behaviour.

Findings.  Patients who received the multimedia education programme improved their overall self-care knowledge, attitudes and behaviour statistically significantly when compared with those who received the conventional stoma education programme.

Conclusion.  Although further, longer-term follow-up will be useful, this study demonstrates that multimedia packages can enhance patient involvement in their stoma care and can augment stoma education – particularly in resource challenged healthcare environments.

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