International Journal of Nursing

Effect of Educational Intervention and Telephone Follow-Up Program on Knowledge, Practice and Quality Of Life among Patients with Urinary Diversion: A Quasi-Experimental Study
Salwa A. Mohamed, Imad H. Fashafsheh

Abstract
Background: Urinary diversion (UD) is the curative treatment for muscle-invasive bladder cancer. It is associated with significant functional and metabolic changes that may affect patients' perceived of quality of life. Aim: To Evaluate the effect of educational intervention and telephone follow-up program on knowledge, self-care performance and quality of life among patients undergoing urinary diversionDesign: A quasi-experimental research design was used. Setting: The study was conducted at the urological surgical departments and outpatient clinic at National Cancer Institute (NCI) between August, 2016 and September, 2017. Subjects: A purposive sample of 40 patients with UD, which divided randomly into two groups. Tools: Data were collected as following; socio-demographic and health history questionnaires, patients' urostomy knowledge questionnaire, patient's urostomy self-care performance checklist, and quality of life questionnaire to assess the QOL for UD.Results:most of the sample (85%) was male while (15%) was female in both groups undergo UD and Mean age was 55.6 years. There are highly statistically significant improved of knowledge and self-care performance in study group at the immediately and follow-up tests (p < 0.0001) after implementation of program compared by control group with routine care. Regarding to quality of life there was a significant differences between intervension group and controlled group at posttest and follow up (p<.0001). Conclusion:The study results emphasize the importance of the educational intervention for patients. UD patients showed significant improved in their knowledge, self-care practice and quality of life after participation of program at post and follow up test.Recommendations:Promoting educational, training and post discharge support in this population. Further studies and nurse training post discharge was considered as evidence to promote support and positive quality of life.

Full Text: PDF     DOI: 10.15640/ijn.v6n1a7