The Effects of a Digital Media-Based Self-Efficacy Promotion Program Post-Discharge on the Self-Care Behaviors of Colorectal Cancer Patients with Ostomies

Authors

  • Sukanya Panyakom Kuakarun Faculty of Nursing, Navamindradhiraj University, Bangkok, Thailand 10300
  • Jariya Chensirimongkol Kuakarun Faculty of Nursing, Navamindradhiraj University. Bangkok, Thailand 10300

Keywords:

self-efficacy, self-care behavior, colorectal cancer, stoma, digital media

Abstract

This quasi-experimental study aimed to evaluate the effect of a digital media-based self-efficacy promotion program on the self-care behaviors of colorectal cancer patients with ostomies. The sample consisted of newly diagnosed colorectal cancer patients who had undergone ostomy surgery two weeks after discharge from hospital; 30 patients were assigned to the control group and received standard care, while 30 patients were assigned to the experimental group and participated in a program to promote self-efficacy after discharge using digital media. Instruments included the digital self-efficacy enhancement program and a self-care behavior questionnaire for ostomy patients. All research instruments were validated by five experts, achieving content validity indices of 1.00 and 0.96, respectively, and a reliability coefficient of 0.91 using Cronbach’s alpha. Data were analyzed using frequency, percentage, mean, standard deviation, and t-tests. Results showed that the experimental group displayed significantly higher self-care behavior scores than the control group (p < .05).

In conclusion, the effect of the digital media-based program improved the self-care behaviors of colorectal cancer patients with ostomies post-discharge, as they promoted appropriate and correct self-care behaviors among this patient group. 

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References

Morgan E, Arnold M, Gini A, Lorenzoni V, Cabasag C, Laversanne M, et al. Global burden of colorectal cancer in 2020 and 2040: incidence and mortality estimates from GLOBOCAN. Gut 2023;72(2):338-44.

National Cancer Institute Department of Medical services ministry of public health Thailand. Hospital-based cancer registry 2022 [Internet] 2023 [cited 2024 Jan 12]. Available from: https://www.nci.go.th/th/cancer_record/download/Hosbased-2022-1.pdf (in Thai)

Giordano V, Nicolotti M, Corvese F, Vellone E, Alvaro R, Villa G. Describing self-care and its associated variables in ostomy patients. J Adv Nurs 2020;76(11):2982-92.

Claessens I, Probert R, Tielemans C, Steen A, Nilsson C, Andersen BD, et al. The Ostomy Life Study: the everyday challenges faced by people living with a stoma in a snapshot. Gastrointestinal Nursing 2015;13(5):18-25.

Goodman W, Allsop M, Downing A, Munro J, Taylor C, Hubbard G, et al. A systematic review and meta-analysis of the effectiveness of self-management interventions in people with a stoma. J Adv Nurs 2022;78(3):722-38.

Villa G, Vellone E, Sciara S, Stievano A, Proietti MG, Manara DF, et al. Two new tools for self-care in ostomy patients and their informal caregivers: psychosocial, clinical, and operative aspects. Int J Urol Nurs 2019;13(1):23-30.

Justiniano CF, Temple LK, Swanger AA, Xu Z, Speranza JR, Cellini C, et al. Readmissions with dehydration after ileostomy creation: rethinking risk factors. Dis Colon Rectum 2018;61(11):1297-305.

Malik T, Lee M, Harikrishnan A. The incidence of stoma related morbidity–a systematic review of randomised controlled trials. Ann R Coll Surg Engl 2018;100(7):501-8.

Wannawong S, Isaramalai S, Kahawong W, Naknual S. Efficiency of program to support and enhance care agency to prevent complications in ostomates. Princess of Naradhiwas University Journal 2014;6(3):36-48. (in Thai)

Chutikamo N, Navicharern R, Lohsiriwat V. Predicting factors of quality of life in colorectal cancer adult patients with colostomy. Royal Thai Navy Medical Journal 2018;44(3):103-16. (in Thai)

Habiba RSA, Bedier NA, Ahmed HAM. Assessment of knowledge and self-efficacy among patients with colostomy. IJNRHN 2021;8(3):31-47.

Su X, Qin F, Zhen L, Ye X, Kuang Y, Zhu M, et al. Self-efficacy and associated factors in patients with temporary ostomies: a cross-sectional survey. J Wound Ostomy Continence Nurs 2016;43(6):623-9.

Phamornpon S, Nooyam B, Kanjanasilp P. Effects of self-efficacy-promoting programme on self-care ability of persons with stoma. J Thai Nurse midwife Counc 2020;36(1):52-70. (in Thai)

Goldblatt J, Buxey K, Paul E, Foot-Connolly R, Leech T, Bell S. Study on the time taken for patients to achieve the ability to self-care their new stoma. ANZ J Surg 2018;88(6):E503-E6.

Zainuddin M, Kadir K, Wijayanti AR, Syam Y, Majid A. Effect of digital storytelling on self-efficacy of patients with a stoma: preliminary study. Enferm Clin 2020;30:229-33.

Bandura A, Freeman WH, Lightsey R. Self-efficacy: the exercise of control. J Cogn Psychother 1999;13(2):158-66.

Muenya S. Exercise for the elderly: applying self-efficacy. Boromarajonani College of Nursing, Uttaradit Journal 2021;25(1):59-69. (in Thai)

The Foundation of Thai Gerontology Research and Development Institute. Survey on dementia in elderly Thai people 2000/commission on developing the dementia screening test (Thai Version) 1999. Bangkok: Foundation of Thai Gerontology Research and Development Institute; 2000. (in Thai)

Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci 2012;35(3):194-204.

Ladasoontorn S, Kanogsunthorntra N, Chaiviboontham S. The effect of video assisted teaching program on ostomy care knowledge and skills among new ostomate’s caregivers. Ramathibodi Nursing Journal 2019;25(1):43-57. (in Thai)

Laiphan N. Effect of teaching program on stoma care self-efficacy and stoma care behavior of patient with colostomy [Thesis]. Chiang Mai: Chiang Mai University; 1999. (in Thai)

Kraisoda K, Srimoragot P, Wongkongkum K. The effects of self-efficacy promotion program toward the stoma skin care on self-care ability of patients and caregivers. Thai Journal of Nursing 2022;71(3):44-53. (in Thai)

Abd El-Rahman WA, Mekkawy MM, Ayoub MT, Sayed SY. Effect of nursing instructions on self-care for colostomy patients. Assiut Scientific Nursing Journal 2020;8(23):96-105.

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Published

2024-12-28

How to Cite

1.
Panyakom S, Chensirimongkol J. The Effects of a Digital Media-Based Self-Efficacy Promotion Program Post-Discharge on the Self-Care Behaviors of Colorectal Cancer Patients with Ostomies. TRC Nurs J [internet]. 2024 Dec. 28 [cited 2026 Jul. 27];17(3):105-20. available from: https://he02.tci-thaijo.org/index.php/trcnj/article/view/269571

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บทความวิจัย (Research Report)