Effectiveness of a Tailored Educational Package for Patients with Colostomy on Their Adherence and Psychosocial Adjustment

Background: Colostomy reveals to the colon artificial opening which is on the abdominal
surface. Usually, the patient with an ostomy may have the negative aspects of the stoma rather than
its function. Patients do not know how to deal and care. So, most of them need training and
education to improve their self-image, acceptance of a new lifestyle, and ability to self-care. Aim:
This study aimed to evaluate the effectiveness of a tailored educational package for patients with
colostomy on their adherence and psychosocial adjustment. Study design: A quasi-experimental
design was utilized to meet the aim of this study was from June 2021, to February 2022. Subject: A
convenient sample consisted of 86 patients. Setting: The study was conducted in surgery
departments and surgery outpatient clinics at El-Demerdash Surgical Hospital which is affiliated to
Ain Shams University Hospitals, Cairo Governorate, Egypt. Data collection tools:1) Patients`
interviewing Questionnaire included two parts; to get data in relation to the socio demographic
characteristics, and present & past history. 2)Patients’ bio-psychosocial needs questionnaire. 3)
Patients’ observational checklist. Results: Based on findings of the current study, the mean age
(Mean ±SD) of the study was 42.63±7.6., in relation to adherence related to patients with colostomy,
there was the more than three quarters of the studied patients had adherence to life style changes
during follow up while less than one quarter before the program applying. Also, the majority of the
studied patients post program had adherence to medication. Regarding the ostomates' adjustment
inventory-23, there was more than half had high acceptance on post program stage and nearly half
of the studied patients had high acceptance during follow up stage Conclusion: Based on findings
of the current study, can be concluded that, teaching and training patients with colostomy through
providing educational program had affect positively on their adherence and psychosocial adjustment.
Regarding physical needs, nearly half of the studied patients had low needed during follow up stage
while was nearly to two thirds of them before applying program had high physical needed. Also,
there were nearly half of the studied patients had high acceptance post program and follow up stages,
while regarding to social engagement there were nearly two thirds had good social engagement in
post program and follow up stages. Recommendations: In service education should be provided in
hospital to improve patients' performance regarding care and medication adherence. Proper training
for patients and their families and continues needs assessment for patients with colostomy.