Effectiveness of Peer-Led Education on Patients’ knowledge and Practice Regarding Colostomy Care Related to Colorectal Cancer

Document Type : Original Article

Authors

1 Assist Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egyp

2 Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

3 Assist Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt

4 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt & Lecturer at Faculty of Nursing, Mansoura National University, Egypt.

Abstract

Background: Patients who have undergone a colostomy face a variety of challenges, including
both physical and psychological aspects, which have a significant impact on their overall quality of life.
Peer learning is increasingly being used as a patient education strategy. Aim: This study aimed to assess
the effectiveness of peer-led education on patients’ knowledge and practice regarding colostomy care
related to colorectal cancer. Methods: A quasi-experimental (one-group pretest-posttest design) was
conducted. Subjects: The study involved two distinct groups of participants: initially, five patients with
colostomies who satisfied the eligibility criteria and consented to partake in the research as peer educators.
Subsequently, a purposefully selected sample of 30 patients was recruited for this study. Setting: The
research was carried out in the surgical department and outpatient surgery clinic of the Oncology Center
of Mansoura University. Tools: Three tools were utilized in data collection: a structured interviewing
questionnaire, patients’ knowledge questionnaire regarding colostomy care, and a colostomy care
observation checklist. Results: A significant difference in knowledge and practice related to colostomy
care was observed before and after the implementation of peer-led education. After education, a strong
positive correlation was found between overall knowledge and practice results one month later.
Additionally, participants with higher levels of knowledge demonstrated better practice outcomes,
indicating the effectiveness of peer-led education in improving both knowledge and practice of colostomy
care. Conclusion: The results of the present research demonstrate that peer education has proven successful
in improving patients' understanding and implementation of colostomy care. Recommendations:
Integration of peer learning into the structured education program for patients with colostomies should be
considered an essential part of standard hospital care before patient discharge

Keywords

Egyptian Journal of Health Care
Volume 15, Issue 3
September 2024
Pages 540-554

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