题名

智慧行動應用程式介入對腸造口病人居家自我照護能力及生活品質之成效

并列篇名

Effects of a Home Care Mobile App on the Outcomes of Discharged Patients with a Stoma: A Randomized Controlled Trial

DOI

10.6540/NTJN.202309_25(2).0005

作者

柯幸芳(Hsing-Fang Ko)；吳美鳳(Mei-Feng Wu)；李克釗(Ko-Chao Lee)

关键词

行動應用程式 ； 自我照護能力 ； 生活質量 ； 暫時性造口 ； ostomy care app ； self-care ability ； quality of life ； temporary colostomy

期刊名称

新臺北護理期刊

卷期/出版年月

25卷2期（2023 / 09 / 01）

页次

51 - 65

内容语文

繁體中文;英文
中文摘要

背景：腸造口照護行動應用程式可以提升病人的自我照護能力和生活品質，然而國內行動應用程式對腸造口病人生活品質、自我照護及造口相關併發症等成效的相關研究缺乏。目的：探討腸造口照護行動應用程式對腸造口病人出院生活品質、自我照護及造口相關併發症之成效。方法：採隨機對照實驗性研究，診斷為大腸癌需要進行暫時性腸造口手術病人，共有實驗組47人，控制組47人，實驗組接受常規出院衛教及智慧行動應用程式，對照組接受常規出院衛教，兩組在出院日及出院第4個月以結構性問卷收集資料。結果：研究結果顯示無論實驗組或控制組，在出院日及出院4個月的自我照顧能力，隨著時間的推移兩組均有改善，實驗組在生活品質領域中與家人朋友關係範疇、社交範疇及心理範疇優於對照組；在出院4個月實驗組造口合併症發生率較低（x^2=16.04, p=.01）具顯著差異。結論：行動應用程式可以提供病人居家中使用，提升病人在生活品質中與家人朋友關係、社交及心理領域的關係，降低造口合併症發生。本研究成果可以提供暫時性造口病人在出院後面對調適適應。
英文摘要

Background: Ostomy care app can improve patients' self-care ability and quality of life, but research on the efficacy of ostomy care app on ostomates' quality of life, self-care and stoma-related complications is still insufficient. Purpose: This study aims to investigate the effect of ostomy care app on quality of life, self-care ability and stoma-related complications of ostomates after discharge. Methods: Randomized control and experimental designs were adopted. Patients who were diagnosed with colorectal cancer and required temporary colostomy were enrolled. There were 47 patients in the experimental group and 47 in the control group. The experimental group received routine discharge education and mobile smart application, while the control group received only routine discharge education. Data were collected from both groups by structured questionnaire before discharge and in the fourth month after discharge. Result: The results of the experiment showed that the self-care ability in ahead of discharge and after 4 months of discharge improved in both groups over time. The experimental group had better outcome than the control group in quality of life, which included relation to family and friends, social contact and psychological compromise. Incidence of stoma complications in 4 months after discharge was lower in the experimental group with statistical significance (x^2=16.04, p=.01). Conclusion: Ostomy care app can be used at home to improve the patients' quality of life with family and friends, social and psychological relationships, and reduce the incidence of ostomy complications as well. The result shows that ostomy care app can provide temporary ostomates benefits and empower them to cope with their situation after discharge.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Abasi, S.,Yazdani, A.,Kiani, S.,Mahmoudzadeh‐Sagheb, Z.(2021).Effectiveness of mobile health‐based self ‐management application for posttransplant cares: A systematic review.Health Science Reports,4(4),e434.
  2. Agarwal, P.,Mukerji, G.,Desveaux, L.,Ivers, N. M.,Bhattacharyya, O.,Hensel, J. M.,Lianne, J.,Bhatia, R. S.(2019).Mobile app for improved self-management of type 2 diabetes: Multicenter pragmatic randomized controlled trial.JMIR mHealth and uHealth,7(1),e10321.
  3. Augestad, K. M.,Sneve, A. M.,Lindsetmo, R. O.(2020).Telemedicine in postoperative follow-up of STOMa patients: A randomized clinical trial (the STOMPA trial).Journal of British Surgery,107(5),509-518.
  4. Ayik, C.,Ozden, D.,Cenan, D.(2019).Relationships among spiritual well-being, adjustment, and quality of life in patients with a stoma: A cross-sectional, descriptive study.Wound Management & Prevention,65(5),40-47.
  5. Bene, B. A.,O’Connor, S.,Mastellos, N.,Majeed, A.,Fadahunsi, K. P.,O’Donoghue, J.(2019).Impact of mobile health applications on self-management in patients with type 2 diabetes mellitus: Protocol of a systematic review.BMJ Open,9(6),e025714.
  6. Benson, A. B.,Venook, A. P.,Al-Hawary, M. M.,Arain, M. A.,Chen, Y. J.,Ciombor, K. K.,Cohen, S.,Cohen, S.,Cooper, H. S.,Deming, D.,Farkas, L.,Garrido-Laguna, I.,Grem, J. L.,Gunn, A.,Hecht, J. R.,Hoffe, S.,Hubbard, H.,Hunt, S.,Johung, K. L.,Kirilcuk, N.,Krishnamurthi, S.,Gurski, L. A.(2021).Colon cancer, version 2.2021, NCCN clinical practice guidelines in oncology.Journal of the National Comprehensive Cancer Network,19(3),329-359.
  7. Bray, F.,Ferlay, J.,Soerjomataram, I.,Siegel, R. L.,Torre, L. A.,Jemal, A.(2018).Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.CA: a cancer journal for clinicians,68(6),394-424.
  8. Cardoso, I. A.,Salomé, G. M.,Miranda, F. D.,Alves, J. R.,Leão, J. P. P.,Leão, A. S.,Mendonça, A. R. D. A.(2020).A new APP for prevention and treatment of complications of intestinal peristomal skin.Journal of Coloproctology (Rio de Janeiro),40,120-128.
  9. Chang, C. Y.,Hwang, G. J.(2018).Trends in smartphone-supported medical education: A review of journal publications from 2007 to 2016.Knowledge Management & E-Learning,10(4),389-407.
  10. Chew, C. S. E.,Davis, C.,Lim, J. K. E.,Lim, C. M. M.,Tan, Y. Z. H.,Oh, J. Y.,Rajasegaran, K.,Chia, Y. H. M.,Finkelstein, E. A.(2021).Use of a mobile lifestyle intervention app as an early intervention for adolescents with obesity: Single-cohort study.Journal of Medical Internet Research,23(9),e20520.
  11. Dekker, E.,Tanis, P, J.,Vleugels, J, L.,Kasi, P, M.,Wallace, M, B.(2019).Seminar colorectal cancer.The Lancet,394,1467-1480.
  12. Hoog, A.(Ed.)(2011).Android forensics.Syngress.
  13. Houghton, L. C.,Howland, R. E.,McDonald, J. A.(2019).Mobilizing breast cancer prevention research through smartphone apps: A systematic review of the literature.Frontiers in Public Health,298
  14. Jensen, B. T.,Kiesbye, B.,Soendergaard, I.,Jensen, J. B.,Kristensen, S. A.(2017).Efficacy of preoperative uro-stoma education on self-efficacy after Radical Cystectomy; secondary outcome of a prospective randomized controlled trial.European Journal of Oncology Nursing,28,41-46.
  15. Ji, Y.,Plourde, H.,Bouzo, V.,Kilgour, R. D.,Cohen, T. R.(2020).Validity and usability of a smartphone image-based dietary assessment app compared to 3-day food diaries in assessing dietary intake among Canadian adults: Randomized controlled trial.JMIR mHealth and uHealth,8(9),e16953.
  16. Kristensen, S. A.,Laustsen, S.,Kiesbye, B.,Jensen, B. T.(2013).The urostomy education scale: A reliable and valid tool to evaluate urostomy self-care skills among cystectomy patients.Journal of Wound Ostomy& Continence Nursing,40(6),611-617.
  17. Lai, E.,Peterson, A. C.,Liu, G.,Karimuddin, A.,Crump, R. T.,Sutherland, J. M.(2018).Psychometric validation of the Stoma-QOL questionnaire in a Canadian cross-sectional sample of colostomy and ileostomy patients.Scandinavian Journal of Gastroenterology,53(6),721-726.
  18. 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 nursing,67(1),68-76.
  19. Malik, T. A. M.,Lee, M. J.,Harikrishnan, A. B.(2018).The incidence of stoma related morbidity–Asystematic review of randomised controlled trials.The Annals of The Royal College of Surgeons of England,100(7),501-508.
  20. Mendiola, M. F.,Kalnicki, M.,Lindenauer, S.(2015).Valuable features in mobile health apps for patients and consumers: Content analysis of apps and user ratings.JMIR mHealth and uHealth,3(2),e4283.
  21. Mota, M. S.,Gomes, G. C.,Petuco, V. M.(2016).Repercussões no processo de viver da pessoa com estoma.Texto & Contexto-Enfermagem,25(1)
  22. Pandiaraja, J.,Chakkarapani, R.,Arumugam, S.(2021).A study on patterns, indications, and complications of an enteric stoma.Journal of Family Medicine and Primary Care,10(9),3277.
  23. Pine, J.,Stevenson, L.,On, J.(2020).Intestinal stomas.Surgery,38(1),51-57.
  24. Prieto, L.,Thorsen, H.,Juul, K.(2005).Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy.Health and Quality of Life Outcomes,3(1),1-10.
  25. Rawla, P.,Sunkara, T.,Barsouk, A.(2019).Epidemiology of colorectal cancer: Incidence, mortality, survival, and risk factors.Przeglad Gastroenterologiczny,14(2),89.
  26. Salati, S. A.(2021).Smartphone photography for smart assessment of post-surgical wounds-an experience during the COVID-19 pandemic.Polski Przeglad Chirurgiczny,94(1),70-74.
  27. Salomé, G. M.,Almeida, S. A. D.,Silveira, M. M.(2014).Quality of life and self-esteem of patients with intestinal stoma.Journal of Coloproctology(Rio de Janeiro),34,231-239.
  28. Song, Q.,Liu, C.,Lv, X.,Wang, J.,Yin, G.(2022).Course and predictors of psychological distress among colorectal cancer survivors with ostomies: A longitudinal study.European Journal of Oncology Nursing,59,102170.
  29. Sun, V.,Ercolano, E.,McCorkle, R.,Grant, M.,Wendel, C. S.,Tallman, N. J.,Passeroe, F.,Razaf, S.,Cidav, Z.,Holcomb, M.,Weinstein, R.,Krouse, R. S.(2018).Ostomy telehealth for cancer survivors: Design of the ostomy self-management training (OSMT) randomized trial.Contemporary Clinical Trials,64,167-172.
  30. Sung, H.,Ferlay, J.,Siegel, R. L.,Laversanne, M.,Soerjomataram, I.,Jemal, A.,Bray, F.(2021).Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.CA: A Cancer Journal for Clinicians,71(3),209-249.
  31. Tummalapalli, S.,Machavarapu, V.(2016).Managing mysql cluster data using cloudera impala.Procedia Computer Science,85,463-474.
  32. Wang, Q. Q.,Zhao, J.,Huo, X. R.,Wu, L.,Yang, L. F.,Li, J. Y.,Wang, J.(2018).Effects of a home care mobile app on the outcomes of discharged patients with a stoma: A randomised controlled trial.Journal of Clinical Nursing,27(19-20),3592-3602.
  33. Weinstein, R. S.,Holcomb, M. J.,Mo, J.,Yonsetto, P.,Bojorquez, O.,Grant, M.,Wendel, C. S.,Tallman, N. J.,Ercolano, E.,Cidav, Z.,Hornbrook, M. C.,Sun, V.,McCorkle, R.,Krouse, R. S.(2021).An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial.Journal of medical Internet research,23(9),e26545.
  34. Yiğitoğlu, E. T.,Şendir, M.(2021).Effect of a mobile patient education application on adjustment to stoma and development of peristomal skin lesions: A quasi-experimental study.Wound Management & Prevention,67(12),30-40.
  35. Zelga, P.,Kluska, P.,Zelga, M.,Piasecka-Zelga, J.,Dziki, A.(2021).Patient-related factors associated with stoma and peristomal complications following fecal ostomy surgery: A scoping review.Journal of Wound, Ostomy and Continence Nursing,48(5),415-430.
  36. Zhang, J. E.,Wong, F. K. Y.,You, L. M.,Zheng, M. C.,Li, Q.,Zhang, B. Y.,Huang, M. R.,Ye, X. M.,Liang, M. J.,Liu, J. L.(2013).Effects of enterostomal nurse telephone follow-up on postoperative adjustment of discharged colostomy patients.Cancer Nursing,36(6),419-428.
  37. 行政院性別平等會（2022，4月6日）‧行動電話普及率。https://www.gender.ey.gov.tw/gecdb/Stat_Statistics_DetailData.aspx?sn=mGY7yC9LfqS7JN%24hIdTzjw%40%40
  38. 吳美鳳(2017)。正修科技大學休閒與運動管理系。
  39. 袁媛,程靜嫻,陳倩倩,程玲,丁萍(2018)。尿路造口患者社會心理適應水準及自我護理能力與生活品質的相關性研究。齊魯護理雜誌，24(24)，5-8。
  40. 傅素靚,周小波,葉志弘,居敏,郭丹紅(2014)。泌尿造口自我護理量表的漢化及信效度檢測。中國實用護理雜誌，30(25)，54-55。
  41. 衛生福利部國民健康署（2020，3月16日）‧106年癌症登記報告。https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=269&pid=12235
  42. 衛生福利部國民健康署（2022，4月7日）‧108年癌症登記報告。https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=269&pid=14913
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