Factors Influencing Patients Understanding of their Stomas

1
Factors Influencing Patients Understanding
of their Stomas

• Una Harrington
• Final Year Project Presentation
• April 2006

2
Introduction

• Education is a prerequisite to understanding ?
  it is only following understanding that benefits
  can occur
• Reduce stress, anxiety and pain post operatively
• Increases adherence to treatment and stoma skill
• Education understanding ?better physical and
  psychological adaptation following stoma surgery

3
Aims and Objectives

• Do age, gender and pre-operative education
  influence the patients understanding of their
  stoma?
• Does the level of understanding post-operatively
  effect the patients perceived level of libido?

4
Methodology
17.What is your stoma an extension of?   A. Your
stomach B. Your bowels C. Your gall
bladder   18.What is the main function of your
stoma?   A. Additional food intake B. Empty the
contents of your bowel C. To cure
infection   19.Can your stoma become
blocked?   Yes No Dont know   20.Can you wear
your normal clothes with the stoma?   Yes No Dont
Know   21.Can your drink alcohol now that you
have a stoma?   Yes No Dont know  

• Cross sectional study
• 28 item questionnaire
• Patient characteristics
• Pre and post op education
• Level of understanding
• Level of perceived libido

• Pilot study
• Questionnaires completed
• Analysis

5
Results

• Understanding score
• ?Minimal score of 3, maximal score of 10 and a
  median score of 6

6
Age and Understanding

• Age associated Impact
• Older people ?lower recall
  
• ?lower understanding
  

• Spearman Correlation Coefficient revealed
• Spearman - 0.577, plt0.05
• The older the patient ? the lower the
  understanding

7
Pre-operative Education and Understanding

• Impact of pre-operative education
• Reduced anxiety
• Increased patient participation
• Increased understanding

• Mann Whitney U test revealed
• Difference in understanding with pre-operative
  education
• Pre-operative education may increase patient
  understanding

8
Gender and Understanding

• Gender associated impact
• Women suffer from higher anxiety than men
• Women require more information at discharge

• Mann Whitney U test revealed
• Difference in understanding between males and
  females
• Females may be at risk of decreased understanding

9
Libido and Understanding

• Impact of stoma on Libido
• Maintenance of sexual function and libido are
  common patient concerns

• Spearman Correlation Coefficient revealed
• Spearman 0.571, Plt0.05
• Greater patient understanding ? greater belief in
  maintained libido

10
Optimising Education and Understanding

• Pre admission clinic
• 8 Step Programme
• Patient Partners
• Accurate, accessible educational tools

11
Thank You

• Questions Welcome