Effect of Enterostomal Therapist-Led Visual Health Education Combined with Peer Education on the Self-Nursing Ability, Quality of Life and Peristomial Complications in Patients with a Permanent Colostomy

Figures & data

Table 1 Comparison of General Data of Patients Between the Two Groups

Items		The Study Group (N =60)	The CONTROL group (N =60)	t value	P value
Gender	Male/female	37/23	35/25	1.982	0.160
Age (years old)	± s	51.34±11.51	50.41±11.35	1.301	0.197
Height (cm)		157.44±7.42	156.56±10.43	0.891	0.377
BMI (kg /m^2)		19.43±7.63	21.65±8.75	1.371	0.172
Education	Primary school	14	17	3.342	0.188
	Middle school polytechnic school	30	35
	Junior college and above	16	8
Marital status	Unmarried	2	1	1.318	0.725
	Married	51	55
	Divorced	5	3
	Bereft of one’s spouse	2	1
Work	On the job	21	23	0.924	0.630
	Retired	32	33
	Without work	7	4
Mode of medical insurance payment	Provincial health insurance	14	11	8.385	0.078
	Urban employee basic medical insurance	27	41
	Medical insurance for urban residents	3	1
	Rural cooperative medical care	12	4
	Self-financed	4	3
Per capita monthly income of households (RMB)	≤1000	5	7	5.909	0.116
	1001~2000	14	16
	2001~3000	22	29
	>3000	19	8
Housing style	Living alone	5	3	2.633	0.452
	Living with spouse	52	52
	Living with children	2	1
	Others	1	4

Table 2 Repeated Measures Analysis of Variance on Total Scores of Quality of Life, Self-Nursing Ability, and Patient Adaptability Between Both Groups

Item		The Study Group (N=60)	The Control Group (N =60)	F interaction /P interaction value	F time /P time value	F treatment /P treatment value
Quality of life	0 day	23.34±4.67	22.45±5.17	1.387/0.219	144.723/0.001	342.734/0.001
	1 month	52.23±7.87	35.67±7.34
	3 months	65.46±12.28	50.93±13.42
Self-nursing ability	0 day	102.336±13.456	104.223±14.897	2.782/0.102	234.251/0.001	256.321/0.001
	1 month	133.364±15.424	115.548±19.436
	3 months	157.463±20.314	128.345±17.452
Patient adaptability	0 day	132.573±21.427	133.579±23.573	1.652/0.203	411.723/0.001	321.734/0.001
	1 month	164.246±23.578	140.345±21.457
	3 months	185.582±27.354	153.477±25.468

Table 3 Comparison of All Dimensions of Quality of Life, Self-Nursing Ability and Patient Adaptability Between the Two Groups After 3 Months of Intervention

Item		The Study Group (N =60)	The Control Group (N =60)	T value	P value
Quality of life	Social interaction	15.27±4.23	11.49±3.34	5.467	<0.001
	Physical and mental conditions	15.93±4.54	10.76±3.22	6.332	<0.001
	The relationship with families and friends	18.27±4.56	13.56±4.67	7.457	<0.001
	The impact of ostomy bag on patients	14.34±3.67	8.35±4.14	4.579	<0.001
Self-nursing ability	Self-nursing skills	39.23±5.66	27.76±4.66	5.792	<0.001
	Self-responsibility	43.12±6.38	35.57±7.76	7.675	<0.001
	Self-concept	44.67±7.56	36.46±6.19	6.247	<0.001
	Health knowledge level	38.19±7.89	32.55±5.67	7.578	<0.001
Patient adaptability	Physical function	54.78±9.87	47.54±7.74	4.285	<0.001
	Psychological state	66.13±10.23	52.76±5.98	5.762	<0.001
	Social interaction	63.78±10.56	51.36±6.37	6.582	<0.001

Table 4 Comparison of Complications Between the Two Groups

Complications	The Study Group (N=60)	The Control Group (N =60)	χ^2 value	P value
Stoma bleeding	2	15	11.582	<0.001
Skin and mucosal separation	1	17	16.732	<0.001
Stoma edema	3	13	7.212	0.007
Stoma prolapse	4	15	7.566	0.006
Dermatitis around the stoma	1	16	15.420	<0.001

Table 5 Comparison of Patients’ Satisfaction with Nursing Between the Two Groups

Groups	The Study Group (N=60)	The Control Group (N=60)
Very satisfied	35	12
Relatively satisfied	21	25
Dissatisfied	4	23
Z value	−2.968 0.003
P value

Data Sharing Statement

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.