| Abstract [eng] |
A number of stoma patients is increasing both in the world and in Lithuania. Although there has been a considerable progress in surgery techniques and stoma care instruments in Lithuania during the last decade, the preparation of patients for stoma surgery and after-surgery care is still insufficient. Stoma surgery still remains an urgent issue in the physical, social, financial, sexual and psychological aspects. So far the investigation of patients education and the role of medical nurses in preparing patients for stoma surgery was scarce, although lately it is receiving more attention. For this reason, we decided to evaluate the role of medical nurse in preparing patients for stoma surgery. Object of study: to evaluate the role of medical nurse in preparing patients for life with stoma. Tasks of study. To establish the role of a medical nurse in selecting the optimum stoma location. To define the role of a medical nurse in providing patients with information about stoma during pre-surgery period. To define the role of a medical nurse in educating patients on the basic care of stoma, nutrition and bathing peculiarities, also changes in daily habits during the post-surgery period. To define the role of a medical nurse in solving psychological problems of patients. Population of study. 46 patients treated in the Abdominal Surgery Centre of Vilnius University Hospital “Santariškių Clinics“. Methods of study. Object of study: the role of a medical nurse in preparing patients for stoma surgery. A method of direct questionnaire survey was used in the study. A target selection method was used to conduct the survey. The study was started in November 2007 and completed in April 2009. Data obtained during the research were encoded, analysed and processed using SPSS for Windows 13.0 application software. Results and conclusions. According to the data of the study, the optimum location of stoma was discussed only with one third of respondents before the surgery. For most of the respondents the location of stoma was selected by medical nurses. It has been established that only one fifth of the respondents were provided with the information on stoma and stoma care before the surgery, and almost all patients were given such information after the surgery. Surgeon was the main information provider during pre-surgery period. Medical nurses were more active in providing patients with information during post-surgery period. More than half of the respondents were provided with information on nutrition. Such information was provided to them by both the surgeon and medical nurses. One half of the respondents received information about peculiarities of bathing, most of such information was provided by medical nurses. Less than half of the respondents had psychological problems. Mostly family members assisted them in solving such problems. After evaluation it has been established that the role of a medical nurse in selecting the optimum place for stoma is insufficient. It has also been established that pre-surgery informing and educating patients on stoma care is insufficient. Medical nurses mostly participated in providing information and educating patients after the surgery. The role of medical nurses in solving psychological problems was not sufficient. |
