Keywords
stoma self-care
educational needs
motivation
educational diagnosis form
Mokken scaling
Abstract
Introduction
In stoma care, patient education is often weak in terms of improving patientsâ level of acceptance of living with a stoma. Self-care educational interventions in enterostomal patients, which according to Oremâs Theory should take into account these patientsâ specific needs, require instruments that measure patientsâ stoma acceptance to improve motivation based on the resumption of activities they used to carry out before having a stoma.Â
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Methods
The aim was to develop an instrument that measures the level of stoma acceptance to improve motivation to adhere to enterostoma self-care.
Aspects that improve stoma acceptance and consequently motivation to adhere to enterostoma self-care were identified through 10 focus groups. In the focus groups, the motivation indicators were grouped, categorised and results entered into a Stoma Acceptance Questionnaire (SAQ). The SAQ was then piloted with 104 enterostomal patients from three general hospitals. The SAQ latent structure was explored using nonparametric item response theory.
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Results
A three-factor structure was demonstrated for the 16 items of the SAQ: Autonomy and normality; Self-determination and normality; and Trust and burden. Mokken Scaling identified the âresumption of enterostomal patientsâ normal activitiesâ as a measure of stoma acceptance.Â
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Discussion
The SAQ could enable nurses to adopt a standardized approach to the assessment of enterostomal patientsâ motivation to resume their normal activities and identify needs linked to this. The SAQ could also be used to measure the effectiveness of psychosocial and educational interventions aimed at improving stoma acceptance.
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