Details

Autor(en) / Beteiligte

• Wang, Qing‐Qing
• Zhao, Jing
• Huo, Xiao‐Rong
• Wu, Ling
• Yang, Li‐Fang
• Li, Ju‐Yun
• Wang, Jie

Titel

Effects of a home care mobile app on the outcomes of discharged patients with a stoma: A randomised controlled trial

Ist Teil von

• Journal of clinical nursing, 2018-10, Vol.27 (19-20), p.3592-3602

Ort / Verlag

England: Wiley Subscription Services, Inc

Erscheinungsjahr

2018

Quelle

Access via Wiley Online Library

Beschreibungen/Notizen

• Aims and objectives To explore the effects of a home care mobile app on the outcomes of stoma patients who discharged from hospital. Background Patients with a newly formed stoma experience many difficulties after surgery. Mobile application (app) has the potential to help patients self‐manage their diseases and adjust to the changes in their lives and is a convenient way to ensure the continuity of care. However, there is a lack of studies about the effects of a mobile app on the transitional care for improving discharged stoma‐related health outcomes. Design A randomised controlled trial. Methods A total of 203 patients with a permanent stoma in tertiary hospitals in China were randomly assigned into two groups. Patients in the control group (n = 103) received routine discharge care. Patients in the intervention group (n = 100) received home care via a mobile app besides routine care. The psychosocial adjustment level, self‐efficacy scale and stoma complications incidence were measured in the follow‐up period and compared between the two groups. Data were collected at four time points: before intervention (baseline), at 1, 3 and 6 months after discharge. Results The psychosocial adjustment level and stoma self‐efficacy score of the intervention group were significantly higher than those of the control group, respectively, at 1‐, 3‐ and 6‐month follow‐up (all p < 0.05). The incidence of stoma complications in the intervention group was tending to reduce at 1, 3 and 6 months after discharge. Conclusion The findings indicated that follow‐up care at home via a mobile app can effectively improve the psychosocial adjustment level, self‐efficacy scale and other related outcomes of stoma patients. Relevance to clinical practice The home care mobile app is an effective intervention to support the psychosocial adjustment and self‐efficacy of stoma patients after discharge. It ensures the continuity of care and provides nursing guidance for the patients timely.