Effects of planned group interactions on the social adaptation of individuals with an intestinal stoma: a quantitative study

Hatice K Karabulut, Leyla Dinç and Ayişe Karadag

Journal of Clinical Nursing, 2014, vol. 23, issue 19-20, 2800-2813

Abstract: Aims and objectives To investigate the effects of a planned group interaction method on the social adjustment of individuals with an intestinal stoma. Background Individuals with a stoma often experience physiological, psychological and social problems that affect their social adaptation. Design Quasi‐experimental. Methods The population included ileostomy and colostomy patients registered at the Gazi University Health Research and Implementation Centre Stoma therapy Unit between September 2011–June 2012. They were assigned to experimental (n = 23) and control (n = 27) groups based on their willingness to attend planned group interaction meetings. Experimental group members participated in the ‘planned group interaction method’ for six weeks. Control group members only received routine care services. Weekly group interaction meetings lasted for average of 90 minutes. The Ostomy Adjustment Inventory and Psychosocial Adjustment to Illness Scale‐Self‐Report Scale were administered to experimental group members on three occasions: prior to the first group meeting, after the six‐week meeting process ended and during the first month after group meetings ended. Control group evaluations were conducted simultaneously. Results Experimental group members' ostomy adjustment mean scores after planned group interaction meetings gradually increased. No changes occurred in the control group's average scores. The experimental and control groups' average psychosocial adjustment scores eventually changed and showed a tendency towards adjustment. Experimental group members aged 51–60 and 61–70, who were married, had primary and higher education, had permanent stomas, had stomas for periods between 12 months or less and 61 months and longer and had sufficient stoma care knowledge demonstrated higher adjustment values (p

Date: 2014
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