Pengembangan Model Edukasi Pelaksanaan Discharge Planning Berbasis Telenursing untuk Meningkatkan Self Care Management Ostomate

  • Etri Selpawani Fredy
  • Saldy Yusuf Universitas Hasanuddin Makassar
  • Syahrul Syahrul Universitas Hasanuddin Makassar
  • Elisa Sinaga RSUP Wahidin Sudirohusodo, Makassar


The purpose of this research is to develop an educational model for implementing discharge planning by utilizing telenursing through creating video content using the METHOD (Medication, Environment, Treatment, Health teaching, Outpatient referral, Diet) approach to improve ostomate self-care management. The research method used was the Delphi studi and this research was conducted in three phases, namely a literature review related to the content and educational model of discharge planning, video content development using the Delphi study accompanied by an evaluation of the validity of the video content by experts, and a pilot study to evaluate the ability of self care management ostomate using the Self Care Agency Scale (SCAS) questionnaire. The research result obtained 17 educational discharge planning items were obtained from the results of the literature review and the Delphi study which were used as video content. The results of the evaluation after the educational intervention showed that there was a significant increase in ostomate self-care management skills (p = 0.000). In conclusion, discharge planning education based on telenursing which is based on the METHOD approach, and provided in video form can be one of the recommendations for interventions in nursing practice to improve ostomate self care management.


Keywords: Discharge Planning Education, Ostomate, Self Care Management


Ambe, P. C., Kurz, N. R., Nitschke, C., Odeh, S. F., Mslein, G., & Zirngibl, H. (2018). Intestinal Ostomy. Deutsches Arzteblatt International, 115(11), 182–187.

Asmuji, A., Faridah, F., & Handayani, L. T. (2018). Implementation of Discharge Planning in Hospital Inpatient Room by Nurses. Jurnal Ners, 13(1), 106.

Carvalho, D. S. de, Silva, A. G. I. da, Ferreira, S. R. M., & Braga, L. C. (2019). Elaboration of an Educational Technology for Ostomized Patients: Peristomal Skin Care. Revista Brasileira de Enfermagem, 72(2), 427–434.

Efendi, S., Sriyanah, N., Wahyuni, A. S., Kumape, E. P. O., & Abbas, V. (2022). Simulation of The Implementation of Nursing Discharge Planning to Reduce Patient Recurrence Rates in Hospitals. International Journal of Community Service (IJCS), 1(2), 237–242.

Fitri, E. Y., Herliawati, & Wahyuhi, D. (2020). Pengembangan Perencanaan Pulang Model LIMA. Jurnal Kesehatan Saelmakers Perdana, 3(2), 186–197.

Halek, M., Holle, D., & Bartholomeyczik, S. (2017). Development and Evaluation of the Content Validity, Practicability and Feasibility of The Innovative Dementia-Oriented Assessment System for Challenging Behaviour in Residents with Dementia. BMC health services research, 17, 1-26.

Halemani, K., Shashidhara, Y. N., & D’Souza, S. R. B. (2021). An evaluative Study to Assess the Effectiveness of A Video-Assisted Teaching Module on Knowledge and Practice Regarding Home-Based Colostomy Care of Children Among Primary Caregivers in Selected Hospital Lucknow, Uttar Pradesh. Indian Journal of Surgical Oncology, 12(1), 146–151.

Happell, B., O’Donovan, A., Sharrock, J., Warner, T., & Gordon, S. (2022). Understanding the Impact of Expert By Experience Roles in Mental Health Education. Nurse Education Today, 111.

Herawati, L. (2018). Pengaruh Edukasi Stoma terhadap Self-Care pada Pasien Stoma Kolon di Rumah Sakit Umum Pusat Haji Adam Malik Medan [Universitas Sumatera Utara Medan]. penelitian menganalisa pengaruh edukasi,Pusat Haji Adam Malik Medan.&text=Hasil kemampuan self care sebelum,mayoritas baik 93%2C20%25.

Herawati, L., Nasution, S. S., & Asrizal. (2019). The Influence of Education About Stoma on Self Care Ability in Patients With Colostomy. International Journal of Current Research, 11(07), 5556–5559.

Howson, R. (2019). Stoma Education for the Older Person Is About Keeping It As Simple As 1, 2, 3. The Journal of Stomal Therapy Australia, 39(3), 20–22.

Institute for health metrics and evaluation, (2020).

Jannah, N., Sukartini, T., & Hidayat, A. A. A. (2019). Discharge Planning Model with Approach of Method in Improving Patients’ Readiness for Discharge in Hospitals. Indian Journal of Public Health Research and Development, 10(1), 288–292.

Kugler, C. M., Breuing, J., Rombey, T., Hess, S., Ambe, P., Grohmann, E., & Pieper, D. (2021). The Effect of Preoperative Stoma Site Marking on Risk of Stoma-Related Complications in Patients with Intestinal Ostomy-Protocol of A Systematic Review and Meta-Analysis. Systematic Reviews, 10(1).

Lim, S. H., Chan, S. W. C., Chow, A., Zhu, L., Lai, J. H., & He, H. G. (2019). Pilot Trial af A STOMA Psychosocial Intervention Programme for Colorectal Cancer Patients with Stomas. Journal of Advanced Nursing, 75(6), 1338-1346.

Luther, B., Wilson, R. D., Kranz, C., & Krahulec, M. (2019). Discharge Processes: What Evidence Tells Us Is Most Effective. Orthopedic Nursing, 38(5), 328–333.

Mamaghani, H. A., Tabrizi, F. J., Seyedrasooli, A., Sarbakhsh, P., Gargari, R. B., Zamanzadeh, V., & Zanboori, V. (2021). Effect of Empowerment Program with and without Telenursing on Self-Efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial. Journal of Caring Sciences, 10(1), 22–28.

Muhsinin, S. zuraida, Huriah, T., & Firmawati, E. (2019). Health Education Video Project dalam Proses Discharge Planning Meningkatkan Kesiapan Keluarga Merawat Pasien Stroke. JHeS (Journal of Health Studies), 3(1), 80–87.

Murken, D. R., & Bleier, J. I. S. (2019). Ostomy-Related Complications. Clinics in Colon and Rectal Surgery, 32(3), 176–182.

Nurhayati, N. (2019). The Quality of Discharge Teaching Perceived by Surgical Nurses Working in Public Hospitals of Indonesia. International Journal of Caring Sciences, 12(1), 100–106.

Nurleli, Sitio, R., & Sidiq, R. (2021). The Structured Discharge Planning Toward Patient’s Readiness in Performing Colostomy Care. Journal Keperawatan, 12(2), 163–170.

Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an Acceptable Indicator of Content Validity? Appraisal and Recommendations. Research in Nursing & Health, 30(4), 459–467.

Salmawati, S., Yusuf, S., & Tahir, T. (2019). Studi Literatur Manfaat Edukasi Berbasis Video dalam Peningkatan Pengetahuan Perawatan Stoma. Jurnal Keperawatan Muhammadiyah, 4(2).

Shohani, M., Mozafari, M., Khorshidi, A., & Lotfi, S. (2018). Comparing the Effects of Face-to-Face and Telenursing Education on The Quality of Family Caregivers Caring in Patients with Cancer. Journal of Family Medicine and Primary Care, 7(6), 1209.

Shrotryia, V. K., & Dhanda, U. (2019). Content Validity of Assessment Instrument for Employee Engagement. SAGE Open, 9(1).

Toffoletto, M. C., & Tello, J. D. A. (2020). Telenursing in Care, Education and Management in Latin America and the Caribbean: An Integrative Review. Revista brasileira de enfermagem, 73, e20190317.

Tonolini, M. (2019). A closer Look at The Stoma: Multimodal Imaging of Patients with Ileostomies and Colostomies. Insights into Imaging, 10(1).

Topham, E. W., Bristol, A., Luther, B., Elmore, C. E., Johnson, E., & Wallace, A. S. (2022). Caregiver Inclusion in IDEAL Discharge Teaching: Implications for Transitions from Hospital to Home. Professional Case Management, 27(4), 181–193.

Wang, S. Y., Chang, T. H., & Han, C. Y. (2021). Effectiveness of a Multimedia Patient Education Intervention on Improving Self-Care Knowledge and Skills in Patients with Colorectal Cancer After Enterostomy Surgery: A Pilot Study. Advances in Skin and Wound Care, 34(2).

Whitehead, A. L., Julious, S. A., Cooper, C. L., & Campbell, M. J. (2016). Estimating The Sample Size for A Pilot Randomised Trial to Minimise The Overall Trial Sample Size for The External Pilot and Main Trial For A Continuous Outcome Variable. Statistical Methods in Medical Research, 25(3), 1057–1073.

Yiğitoğlu, E., & Şendir, M. (2021). Effect of a Mobile Patient Education Application on Adjustment to Stoma and Development of Peristomal Skin Lesions: A Quasi-Experimental Study. Wound Management & Prevention, 67(12), 30–40.

Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal, 11(2), 49–54.
Abstract viewed = 68 times
pdf downloaded = 101 times