Pengembangan Model Edukasi Pelaksanaan Discharge Planning Berbasis Telenursing untuk Meningkatkan Self Care Management Ostomate
Abstract
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
References
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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. https://doi.org/10.55299/ijcs.v1i2.284
Fitri, E. Y., Herliawati, & Wahyuhi, D. (2020). Pengembangan Perencanaan Pulang Model LIMA. Jurnal Kesehatan Saelmakers Perdana, 3(2), 186–197. http://ojs.ukmc.ac.id/index.php/JOH%0Apengembangan
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. https://doi.org/10.1186/s12913-017-2469-8
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. https://doi.org/10.1007/s13193-020-01268-3
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. https://doi.org/10.1016/J.NEDT.2022.105324
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Murken, D. R., & Bleier, J. I. S. (2019). Ostomy-Related Complications. Clinics in Colon and Rectal Surgery, 32(3), 176–182. https://doi.org/10.1055/s-0038-1676995
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. https://search.proquest.com/scholarly-journals/quality-discharge-teaching-perceived-surgical/docview/2236688691/se-2?accountid=25704
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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. https://doi.org/10.1002/NUR.20199
Salmawati, S., Yusuf, S., & Tahir, T. (2019). Studi Literatur Manfaat Edukasi Berbasis Video dalam Peningkatan Pengetahuan Perawatan Stoma. Jurnal Keperawatan Muhammadiyah, 4(2). http://dx.doi.org/10.30651/jkm.v4i2.2292
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. https://doi.org/10.4103/jfmpc.jfmpc_317_18
Shrotryia, V. K., & Dhanda, U. (2019). Content Validity of Assessment Instrument for Employee Engagement. SAGE Open, 9(1). https://doi.org/10.1177/2158244018821751
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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. https://doi.org/10.1097/NCM.0000000000000563
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). https://doi.org/10.1097/01.ASW.0000725192.98920.C4
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. https://doi.org/10.1177/0962280215588241
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. https://doi.org/10.25270/wmp.2021.12.3040
Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6
Asmuji, A., Faridah, F., & Handayani, L. T. (2018). Implementation of Discharge Planning in Hospital Inpatient Room by Nurses. Jurnal Ners, 13(1), 106. https://doi.org/10.20473/jn.v13i1.5942
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. https://doi.org/10.1590/0034-7167-2016-0024
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. https://doi.org/10.55299/ijcs.v1i2.284
Fitri, E. Y., Herliawati, & Wahyuhi, D. (2020). Pengembangan Perencanaan Pulang Model LIMA. Jurnal Kesehatan Saelmakers Perdana, 3(2), 186–197. http://ojs.ukmc.ac.id/index.php/JOH%0Apengembangan
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. https://doi.org/10.1186/s12913-017-2469-8
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. https://doi.org/10.1007/s13193-020-01268-3
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. https://doi.org/10.1016/J.NEDT.2022.105324
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]. https://repositori.usu.ac.id/handle/123456789/11382#:~:text=Tujuan 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. https://doi.org/10.24941/ijcr.36002.07.2019
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. https://doi.org/10.33235/jsta.39.3.20-22
Institute for health metrics and evaluation, (2020). https://vizhub.healthdata.org/gbd-compare/
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. https://doi.org/10.5958/0976-5506.2019.00057.3
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). https://doi.org/10.1186/S13643-021-01684-8
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. https://doi.org/10.1111/jan.13973
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. https://doi.org/10.1097/NOR.0000000000000601
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. https://doi.org/10.34172/jcs.2021.001
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. https://doi.org/10.31101/jhes.492
Murken, D. R., & Bleier, J. I. S. (2019). Ostomy-Related Complications. Clinics in Colon and Rectal Surgery, 32(3), 176–182. https://doi.org/10.1055/s-0038-1676995
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. https://search.proquest.com/scholarly-journals/quality-discharge-teaching-perceived-surgical/docview/2236688691/se-2?accountid=25704
Nurleli, Sitio, R., & Sidiq, R. (2021). The Structured Discharge Planning Toward Patient’s Readiness in Performing Colostomy Care. Journal Keperawatan, 12(2), 163–170. https://doi.org/10.22219/JK.V1212.16907
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. https://doi.org/10.1002/NUR.20199
Salmawati, S., Yusuf, S., & Tahir, T. (2019). Studi Literatur Manfaat Edukasi Berbasis Video dalam Peningkatan Pengetahuan Perawatan Stoma. Jurnal Keperawatan Muhammadiyah, 4(2). http://dx.doi.org/10.30651/jkm.v4i2.2292
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. https://doi.org/10.4103/jfmpc.jfmpc_317_18
Shrotryia, V. K., & Dhanda, U. (2019). Content Validity of Assessment Instrument for Employee Engagement. SAGE Open, 9(1). https://doi.org/10.1177/2158244018821751
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. https://doi.org/10.1590/0034-7167-2019-0317
Tonolini, M. (2019). A closer Look at The Stoma: Multimodal Imaging of Patients with Ileostomies and Colostomies. Insights into Imaging, 10(1). https://doi.org/10.1186/s13244-019-0722-x
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. https://doi.org/10.1097/NCM.0000000000000563
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). https://doi.org/10.1097/01.ASW.0000725192.98920.C4
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. https://doi.org/10.1177/0962280215588241
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. https://doi.org/10.25270/wmp.2021.12.3040
Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6
