Nursing Intervention Program for Intestinal Stoma Self-Care: A Focus Group

Authors

  • Igor Emanuel Soares-Pinto Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Enfermagem, Oliveira de Azeméis, Portugal; Universidade Católica Portuguesa, Centro de Investigação Interdisciplinar em Saúde, Porto, Portugal; Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Unidade de Investigação e Desenvolvimento, Oliveira de Azeméis, Portugal https://orcid.org/0000-0003-3739-2020
  • Sílvia Maria Moreira Queirós Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Unidade de Investigação e Desenvolvimento, Oliveira de Azeméis, Portugal; Universidade Católica Portuguesa, Centro de Investigação Interdisciplinar em Saúde, Porto, Portugal https://orcid.org/0000-0002-1884-0134
  • Carla Regina Rodrigues Silva Instituto Politécnico de Viana do Castelo, Escola Superior de Saúde, Viana do Castelo, Portugal; Instituto Português de Oncologia do Porto Francisco Gentil EPE, Porto, Cirurgia, Porto, Portugal; Universidade Católica Portuguesa, Faculdade de Ciências da Saúde e Enfermagem, Porto, Portugal https://orcid.org/0000-0001-5147-2751
  • Paulo Jorge Pereira Alves Universidade Católica Portuguesa, Faculdade de Ciências da Saúde e Enfermagem, Porto, Portugal https://orcid.org/0000-0002-6348-3316
  • Célia Samarina Vilaça Brito Santos Escola Superior de Enfermagem do Porto, Porto, Portugal https://orcid.org/0000-0001-9198-2668
  • Maria Alice Correia Brito Escola Superior de Enfermagem do Porto, Porto, Portugal https://orcid.org/0000-0003-4414-4383

DOI:

https://doi.org/10.12707/RVI25.16.39839

Keywords:

self-care, ostomy, nurses, patient education as topic, qualitative research

Abstract

Background: Specific and systematic nursing interventions for self-care promotion positively influence the process of adapting to life with a stoma.

Objective: To analyze nurses’ perspectives on a nursing intervention program for promoting self-care in people with an intestinal stoma.

Methodology: Qualitative study using focus groups for data collection. A convenience sample of nine participants was used. The COnsolidated criteria for Reporting Qualitative research checklist was followed.

Results: The participants agreed with the program as a whole, recognizing its systematic organization and its content designed to promote self-care.
A subsequent analysis of the focus group meeting revealed four themes that sparked discussion among the participants: organization and resources, criteria for patient inclusion and exclusion, appropriate time of interventions, and content specifications

Conclusion: The findings from this study contribute to the development of a nursing intervention program for promoting stoma self-care.

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References

Association of Stoma Care Nurses UK. (2016). ASCN Stoma Care Clinical Guidelines 2016. https://www.sath.nhs.uk/wp-content/uploads/2017/11/Stoma-Care-Guidelines.pdf

Bardin, L. (2015). Análise de Conteúdo (1a edição). Edições 70. Boutry, E., Bertrand, M., Ripoche, J., Alonso, S., Bastide, S., & Prudhomme, M. (2020). Quality of life in colostomy patients practicing colonic irrigation: An observational study. Journal of Visceral Surgery, 158. https://doi.org/10/gqj636

Capilla-Diaz, C., Bonill-de las Nieves, C., Milena Hernandez-Zambrano, S., MontoyaJuarez, R., Miguel Morales-Asencio, J., Nieves Perez-Marfil, M., & Hueso Montoro, C. (2019). Living With an Intestinal Stoma: A Qualitative Systematic Review. Qualitative Health Research, 29(9), Artigo 9. https://doi.org/10.1177/1049732318820933

Cengiz, B., Bahar, Z., & Canda, A. E. (2020). The Effects of Patient Care Results of Applied Nursing Intervention to Individuals With Stoma According to the Health Belief Model. Cancer Nursing, 43(2), E87–E96. https://doi.org/10.1097/NCC.0000000000000678

Dias, A. S. L., Pinto, I. E. S., Queirós, S. M. M., Pereira, R. D., Mendes, Z., & Romano, S. (2024). Prevalência, incidência e caracterização sociodemográfica e clínica das pessoas com estoma de eliminação em Portugal. Revista de Enfermagem Referência,1–10. https://doi.org/10.12707/RVI23.103.32565

Krueger, R. A., & Casey, M. A. (2014). Focus Groups: A Practical Guide for Applied Research (5th edition). SAGE Publications, Inc. https://uk.sagepub.com/en-gb/eur/book/focus-groups-6

Lampert, A., Wien, K., Haefeli, W. E., & Seidling, H. M. (2016). Guidance on how to achieve comprehensible patient information leaflets in four steps. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 28(5), 634–638. https://doi.org/10.1093/intqhc/mzw077

Millard, R., Cooper, D., & Boyle, M. J. (2020). Improving Self-Care Outcomes in Ostomy Patients via Education and Standardized Discharge Criteria. Home Healthcare Now, 38(1), 16–23. Scopus. https://doi.org/10.1097/NHH.0000000000000816

Müller, C., Bergmann, M., Stift, A., Argeny, S., Speake, D., Unger, L., & Riss, S. (2020). Restoration of intestinal continuity after stoma formation for Crohn’s disease in the era of biological therapy. Wiener Klinische Wochenschrift, 132(1), 12–18. https://doi.org/10/grqtzx

Pimentel, R. F. (2018). Avaliação, adequação e simplificação de informação de saúde. https://run.unl.pt/handle/10362/73719

Regulamento da Competência Acrescida Diferenciada e Avançada em Estomaterapia, 86/2019, Diário da República n.o 86/2019, o Série II de 2019-05-06 (2019). https://dre.pt/application/conteudo/122217242

Skivington, K., Matthews, L., Simpson, S. A., Craig, P., Baird, J., Blazeby, J. M., Boyd, K. A., Craig, N., French, D. P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M., & Moore, L. (2021). Framework for the development and evaluation of complex interventions: Gap analysis, workshop and consultation-informed update. Health Technology Assessment, 25(57), 1–132. https://doi.org/10.3310/hta25570

Soares-Pinto, I., Braga, A. M. P., Santos, I. M. R. M. A., Ferreira, N. M. R. G., Silva, S. C. da R. E., & Alves, P. J. (2023). eHealth Promoting Stoma Self-care for People With an Elimination Ostomy: Focus Group Study. JMIR Human Factors, 10, e39826.

https://doi.org/10.2196/39826

Soares-Pinto, I. E., Queirós, S. M. M., Alves, P. J. P., Carvalho, T. M. S., Santos, C. S. V. de B., & Brito, M. A. C. de. (2022). Nursing Interventions to Promote Self-Care in a Candidate for a Bowel Elimination Ostomy: Scoping Review. Aquichan, 22(1), Artigo

1. https://doi.org/10.5294/aqui.2022.22.1.2

Soares-Pinto, I. E., Queirós, S. M. M., Alves, P. J. P., Santos, C. S. V. de B., & Brito, M. A. C. (2022). Promotion of bowel elimination ostomy self-care: A qualitative study based on the nurses’ and patients’ perspectives. Nursing Practice Today, 9(4), 337–348.

https://doi.org/10.18502/npt.v9i4.11205

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042

United Ostomy Associations of America, Inc. (2024). New Ostomy Patient Guide. https://www.ostomy.org/wp-content/uploads/2024/04/UOAA-New-Ostomy-Patient-Guide-2024-04.pdf

Wen, S.-L., Li, J., Wang, A.-N., Lv, M.-M., Li, H.-Y., Lu, Y.-F., & Zhang, J.-P. (2019). Effects of transtheoretical model-based in tervention on the self-management of patients with an ostomy: A randomised controlled trial. Journal of Clinical Nursing, 28(9–10),

Artigo 9–10. Scopus. https://doi.org/10.1111/jocn.14731

Wongkietkachorn, A., Wongkietkachorn, N., & Rhunsiri, P. (2018). Preoperative Needs-Based Education to Reduce Anxiety, Increase Satisfaction, and Decrease Time Spent in Day Surgery: A Randomized Controlled Trial. World Journal of Surgery, 42(3), 666–674. https://doi.org/10/gczkjf

Published

2025-09-02

How to Cite

Soares-Pinto, I. E., Queirós , S. M. M., Silva, C. R. R., Alves, P. J. P., Santos, C. S. V. B., & Brito, M. A. C. (2025). Nursing Intervention Program for Intestinal Stoma Self-Care: A Focus Group. Journal of Nursing Referência, 6(4), 1–8. https://doi.org/10.12707/RVI25.16.39839

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Section

Research Articles