MODEL EDUKASI PELAKSANAAN DISCHARGE PLANNING PADA PASIEN DENGAN STOMA (OSTOMATE): A SYSTEMATIC REVIEW

Etri Selpawani Fredy, Saldy Yusuf, Syahrul Syahrul

Abstract


ABSTRAK

Pembentukan stoma berisiko menimbulkan komplikasi. Untuk itu, pasien perlu mendapatkan edukasi melalui discharge planning. Namun, saat ini pelaksanaannya belum optimal. Tujuan: Untuk mengidentifikasi variasi model edukasi discharge planning pada ostomate serta pengaruhnya terhadap kemampuan perawatan diri dan penyesuaian ostomate terhadap kondisinya. Metode: Systematic review ini menggunakan pedoman ceklis PRISMA dan pencarian artikel menggunakan database PubMed, ProQuest, Science Direct, Wiley Online Library, dan EBSCO. Kata kunci yang digunakan ialah “Patient Education AND Stoma OR Ostomy OR Colostomy OR Ostomate AND Self-Care” dengan kriteria semua artikel tentang edukasi discharge planning, kemampuan perawatan dan penyesuaian diri ostomate (usia >18 tahun), studi randomized controlled trial (RCT) dan quasi-experiment. Strategi pencarian dengan penyaringan full text, artikel tahun 2017–2022, berbahasa Inggris. Kualitas artikel dinilai menggunakan Critical Appraisal Skills Programme (CASP). Hasil: Enam artikel yang diidentifikasi secara umum menunjukkan bahwa discharge planning berpengaruh terhadap peningkatan kemampuan perawatan diri pasien. Adapun variasi model edukasi discharge planning yang dapat digunakan ialah transtheoritical model (TTM), model NPET, model OMRE, edukasi dengan simulasi, model edukasi terstruktur, dan intervensi edukasi melalui prosedur FOCUS-PDCA. Diskusi: Intervensi edukasi dalam pelaksanaan discharge planning dapat diberikan secara langsung (face-to-face) ataupun melalui pemanfaatan telenursing, dan meskipun berbeda teknik maupun cara implentasinya namun semua model edukasi dari hasil tinjauan sistematik ini telah terbukti memberikan efek positif untuk ostomate. Kesimpulan: Discharge planning yang diimplementasikan secara terstruktur serta memperhatikan isi edukasi, bermafaat bagi peningkatkan kemampuan perawatan diri dan penyesuaian ostomate terhadap kondisinya.

Kata kunci: discharge planning, edukasi, ostomate, stoma

 

Educational Model for Implementing Discharge Planning in Patients with Stoma (Ostomate): A Systematic Review

 

ABSTRACT

Formation of a stoma poses risks of complications; hence, patients need education through discharge planning, yet its implementation is currently suboptimal. Objective: To identify variations in education models of discharge planning for ostomates and their impact on self-care ability and adjustment of ostomates to their condition. Methods: This Systematic Review followed PRISMA checklist guidelines, and article searches were conducted using PubMed, ProQuest, Science Direct, Wiley Online Library, and EBSCO databases. Keywords used were "Patient Education AND Stoma OR Ostomy OR Colostomy OR Ostomate AND Self-Care" with criteria of all articles on discharge planning education, ostomate self-care ability, and adjustment (age >18 years), Randomized Controlled Trial (RCT), and quasi-experiment studies. The search strategy included full-text screening, articles from 2017-2022, and English language. Article quality was assessed using the Critical Appraisal Skills Programme (CASP). Results: Six identified articles generally influenced the improvement of patients' self-care abilities. Various models of discharge planning education identified were transtheoretical model (TTM), NPET model, OMRE model, education with simulation, structured education model, and FOCUS-PDCA procedure education intervention. Discussion: Education interventions in implementing discharge planning can be provided directly (face-to-face) or through tele-nursing, and although different in techniques and implementation methods, all education models from this systematic review have been proven to affect ostomates positively. Conclusion: Structured implementation of discharge planning considering education content is beneficial for improving self-care abilities and the adjustment of ostomates to their condition.

Keywords: discharge planning,education, ostomate,  stoma


References


Abdelmohsen, S. (2020). Effectiveness of structured education on patient’s knowledge and practice regarding colostomy care. Asia-Pacific Journal of Oncology Nursing, 7(4): 370-374. https://doi.org/10.4103/apjon.apjon_24_20

Asmuji, ., Faridah, F., & Handayani, L. T. (2018). Implementation of discharge planning in hospital inpatient room by nurses. Jurnal Ners, 13(1): 106-113. https://doi.org/10.20473/jn.v13i1.5942.

Asmuji, A. & Faridah, F. (2020). Indeks kepuasan pasien terhadap pelaksanaan discharge planning oleh perawat di ruang rawat inap rumah sakit. The Indonesian Journal of Health Sciences, 12(1): 26-33.

Carvalho, D. S., Silva, A. G. I., 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.

de Sousa, M. J., Andrade, S. S. da C., de Brito, K. K. G., Matos, S. D. de O., Coelho, H. F. C., & Oliveira, S. H. dos S. (2016). Características sociodemográficas e clínicas e qualidade de vida de pessoas com estomia intestinal. Journal of Coloproctology, 36(1): 27–33. https://doi.org/10.1016/j.jcol.2015.12.005.

Fernandes-Sousa, C. P., Brito-Santos, C. S., Fernandes-Sousa, C. P., & Brito-Santos, C. S. (2020). Effect of a stoma nursing care program on the adjustment of patients with an ostomy. Aquichan, 20(1): e2014. https://doi.org/10.5294/AQUI.2020.20.1.4.

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.

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.

Hayajneh, A. A., Hweidi, I. M., & Abu Dieh, M. W. (2020). Nurses’ knowledge, perception and practice toward discharge planning in acute care settings: A systematic review. Nursing Open, 7(5): 1313–1320. https://doi.org/10.1002/nop2.547.

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.

Institute for Health Metrics and evaluation. (2020). GBD compare: Global both sexes, all ages, 2019, DALYs. Retrieved from 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.

Jenkinson, J., Wheeler, A., Wong, C., & Mussells Pires, L. (2020). Hospital discharge planning for people experiencing homelessness leaving acute care: A neglected issue. Healthcare Policy, 16(1): 14–21. https://doi.org/10.12927/HCPOL.2020.26294.

Jin, Y., Li, C., Zhang, X., Jin, Y., Yi, L., & Cui, J. (2021). Effect of FOCUS-PDCA procedure on improving self-care ability of patients undergoing colostomy for rectal câncer. Revista Da Escola de Enfermagem Da U S P, 55: 1–7. https://doi.org/10.1590/S1980-220X2020012503729.

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): 146. https://doi.org/10.1186/s13643-021-01684-8.

Lin, C. J., Cheng, S. J., Shih, S. C., Chu, C. H., & Tjung, J. J. (2012). Discharge planning. International Journal of Gerontology, 6(4): 237–240. https://doi.org/10.1016/j.ijge.2012.05.001.

Malara, R. T., & Syahrul, S. (2019). Effect of nurse-led educational interventions on self-care of adult patients with heart failure: A systematic review. Jurnal Keperawatan, 130(2): 130–138. https://doi.org/10.22219/jk.v10i2.6509.

Megawaty, I., & Syahrul, S. (2017). Educational interventions using the belief health model approach in diabetes patients : A Literature Review. Indonesian Contemporary Nursing, 4(1): 1–10. https://pdfs.semanticscholar.org/1af3/eb9f26f1ca80689b2006dc2be4b0fd7b6c41.pdf.

Mennuni, M., Gulizia, M. M., Alunni, G., Amico, A. F., Bovenzi, F. M., Caporale, R., …, Zuin, G. (2017). ANMCO Position Paper: Hospital discharge planning: Recommendations and standards. European Heart Journal, Supplement, 19: D244–D255. https://doi.org/10.1093/eurheartj/sux011.

Nurhayati, N., Praneed, S., & Ratjai, V. (2019). The quality of discharge teaching perceived by surgical nurses working in Public Hospitals of Indonesia. International Journal of Caring Sciences, 12(1): 100.

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://ejournal.umm.ac.id/index.php/keperawatan/article/view/16907/10120.

Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. TheBritish Medical Journal, 372: n71. https://doi.org/10.1136/bmj.n71.

Pouresmail, Z., Nabavi, F. H., Abdollahi, A., Shakeri, M. T., & Saki, A. (2019). Effect of using a simulation device for ostomy self-care teaching in Iran: A pilot, randomized clinical trial. Wound Management and Prevention, 65(6): 30–39. https://doi.org/10.25270/wmp.2019.6.3039.

Salmawati, S., Yusuf, S., & Tahir, T. (2019). Studi Literatur manfaat edukasi berbasis vidio dalam peningkatan pengetahuan perawatan stoma. Jurnal Keperawatan Muhammadiyah Edisi Khusus, 165-170. https://scholar.google.co.id/citations?view_op=view_citation&hl=id&user=DergEhkAAAAJ&citation_for_view=DergEhkAAAAJ:pqnbT2bcN3wC.

Schmidt, L., Olorisade, B. K., McGuinness, L. A., Thomas, J., & Higgins, J. P. T. (2021). Data extraction methods for systematic review (semi)automation: A living systematic review. F1000Research, 10: 1–35. https://doi.org/10.12688/f1000research.51117.1

Seo, H. W. (2019). Effects of the frequency of ostomy management reinforcement education on self-care knowledge, self-efficacy, and ability of stoma appliance change among Korean hospitalised ostomates. International Wound Journal, 16: 21–28. https://doi.org/10.1111/iwj.13047.

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): 1209-1215. https://doi.org/10.4103/jfmpc.jfmpc_317_18.

The Joanna Briggs Institute. (2017). Critical appraisal checklist for quasi-experimental studies. Retrieved from https://jbi.global/sites/default/files/2019-05/JBI_Quasi-Experimental_Appraisal_Tool2017_0.pdf.

Vijayalakshmi, P., Kathyayani, B. V., Hatti, N. M. H., Reddemma, K., Manjunatha, M., Kumar, C. N., & Math, S. B. (2020). NIMHANS-Telenursing practice guidelines. Retrieved from https://nimhans.ac.in/wp-content/uploads/2020/12/TeleNursing-Practice-Guideline-2020.pdf.

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): 1-6. https://doi.org/10.1097/01.ASW.0000725192.98920.C4.

Wen, . L., Li, J., Wang, A. N., Lv, M. M., Li, H. Y., Lu, Y. F., & Zhang, J. P. (2019). Effects of transtheoretical model-based intervention on the self-management of patients with an ostomy: A randomised controlled trial. Journal of Clinical Nursing, 28(9–10): 1936–1951. https://doi.org/10.1111/jocn.14731.

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




DOI: http://dx.doi.org/10.32419/jppni.v8i3.463

Article Metrics

Abstract view : 194 times
PDF (Bahasa Indonesia) - 82 times

Refbacks

  • There are currently no refbacks.


 

Creative Commons License
Jurnal PPNI (P-ISSN: 2503-1376 ; E-ISSN: 2549-8576)