A Health Mobile Application for Self-Care of Colostomy Patients

 

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Abstract

Introduction and Objective In most cases, due to the failure of nonsurgical methods in the treatment of diseases related to the colon, it is necessary to perform colostomy as the main treatment method. However, this surgery can cause a wide range of physical, social, and psychological problems in patients. Therefore, in order to prevent and treat the complications of colostomy, it is necessary to adopt measures in the field of self-care and continuous education for patients to control the complications of the disease, seek treatment, and experience improvements in their quality of life . Additionally, considering the role of mobile health (mHealth) applications in facilitating continuous and effective training, and improving self-care for these patients, the aim of the present study was to design and evaluate an mHealth application for self-care of colostomy patients.

Materials and Methods In the present applied research, first the functional requirements of the software were determined considering the self-care requirements of colostomy patients. Then, the software was designed based on object-oriented analysis, and according to it, the application was coded in Java and developed in the Android Studio environment. Finally, to evaluate the software, the opinions and comments of 5 gastroenterologists and 10 adult colostomy patients in the age range between 27 and 64 years who had at least a high school diploma were used as the basis of judgment at this stage. The instruments used in the evaluation included a checklist, derived from three standard questionnaires (the System Usability Scale [SUS], the mHealth App Usability Questionnaire [MAUQ], and the User Version of the Mobile Application Rating Scale [uMARS]) to measure the user-friendliness indicator, and a researcher-made checklist to measure the performance indicator of the various services provided.

Results The services of the software developed include the provision of medical information and self-care instructions regarding colostomy surgery, as well as alerts for the user to schedule an appointment with a doctor and the time to take medications. Based on the results of the evaluation stage, the users were generally satisfied with the interface, services, and general features of the software. In general, the software was evaluated at the “acceptable” level, with a rate of 85%.

Discussion and Conclusion Based on the findings of the current research, the software developed can be significantly effective in facilitating the education of colostomy patients and improving their self-care. Proper and continuous self-care and education for colostomy patients is necessary to prevent and control complications resulting from surgery and to improve their quality of life. Therefore, in addition to patients, all health care staff, organizations, and associations which support colostomy patients can also use this software to educate patients and improve the care provided to them.

Publication History

Received: 14 September 2023

Accepted: 10 January 2024

Article published online:
11 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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• References

• 1 Hinkle JL, Cheever KH. Brunner and Suddarth's textbook of medical-surgical nursing. Wolters Kluwer India Pvt Ltd; 2018
  Google Scholar
• 2 The National Health Service (NHS). 2020 . Available on: https://www.nhs.uk/search/results?q=colostomy
  PubMed
• 3 MedlinePlus Medical Encyclopedia. 2021 . Available on: https://medlineplus.gov/ency/article/002942.htm
  PubMed
• 4 Naseh L, Rafii F, Moghadasi J, Yousefi F. Quality of Life and its Dimensions in Ostomates. Journal of Clinical Nursing and Ostomates. Journal of Clinical Nursing and Midwifery 2012; 1 (01) 10-22
  Google Scholar
• 5 World Health Organization (WHO). 2020 . Available on: https://gco.iarc.fr/today/home
  PubMed
• 6 Shahidi S, Farajniya S. The Design and Validation of Spiritual outlook Measurement Questionnaire. Ravanshenasi Va Din. 2012; 5 (03) 97-115
  Google Scholar
• 7 Parchami IM, Ahmadi Z. Effect of telephone counselling (telenursing) on the quality of life of the patients with colostomy. 2016: 123-130
  PubMedGoogle Scholar
• 8 Ahmadi F, Aghabarari M, Mohammadi E, Hajizadeh E, Farahani A. Physical, spiritual, psychological and social dimensions of quality of life in breast cancer women receiving chemotherapy. Nurs Res 2006; 3: 55-65
  Google Scholar
• 9 HawksJ. H. Medical-surgicalnursingclinicalmanagementforpositiveoutcomes. Saunders/Elsevier; 2009
  Google Scholar
• 10 World Health Organization (WHO). 2021 . Available on: https://www.who.int/reproductivehealth/self-care-interventions/definitions/en/
  PubMed
• 11 Pittman J, Bakas T, Ellett M, Sloan R, Rawl SM. Psychometric evaluation of the ostomy complication severity index. J Wound Ostomy Continence Nurs 2014; 41 (02) 147-157
  CrossrefPubMedGoogle Scholar
• 12 RNAO Supporting Adults who Anticipate or Live with an Ostomy 2019. Available on: https://rnao.ca/bpg/guidelines/ostomy
  Google Scholar
• 13 Mahoney MF. Preoperative preparation of patients undergoing a fecal or urinary diversion. In: Carmel JE, Colwell JC, Goldberg MT. editors. Wound, Ostomy and Continence Nurses Society. Core Curriculum: Ostomy Management. USA: Kluwer; 2016: 99-112
  Google Scholar
• 14 Colwell JC. Postoperative nursing assessment management. In: Carmel JE, Colwell JC, Goldberg MT. editors. Wound, Ostomy and Continence Nurses Society. Core Curriculum: Ostomy Management. USA: Wolters Kluwer; 2016: 113-119
  Google Scholar
• 15 Grant M, McCorkle R, Hornbrook MC, Wendel CS, Krouse R. Development of a chronic care ostomy self-management program. J Cancer Educ 2013; 28 (01) 70-78
  CrossrefPubMedGoogle Scholar
• 16 Miller D, Pearsall E, Johnston D, Frecea M, McKenzie M. Ontario Provincial ERAS Enterostomal Therapy Nurse Network. Executive Summary: enhanced recovery after surgery best practice guideline for care of patients with a fecal diversion. J Wound Ostomy Continence Nurs 2017; 44 (01) 74-77
  CrossrefPubMedGoogle Scholar
• 17 Lynn P. Taylor's clinical nursing skills: a nursing process approach. Lippincott & Wilkins; 2018
  Google Scholar
• 18 Canobbio MM. Mosby's handbook of patient teaching. Vol. 13. Elsevier Health Sciences; 2017
  Google Scholar
• 19 Wasio VH. Psychological distress and physical symptom experience in post-surgical colorectal cancer patients. [Dissertation]. Manitoba: University of Manitoba; 2005
  Google Scholar
• 20 Black PK. Psychological, sexual and cultural issues for patients with a stoma. Br J Nurs 2004; 13 (12) 692-697
  CrossrefPubMedGoogle Scholar
• 21 Gordon EJ, Prohaska TR, Gallant M, Siminoff LA. Self-care strategies and barriers among kidney transplant recipients: a qualitative study. Chronic Illn 2009; 5 (02) 75-91
  CrossrefPubMedGoogle Scholar
• 22 Huang JP, Hsia MC, Linge Y. A comparison of multimedia to improve knowledge, control, and self-care among people with diabetes in Taiwan. Public Health Nurs 2009; 26 (04) 3173-28
  CrossrefPubMedGoogle Scholar
• 23 Silva BMC, Rodrigues JJ, de la Torre Díez I, López-Coronado M, Saleem K. Mobile-health: A review of current state in 2015. J Biomed Inform 2015; 56: 265-272
  CrossrefPubMedGoogle Scholar
• 24 Choi J, Cho Y, Woo H. mHealth approaches in managing skin cancer: Systematic review of evidence-based research using integrative mapping. Journal of Medical Internet Research mHealth and uHealth. 2018
  PubMedGoogle Scholar
• 25 Kirwan M. Developing and evaluating smartphone applications to improve health behaviours and chronic disease self-management [dissertation]. Queensland: Central Queensland University; 2012
  Google Scholar
• 26 Farshidi D, Craft N, Ochoa MT. Mobile teledermatology: As doctors and patients are increasingly mobile, technology keeps us connected. Skinmed 2011; 9 (04) 231-238
  PubMedGoogle Scholar
• 27 Nasi G, Cucciniello M, Guerrazzi C. The role of mobile technologies in health care processes: the case of cancer supportive care. J Med Internet Res 2015; 17 (02) e26
  CrossrefPubMedGoogle Scholar
• 28 Luxton DD, McCann RA, Bush NE, Mishkind MC, Reger GM. mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Prof Psychol Res Pr 2017; 42 (06) 505-512
  CrossrefGoogle Scholar
• 29 Crawford D, Texter T, Hurt K, VanAelst R, Glaza L, Vander Laan KJ. Traditional nurse instruction versus 2 session nurse instruction plus DVD for teaching ostomy care: a multisite randomized controlled trial. J Wound Ostomy Continence Nurs 2012; 39 (05) 529-537
  CrossrefPubMedGoogle Scholar
• 30 Olla P. ve, Shimskey C. mHealth taxonomy: a literature survey of mobile health applications. Health Technol (Berl) 2015; 4 (04) 299-308
  CrossrefGoogle Scholar
• 31 Menzi N, Önal N, Çalışkan E. Mobil teknolojilerin eğitim amaçlı kullanımına yönelik akademisyen görüşlerinin teknoloji kabul modeli çerçevesinde incelenmesi. Ege Eğitim Dergisi. 2012; 13 (01) 40-55
  Google Scholar
• 32 Stoyanov SR, Hides L, Kavanagh DJ, Wilson H. Mobile Application Rating Scale: User Version (uMARS). (appears in: Development and Validation of the User Version of the Mobile Application Rating Scale (uMARS).) Copyright: Creative Commons License. 2016
  PubMedGoogle Scholar
• 33 Brooke J. SUS-A quick and dirty usability scale. Usability evaluation in industry. 1996 ; 189(194), 4–7
  PubMedGoogle Scholar
• 34 Zhou L, Bao J, Setiawan IM. A, Saptono A, Parmanto B. The mHealth App Usability Questionnaire (MAUQ): development and validation study. JMIR Mhealth Uhealth 2019
  PubMedGoogle Scholar
• 35 Mustafa N, Safii NS, Jaffar A. et al. Malay Version of the mHealth App Usability Questionnaire (M-MAUQ): Translation, Adaptation, and Validation Study. JMIR Mhealth Uhealth 2021; 9 (02) e24457
  CrossrefPubMedGoogle Scholar
• 36 Yigitoglu ET, Sendir M. Mobile Application in Stoma Care Education: STOMA-M. J Educ Res Nurs 2021; 18 (02) 210-216
  Google Scholar
• 37 Cardoso IA. et al. A new APP for prevention and treatment of complications of intestinal peristomal skin. J Coloproctol (Rio J) 2020; 40: 120-128
  Article in Thieme ConnectGoogle Scholar
• 38 Morss-Walton PC, Yi JZ, Gunning ME, McGee JS. Ostomy 101 for dermatologists: Managing peristomal skin diseases. Dermatol Ther 2021; 34 (05) e15069
  PubMedGoogle Scholar
• 39 Qing-qing W, Zhao J, Huo X. et al. Effects of a home care mobile app on the outcomes of discharged patients with a stoma: A randomised controlled trial. J Clin Nurs 2018; •••: 3592-3602
  Google Scholar
• 40 Kim BY, Park KJ, Ryoo SB. et al. Effects of a mobile educational program for colorectal cancer patients undergoing the enhanced recovery after surgery. Open Nurs J 2018; 12: 142-154
  CrossrefPubMedGoogle Scholar
• 41 Grainne V, Geraldine P, Eustace-Cook J, Byrne G. Use of mHealth apps by nurses in the management of chronic wounds: a scoping review protocol. JBI Evid Synth 2021 ;19(10):2783–2789
  PubMedGoogle Scholar
• 42 Yin AL, Hachuel D, Pollak JP, Scherl EJ, Estrin D. Digital health apps in the clinical care of inflammatory bowel disease: scoping review. J Med Internet Res 2019; 21 (08) e14630
  CrossrefPubMedGoogle Scholar