J Caring Sci. 2020;9(4): 225-230.
doi: 10.34172/jcs.2020.034
  Abstract View: 60
  PDF Download: 53

Original Research

The Effect of Education with a Family-Centered and Client-Centered Approach on the Quality of Life in Patients with Stoma

Fariba NasiriZiba 1 ORCID logo, Shadie Kanani 2* ORCID logo

1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran
2 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran


Introduction:Colorectal cancer is known as the third leading cause of death from cancer in the world and the second cause of death in developing countries. Family care can positively affect the patient's general health system. The present study was conducted to determine and compare the effect of family-centered and client-centered training approaches on the life quality of individuals with digestive ostomy.
Methods: This is a semi-experimental study conducted on 60 individuals. The individuals participating in the present study were chosen from either those with digestive ostomy or their attendants. The participants fulfilled the requirements (criteria) for entering the present study. For conducting the training procedure, both groups received family-centered or client-centered training. Two months later, the quality of life of the individuals with digestive ostomy was measured once more. The data were then analyzed in SPSS ver.21 by using chi-squared test, paired t-test, and independent t-test.
Results: According to the findings of the present study, there is no significant difference between the family-centered and the client-centered groups in terms of demographic features. By investigating the mean changes of both groups, There was a significant difference between quality of life score and spiritual-psychological aspect of scores before and after the intervention in the family-centered group.
Conclusion: The findings of the present study showed that family-centered education can increase the quality of life for people with gastrointestinal ostomy. This study concluded that family-centered education can be considered an effective intervention in people with gastrointestinal ostomy.
Keywords: Ostomy, Quality of life, Family-centered, Education, Client centered
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Submitted: 01 Nov 2018
Revision: 10 Dec 2018
Accepted: 09 Jan 2019
ePublished: 09 Jan 2019
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