Effectiveness of Self-Care Skills Training on Self-Esteem and Quality of Life in 8-12 Year-Old Children With Stoma: A Non-Randomized Controlled Clinical Trial Study



Shahedi Joghan N¹ ; Mohtashami J² ; Alaee Karahroudi F¹ ; Shakeri N³ ; Beykmirza R⁴
Source: HAYAT Published:2019

Abstract

Background & Aim: Stoma in children causes physiological and psychological changes and reduces self-esteem and quality of life. The aim of study is to determine the effectiveness of self-care skills training on self-esteem and quality of life in 8-12 year old children with stoma. Methods & Materials: This study is a non-randomized clinical trial with pretest and posttest design, performed in selected hospitals (Mofid, Hazrat Ali Asghar and Medical Center) in Tehran in 2016-17. A total of 36 children aged 12-8 years with stoma, were selected using the convenience sampling method and divided into two groups of intervention (n=18) and control (n=18). Self-care skills training was performed in six sessions of 45 minutes for the intervention group. The control group received routine care. The Cooper Smith questionnaire and the Kindle quality of life questionnaire were used in this study. Data were analyzed by descriptive and inferential statistics using the SPSS software version 16. Results: The repeated measures analysis of variance showed a significant difference in the quality of life score means over time (P<0.005) and between the two groups of intervention and control (P<0.015). Also, there was a significant difference in the self-esteem score means over time (P=0.004) and between the intervention and control groups (P=0.004). Conclusion: Self-care skills training for 8-12 year-old children with stoma, has increased their self-esteem and quality of life. Therefore, nurses can use self-care skills training for similar patients. Clinical trial registry: IRCT20160802029166N2. © 2019, Tehran University of Medical Sciences (TUMS). All rights reserved.