Home Health Versus Telenursing Outpatient Management of Oncology Patients With New Ostomies

2.50
Hdl Handle:
http://hdl.handle.net/10755/165412
Category:
Abstract
Type:
Presentation
Title:
Home Health Versus Telenursing Outpatient Management of Oncology Patients With New Ostomies
Author(s):
Bohnenkamp, S.; McDonald, P.; Krupinski, E.; Lopez, A. M.
Author Details:
S. Bohnenkamp, University of Buffalo at SUNY, School of Nursing, Buffalo, New York, USA; P. McDonald; E. Krupinski; A. M. Lopez
Abstract:
INTRODUCTION: Patients with new ostomies due to a cancer diagnosis have recognized special needs.(1) The patient must not only adjust to the cancer diagnosis, but also to the ostomy.(2) New psychomotor skills must be learned, coupled with the underlying concern of acceptance by the patient, their family, and society. Patient education outcomes include not only the ability to perform self-care, but the ability to return to previous activities performed prior to surgery.(3) The follow up and education may require patients to travel long distances to see enterostomal therapy nurses or clinical nurse specialists. Nurses who specialize in ostomy care and cancer are extremely important to the continuum of care for ostomy patients and their families. PURPOSE: The purpose of this study was to measure the impact of telenursing technology on patients discharged with an ostomy related to a cancer diagnosis. METHOD: Impact was measured by examining costs, patient satisfaction, adjustment to ostomy, and time to achieve ostomy self-care. A quasi-experimental design was used to place 28 oncology patients into one of two groups: 1) traditional home health. 2) The traditional/telenursing combination incorporates home health nursing visits with telenursing technology allowing an ostomy nurse expert to continue ostomy education with the patient and family. Fourteen subjects were assigned to each group. Data was collected on the number of home health visits or telenursing contacts, dates when ostomy self care needs were met, supplies used, and distance traveled. Each patient had a 6-week follow up- satisfaction survey regarding each type of visit. At three months the patients were asked to complete J. Maklebust’s ostomy - adjustment scale.(3) Data were analyzed using correlation, descriptive and inferential techniques. RESULTS: Patients indicated a higher satisfaction with the use of telenursing technology. There was one more home health visit for the home health group per patient An average of three telenursing visits were done on the telenursing group. Cost for the nursing visits for both groups were about equal. The home health group used an average of four more pouches per patient, with an increased cost of $52.00 per patient. The telenursing group agreed more often (100% versus 89%) that the nurse seemed to understand the patients’ problem and the patient was comfortable with what the nurse told them about their ostomy. CONCLUSION: The results indicate that home health/telenursing is a viable option to support patients discharged from the hospital with new ostomies related to a cancer diagnosis.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2003
Conference Name:
28th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Denver, Colorado, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleHome Health Versus Telenursing Outpatient Management of Oncology Patients With New Ostomiesen_GB
dc.contributor.authorBohnenkamp, S.en_US
dc.contributor.authorMcDonald, P.en_US
dc.contributor.authorKrupinski, E.en_US
dc.contributor.authorLopez, A. M.en_US
dc.author.detailsS. Bohnenkamp, University of Buffalo at SUNY, School of Nursing, Buffalo, New York, USA; P. McDonald; E. Krupinski; A. M. Lopezen_US
dc.identifier.urihttp://hdl.handle.net/10755/165412-
dc.description.abstractINTRODUCTION: Patients with new ostomies due to a cancer diagnosis have recognized special needs.(1) The patient must not only adjust to the cancer diagnosis, but also to the ostomy.(2) New psychomotor skills must be learned, coupled with the underlying concern of acceptance by the patient, their family, and society. Patient education outcomes include not only the ability to perform self-care, but the ability to return to previous activities performed prior to surgery.(3) The follow up and education may require patients to travel long distances to see enterostomal therapy nurses or clinical nurse specialists. Nurses who specialize in ostomy care and cancer are extremely important to the continuum of care for ostomy patients and their families. PURPOSE: The purpose of this study was to measure the impact of telenursing technology on patients discharged with an ostomy related to a cancer diagnosis. METHOD: Impact was measured by examining costs, patient satisfaction, adjustment to ostomy, and time to achieve ostomy self-care. A quasi-experimental design was used to place 28 oncology patients into one of two groups: 1) traditional home health. 2) The traditional/telenursing combination incorporates home health nursing visits with telenursing technology allowing an ostomy nurse expert to continue ostomy education with the patient and family. Fourteen subjects were assigned to each group. Data was collected on the number of home health visits or telenursing contacts, dates when ostomy self care needs were met, supplies used, and distance traveled. Each patient had a 6-week follow up- satisfaction survey regarding each type of visit. At three months the patients were asked to complete J. Maklebust’s ostomy - adjustment scale.(3) Data were analyzed using correlation, descriptive and inferential techniques. RESULTS: Patients indicated a higher satisfaction with the use of telenursing technology. There was one more home health visit for the home health group per patient An average of three telenursing visits were done on the telenursing group. Cost for the nursing visits for both groups were about equal. The home health group used an average of four more pouches per patient, with an increased cost of $52.00 per patient. The telenursing group agreed more often (100% versus 89%) that the nurse seemed to understand the patients’ problem and the patient was comfortable with what the nurse told them about their ostomy. CONCLUSION: The results indicate that home health/telenursing is a viable option to support patients discharged from the hospital with new ostomies related to a cancer diagnosis.en_GB
dc.date.available2011-10-27T12:18:05Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:18:05Z-
dc.conference.date2003en_US
dc.conference.name28th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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