Improving Self-Efficacy and Self-Care in Adult Patients With a Urinary Diversion: A Pilot Study

Oncol Nurs Forum. 2017 May 1;44(3):E90-E100. doi: 10.1188/17.ONF.E90-E100.

Abstract

Purpose/objectives: To evaluate the feasibility and acceptability of a multimodality educational intervention for improving self-efficacy (SE) and self-care in patients with a new urinary diversion (UD). .

Design: Two-arm randomized, controlled trial. .

Setting: Academic medical center in New York. .

Sample: 8 adults diagnosed with bladder cancer requiring UD. .

Methods: A multimodality educational intervention consisting of video, Microsoft PowerPoint® slides, and medical illustrations was developed. SE was assessed pre- and postintervention related to care of the UD. Education scale scores provided evidence for intervention acceptability and assessment of UD self-care skills. .

Main research variables: Feasibility, acceptability, results of SE, and self-care scales. .

Findings: Enrollment and retention was 100%. All participants took part in every aspect of the study. No issues were apparent with administration of the study; however, a lack of self-care independence was noted between the study arms. The control group was younger in age than the intervention group. .

Conclusions: A supplemental multimethod educational intervention is acceptable in this population and feasible to integrate into hospital care or into an appropriately powered study. .

Implications for nursing: A need exists for ongoing postdischarge support and education in this population. Additional studies are needed to determine the best approach for this.

Keywords: self-care; self-efficacy; urinary bladder neoplasms; urinary diversion.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Male
  • Middle Aged
  • New York
  • Patient Education as Topic / methods*
  • Pilot Projects
  • Self Care / methods*
  • Self Care / psychology*
  • Self Efficacy*
  • Urinary Bladder Neoplasms / complications*
  • Urinary Diversion / nursing*
  • Urinary Diversion / psychology*