Kontakt 2009, 11(1):239-245 | DOI: 10.32725/kont.2009.040

Educational function of a nurse concerning nutrition of patients with intestinal stomaSestra a pacient v klinickém ošetřovatelství

Jolanta Glińska, Anna Iszczek, Ryszard Markert, Beata Brosowska^*, Małgorzata Lewandowska

Medical University of Łódź. Students' Scientific Circle at Chair of Nursing Education, Poland

Introduction: The continuous growth of number of people with stoma raises fears about their present and future quality of life. The creation of abdominal anus disturbs to a certain extent the functioning of alimentary tract. Keeping a good state of the nutrition of the stoma patients requires education of the patient as far as the knowledge of absorption and digestion processes in the alimentary tract are concerned. The diet after performing stoma should delivers necessary nutrients and should not cause symptoms like: diarrhoea, flatulence and constipation. The important thing is good toleration of taking nutrients by organism in order that they do not cause unpleasant symptoms. The necessity of solving this problem should be a priority for the whole therapeutic team and especially for the nursing personnel. To a large extent, it depends on the nurse, what kind of information and how it is passed on to the patient so that he can change his lifestyle.
The purpose of the study: The assessment of the educational function of a nurse in nutrition of patients with intestinal stoma and estimation of the respondents' level of knowledge on the rules of nutrition.

Method: The research was carried out in Łódź, in 2008. The research covered 103 patients with intestinal stoma. In this study, the method of diagnostic questionnaire was used - the questionnaire of our own construction was used. The verification of results was obtained by using nonparametric tests and contingency indicators.

Results: In spite of the negative influence of the disease and its treatment on patients, the presented data suggests that most patients feed on reasonably. Among the respondents 75 % introduce new products in their diet gradually observing simultaneously the react of digestive system. Consumption of fruits and vegetables at least one a week was declared by 92 % patients and 57 % intake them every day. Satisfying is also the frequent of applying in the patients' diet fishes (68 %), dairy products (66 %) and products which contain much fibre (72 %). According to the rules of appropriate nutrition the patients intake right amount of liquids. Only some patients - around 25 % - make nutritional mistakes using spicy spices to prepare meals (24 %), drinking sparkling beverages (20 %) and having too fat meals (25 %). The study has shown the essential statistical dependence between education of the patients and their way of nutrition. It was proven that 59,4 % of respondents were informed by a nurse about the rules of the appropriate nutrition. The changes in this field show a growing tendency that is an effect of the education of the patient by a nurse. The study suggests that a larger emphasis should be put on the education of the patients in the field of colostomy irrigation. The patients should be also learn to do colostomy irrigation apart from the appropriate nutrition. Unfortunately only 19 % respondents were trained in this range.

Klíčová slova: education; nutrition; intestinal stoma; nurse

Vloženo: 6. říjen 2008; Přijato: 20. únor 2009; Zveřejněno: 27. květen 2009  Zobrazit citaci