THE EFFECT OF THE NURSING PROGRAM BASED ON OREM'S SELF-CARE MODEL ON THE QUALITY OF LIFE FOR PATIENTS WITH UROSTOMY

A urostomy is a surgical operation used after a cystectomy to reroute the urine flow. Living with permanent ostomy generally affects quality of life (QoL) and self-efficacy Aim of the study: To evaluate the effect of the nursing program based on Orem's self-care model on the quality of life for patients with urostomy. Research design: A quasi experimental design. Setting: Urology surgery department and urology outpatient clinic in Fayoum University Hospital. Methods: A purposive sample of 60 adult patients from previously mentioned setting, allocated randomly into two equal groups (30 patients in each). Tools: five tools were utilized, included: Interview Patient’s assessment Questionnaire, patients knowledge assessment questionnaire, Patient's Urostomy Self-Care reported Practice Checklist, Stoma Self-Efficacy Scale, Quality of Life Assessment Questionnaire. Results: There was a statistical significant difference between both groups as regarding knowledge, self-care practices (P-value <0.001), self-efficacy and quality of life with higher percentage of deficits in knowledge, self-care practices, self -efficacy and quality of life among control group. Conclusion: Application of the nursing program based on Orem's self-care model had a positive effect on the outcomes of patients with urostomy. Recommendation: Develop and implement standardized protocols for urostomy care based on Orems self-care model to enhance self-care practices and quality of care.