Background: Self-care for patients after enterostomy surgery includes both cognitive and
skill aspects. Insufficient self-care ability, inability to tell self-care precautions,
and incorrect steps in performing care skills lead to leakage of the ostomy bag, and 70%
of peristomal skin lesions occur. Complications lead to increased hospitalization days,
readmission rates, and medical costs. Pain and other discomforts caused by skin
complications around the stoma can cause anxiety, depression or anger, followed by
financial burdens and impacts on families, affecting the quality of life. Ostomates use
paper texts and oral instructions to provide post-enterostomy nursing care instructions.
There is no regular follow-up mechanism after discharge. After returning home,
enterostomy patients' self-care ability and adaptability to the stoma will be tested.
Changes in the defecation outlet after enterostomy surgery affect many aspects. Patients
need to relearn daily care. Physically, they need to maintain the cleanliness of the
ostomy bag collection system at all times. Their lifestyle must be consistent with
postoperative diet and exercise. Changes; psychologically, the changes in body function
and appearance, anxiety, depression, or anger caused in the process of adapting to the
enterostomy lifestyle, followed by the financial burden and impact on the family, and the
physical, mental, and spiritual impact of family members on each other. It is a huge
change, providing ongoing care guidance and support to ensure self-care and quality of
life after returning home, meeting the constraints faced by patients with enterostomy
needs and the challenges faced by their care guidance.
Purpose: This study uses a stoma self-care app, accessed through LINE official account, a
communication software commonly used by Chinese people, as an intervention measure to
integrate technology acceptance and task technology adaptation models to explore the
correlation of each aspect and its impact on self-care ability and quality of life.
Whether the factors and task technology adaptability will affect the willingness and
usage behavior of enterostomy patients, the research subjects can effectively improve
their self-care ability, quality of life, usage willingness, and usage behavior after
intervention.
Method: It is a quantitative, single-blind, simple randomly assigned, quasi-experimental
study. The surgical ward and stoma treatment room of a medical center in northern Taiwan
accepted patients with enterostomy, including 25 patients in the control group and 25
patients in the experimental group. The interventional measures were performed on the
first day after enterostomy surgery, using integrated technology to receive and adapt
task technology. Model, the enterostomy self-care knowledge scale, and the stoma
self-care ability scale (UES) are used to evaluate self-care ability, and the stoma
patient quality of life scale (Stoma-QOL) is used to evaluate the quality of life, and a
questionnaire survey is conducted. Analyze task technology fit.