İnvestigation of the effect on nurse navigation program on compliance, quality of life and prevention of complications in patients with stoma

This study was conducted as a randomized controlled intervention study with repetitive measurements in a pretest-posttest order to examine the effect of nurse navigation program on compliance, quality of life and prevention of complications in patients with intestinal stoma. The study was completed with 30 experimental and 28 control group patients with intestinal stoma in six hospitals, two of which are training and research hospitals, located in Gaziantep city center, between January 1 and December 31, 2021. While counseling, remote support, written and visual trainings, informative messages, phone calls, and appointment scheduling were applied to the patients in the experimental group within the scope of the nurse navigation program, the patients in the control group received standard care. The patients were evaluated using the Patient Information Form, Stoma Complications Evaluation Form, Stoma-Related Problems Experienced Form, Ostomy Compliance Scale, and Stoma Quality of Life Scale at the first interview, at the third and sixth months. Data were evaluated using the SPSS 24.0 program, using time, group, time and group interaction generalized estimation equation (GEE) and smallest significant difference (LSD) tests for scale scores. Unstructured correlation structure was used to evaluate the covariance between repeated measurements. In the study, it was observed that the nurse navigation program provided a significant increase in patients' compliance with the stoma and their quality of life, and a decrease in the incidence of stoma-related complications, although there was no significant difference. A statistically significant difference was found between the groups and within the group in each evaluation in the stoma compliance and quality of life of the patients in the experimental group (p<0.05). In line with the results obtained from the research; it is recommended to implement nurse navigation programs in needed units of health institutions, and to apply them in different chronic conditions that affect the adaptation and quality of life of patients.