Effect of Information-Motivation-Behavioral Skills Model-Based Intervention on Quality of Life of Ostomy Patients

Objective: The aim of this study was to assess the effect of the Information-Motivation-Behavioral Skills model on the quality of life of ostomy patients. Material and Methods: This was a prospective randomized controlled clinical trial. This study was conducted between May 2018 and August 2019 in the general surgery clinic of a training and research hospital. The study sample consisted of 60 patients 18 years of age or older who had a temporary/permanent colostomy and ileostomy to be closed in more than 6 months. Patients were randomized into two groups; intervention (n=30) and control (n=30). In this study, data were obtained by using a Demographic Characteristics Questionnaire, Information Assessment Test (pretest- posttest) (Information), the Behavior Assessment Form (Behavior Skills) and the 36-Item Short Form Survey Quality of Life Scale (SF-36QoLS). The intervention group participants were trained by a general surgery nurse about the information stages of the model and received either telephone or face-to-face counseling during the first and third months as part of the motivation stage. Their ostomy care behavior was evaluated as part of the behavioral skills stage at the end of the sixth month. The control group received no intervention. The quality of life in both groups was assessed at the end of the sixth month. Results: The intervention group had a higher mean SF-36 behavior evaluation score than the control group before and after the intervention (p <0.001). Although there was an increase in the median information assessment test scores of both intervention and control groups, that in the former was statistically significantly higher than that in the latter (p <0.001). Conclusion: The Information Motivation- Behavioral Skills model had an effect on the quality of life of ostomy patients.