The Effect of Mobile Education on Adjustment to Stoma, Self-efficacy, and Peristomal Skin Lesions - A Quasi-Experimental Study

Q: What was the main aim of this study?

To examine the effect of stoma mobile application-based training on psychosocial adjustment, self-efficacy, and peristomal skin complication development in ostomates.

Q: How were participants assigned and what training did each group receive?

Ostomates meeting inclusion criteria were randomly allocated into two groups: the experimental group received training with the stoma mobile application, while the control group received training with a booklet.

Q: What were the key results comparing the mobile application group with the control group?

The mobile application group showed higher psychosocial adjustment and self-efficacy at both the 1st and 3rd months and a lower peristomal skin lesion complication rate than the control group.

Sep 29, 2026

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A quasi-experimental post-test control study evaluated whether training based on a stoma mobile application improves psychosocial adjustment, self-efficacy, and peristomal skin complication development in ostomates. Data were collected from December 2020 to December 2021, with 30 participants in the experimental group trained using the STOMA-M application and 30 in the control group trained using a booklet. Outcomes were compared at the 1st and 3rd months after discharge. Results showed higher adjustment and self-efficacy and a lower peristomal skin lesion complication rate in the application group.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages11

Reading Time28 min

AccessFree to download

Introduction

Psychosocial adjustment and self-efficacy after colorectal surgery

What is already known on this topic

What does this study add on this topic

Abstract

Aim and Methods

Results

Conclusion

Registration and Keywords

FNJN Florence Nightingale Journal of Nursing Original Article DOI: 10. 5152/FNJN.2025.24254 The Effect of Mobile Education on Adjustment to Stoma, Self-efficacy, and Peristomal Skin Lesions: A Quasi-Experimental Study Eylem Toğluk Yiğitoğlu1, Pelin Karaçay2,3, Merdiye Şendir4 1Department of Nursing Education, İstanbul University Faculty of Nursing, İstanbul, Türkiye 2Department of Fundamental Nursing, Koç University School of Nursing, İstanbul, Türkiye 3Semahat Arsel Nursing Education, Practice, and Research Center (SANERC) 4Department of Fundamental Nursing, Health Sciences University Hamidiye Nursing Faculty, İstanbul, Türkiye Cite this article as: Toğluk Yiğitoğlu, E., Karaçay, P., & Şendir, M. (2025) . The effect of mobile education on adjustment to stoma, self-efficacy, and peristomal skin lesions: A quasi-experimental study. Florence Nightingale Journal of Nursing, 33, 0254, doi: 10. 5152/FNJN.2025.24254. What is already known on this topic? • Individuals who have just undergone an ostomy require intensive and structured training before discharge. • There are limited studies in the literature that have developed mobile applications for the care of ostomates, and their effectiveness is evaluated. What does this study add on this topic? • The STOMA-M application enhanced stoma adaptation and self-efficacy levels of ostomates and decreased the complication rate. • This study provided evidence that the STOMA-M application is an efficient tool for educating ostomates, and wound care nurses can utilize itas an educational tool to train ostomates. • Longitudinal studies with follow-up of ostomates over a more extended period are recommended to assess the effect of the STOMA-M application. Abstract AIM: The study aimed to examine the effect of the stoma mobile application-based training method on the psychosocial adjustment, self-efficacy, and development of peristomal skin complications in ostomates. METHODS: A quasi-experimental study with a post-test control group. Data were collected between December 2020 and December 2021. The ostomates who met the inclusion criteria were randomly allocated to two groups: 30 for the experimental group and 30 for the control group. The experimental group was trained with the stoma mobile application, while the control group was trained with the booklet. Stoma adjustment, self-efficacy level, and the presence of complications were compared in both groups in the 1st and 3rd months after discharge. RESULTS: The psychosocial adjustment (1st month: t = 2.273; p = .027; 3rd month: t = 2.898; p = .005) and self-efficacy levels (1st month: t = 4.073; p < .001, and 3rd month: t = 4.178; p < .001) of the experimental group using the stoma mobile application were higher, and the peristomal skin lesion complication rate was lower compared to the control group. Social self-efficacy positively affects stoma compliance [(experimental: 1st month: β = 0.72, p = .003; R2 = 0.41; 3rd month: β = 0.71, p < .001; R2 = 0.55); (control: 1st month: β = 0.80, p < .001; R2 = 0.49)]. In addition, the stoma mobile application enhances the social self-efficacy level and adaptation of ostomates to the stoma [(1st month: β = 0.29, p = 0.007; 3rd month:β = 0.24, p = .028)]. CONCLUSION: The stoma mobile application is an effective educational tool for increasing the compliance and self-efficacy of ostomates and reducing the incidence of complications. [REGISTRATION:](REGISTRATION: ClinicalTrials.gov)[ ClinicalTrials.gov](REGISTRATION: ClinicalTrials.gov) Identifier: NCT05664503. Registration date: December 22, 2022. Keywords: Mobile application, nursing, ostomy adjustment, peristomal skin lesions, self-efficacy Introduction Colorectal cancers are among the most common cancers inTürkiye and worldwide. According to the Global Cancer Observation Data in 2022, the incidence of colorectal cancer is third among all cancers in the world (Bray et al., 2024) and ranked third in incide

FAQs

What was the main aim of this study?

To examine the effect of stoma mobile application-based training on psychosocial adjustment, self-efficacy, and peristomal skin complication development in ostomates.

How were participants assigned and what training did each group receive?

Ostomates meeting inclusion criteria were randomly allocated into two groups: the experimental group received training with the stoma mobile application, while the control group received training with a booklet.

What were the key results comparing the mobile application group with the control group?

The mobile application group showed higher psychosocial adjustment and self-efficacy at both the 1st and 3rd months and a lower peristomal skin lesion complication rate than the control group.

Sep 29, 2026

Uploaded by pop out