Tunceli Merkez

Stomas are openings created surgically in the body to allow waste to leave, commonly used for gastrointestinal diseases such as colorectal cancer, inflammatory bowel diseases, and others. Different types include colostomies (opening into the large intestine), ileostomies (opening into the small intestine), and urostomies (connecting the ureters to the abdominal wall). Despite surgical advances, many patients experience complications and challenges that affect their physical health, social life, psychological state, and overall quality of life. This research investigates how education about stoma care impacts patients' adjustment, body image, and confidence in managing their stoma. The study evaluates stoma care training delivered using the Teach-Back method, an educational approach where patients learn and confirm understanding by repeating information back to the educator. Participants are adults who have had colostomy or ileostomy surgery through elective procedures. The education aims to support patients from early after surgery through recovery, focusing on preventing complications and improving self-care skills and quality of life. Participants will be followed from shortly after surgery through discharge and up to three months afterward. Researchers will assess how well patients adjust to living with a stoma at multiple time points: day 2 post-surgery, between days 7-10 at discharge, one month, and three months after discharge. The study includes monitoring physical health, psychological adaptation, and self-efficacy related to stoma management, with education tailored to individual needs throughout this period.