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Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy
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Jee Hye Shin, Ja Yun Choi
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J Korean Acad Nurs 2021;51(3):334-346. Published online June 30, 2021
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DOI: https://doi.org/10.4040/jkan.21019
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 Abstract
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- Purpose
The purpose of this study was to develop a resilience enhancement program applying mindfulness meditation (REP-MM) and evaluate the effects of the program on post-traumatic stress (PTS), resilience, and health-related quality of life (HRQoL) in patients with ileostomy.
Methods
The REP-MM was developed by combining the resilience enhancement program with mindfulness meditation according to four patterns. The program was developed through identifying patients’ needs, reviewing relevant literature, developing a preliminary program, and testing content validity and user evaluation. The participants were 55 patients with ileostomy. We conveniently assigned 27 patients to the experimental group and 28 to the control group. The study was conducted in conducted in a hospital from January 22 to May 30, 2019. The REPMM was provided to the experimental group, and conventional ileostomy care was provided to the control group using a nonequivalent control-group pretest-posttest design. Results: ANCOVA revealed that the levels of PTS (F = 321.64, p < .001), resilience (F = 111.86, p < .001), and HRQoL (F = 31.08, p < .001) in the experimental group were higher than those in the control group when comparing pretest to posttest changes.
Conclusion
The REP-MM is effective in PTS, resilience, and HRQoL in patients suffering from post-stoma creation crisis. The REP-MM can induce positive self-recognition changes in patients with ileostomy through dispositional, situational, relational, and philosophical interventions. We suggest nurses reduce PTS and improve resilience and HRQoL in patients with ileostomy.
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Citations
Citations to this article as recorded by  - Effectiveness of Meditation Techniques in Treating Post-Traumatic Stress Disorder: A Systematic Review and Meta-Analysis
David W. Orme-Johnson, Vernon A. Barnes, Brian Rees, Jean Tobin, Kenneth G. Walton
Medicina.2024; 60(12): 2050. CrossRef - The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study
Xixi Du, Suchira Chaiviboontham, Bualuang Sumdaengrit
Belitung Nursing Journal.2024; 10(2): 222. CrossRef - Analysis on effect of psychological nursing combined with extended care for improving negative emotions and self-care ability in patients with colorectal cancer and enterostomy: A retrospective study
Fang Liu, Kun Yao, Xiaoxiang Liu
Medicine.2024; 103(21): e38165. CrossRef - Development and Evaluation of a Healthcare Empowerment Program for Patients with Temporary Ileostomy
Jin Mi Kim, Jeong Sook Park
Korean Journal of Adult Nursing.2021; 33(6): 616. CrossRef
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