الفهرس 
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Abstract
Nursing care standards of colostomy are significant action to ensure
quality of care. The examination of nurses’ knowledge and practices
regarding the nursing care standards of colostomy has not been conducted
in Assiut University Hospital. This descriptive study design was aimed at
establishing the level of nurses’ knowledge and practice and to examine the
relationship between nurses’ knowledge and practice for developing the nursing care standards of colostomy.
The study was conducted at General Surgery Department of Assiut
University Hospital, in the period of one year (from June 2012 to
December 2012). To accomplish the purpose of this study, data were
collected from sixty nurses working in general department of surgery.
The following tools were utilized for data collection; 1) Nurses’
knowledge Questionnaire sheet which consisted of two parts; Part 1:
biosocial characteristic of nurses and Part 2 : assessment of nurses
knowledge. 2) Observation checklist sheet which included general
nursing care for colostomy and instruction given to patient by nurses.
Data were collected using semi structured interview. The knowledge
of each nurse involved in the study was assessed by questionnaire sheet.
Then the observation checklist was carried out while the nurses were on
duty during morning through overt structured observation checklist.
Data were analyzed. A probability of 0.05 was adopted as the level
of significance for testing the research questions. Mean, standard
deviation, percentages, distribution, correlation coefficient and T-test for
comparison of means were used to test the research variables. Main findings of the present study were:
The majority of the study sample were female (75%), their age
were less than 40 years with percentage (69.2%) and Mean ±
SD (32.44 ± 9.798), married (90.4%), completed a diploma in
nursing (88.5%) and their duration of experiences was more
than 3 years (92.3%) with Mean ± SD (11.33± 6.92).
All the participating nurses (100%) had unsatisfactory level of
knowledge and practice regarding colostomy.
Nurse’s knowledge regarding definition of colostomy was at
high level (M=0.8269 out of 1) while there knowledge
regarding potential complication at low level (M = 2.2308 out
of 9).
The results showed that (82.7%) of nurses had knowledge
regarding the definition of colostomy at satisfactory level but
the minimum number of (7.7%) of nurses had knowledge
regarding the physiology of colon at satisfactory level.
Generally the results showed that all nurses had total
knowledge regarding nursing care standards of colostomy at
unsatisfactory level.
The results showed that nurses had practice regarding
irrigating the colon through colostomy at highest level of
score (M = 19.4231 out of 34) while their practice regarding
optimal nutrition at low level of score (M = 2.4615 out of 32).
The result also showed that nurses had zero score in
assessment of bowel sound because it is not applicable to
nurses. The results showed that (13.5%) of nurses had practice
regarding the attainment of fluid balance at satisfactory level
but the minimum number of (1.9%) of nurses had practice
regarding the monitoring of vital signs at satisfactory level.
Generally the results showed that all nurses had unsatisfactory
level regarding nursing care standards of colostomy.
Pearson product-moment correlation coefficient was used to
examine the relationship between knowledge and practice
variables. It was found that there was a positive weak
relationship between knowledge and practice regarding
nursing care standards of colostomy and not significant (r =
0.15, p = .3).
There was a statistical significant differences between nurse’s
age and their knowledge while there was no statistical
differences between their age and nurse’s practice.
There was a statistical significant differences between nurse’s
gender and their knowledge while there was no statistical
differences between their gender and nurse’s practice.
There was a statistical significant differences between nurse’s
marital status and their practice while there was no statistical
differences between their marital status and nurse’s
knowledge.
There was statistical significant differences between nurses’
experience period and their knowledge and practice.
Summary
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It was concluded that nurses’ knowledge and practice in the
nursing care standard of colostomy were unsatisfactory. It was
needed to be improved through implementation of proposed
nursing care standards of colostomy.