“Globally, colorectal cancer is the third commonest cause of cancer death in men since1975.In the developed countries it is now the second most common cancer after lung in men and the 1990age-standardized incidence rates range from 25.3per 100,000 (Eastern Europe)to 45.8 per 100,000 (Australia). Approximately 1 million people are living with an colostomy, and 100000 to 130000 new colostomy are created each year. In India the annual incidence rates (AARs) for colon cancer and rectal cancer in men 4.4 and 4.1 per 100000, respectively. AAR for colon cancer women 3.9per 100000. It is the eight most common cancer in men, where for women, colon cancer ranks ninth.
Methods Research Approach
Research Approach: Evaluative research approach. Research design used was one group pretest and post-test design. conceptual framework based on theory of investigator adopted King’s Goal Attainment model was used for the study which is designed by Imogene. M.King’s (1958). The setting for this study was the selected areas Indrayani Hospital and Cancer Research Center, Pune. caregivers of colostomy patients in Indrayani Hospital And Cancer Research Center, Pune. Non-Probability purposive sampling technique was used for 30 Colostomy Care Among Care Givers of Patient in Selected Hospital. The tool developed which includes, Section-I: demographic variables, Section-II: Deal with 20 items of Structured Knowledge Questionnaire Colostomy Care Among Care Givers of Patient in Selected Hospital. Section-III: Assessment Checklist was prepared to assess the practices regarding colostomy care among care givers of patients in selected hospital. Section IV: Analysis of data related to find the association between the knowledge & practices regarding colostomy care among caregivers of patients with the selected demographic variables. Fisher’s exact test for association between the practices regarding colostomy care among caregivers of patient with the selected demographic variables. Tool validity was done and tool found reliable. Study found feasible after pilot study.
Results: In Pretest, 90%caregivers of patients had poor practices (score0-13) 10% them had average practices (Score 14-26) regarding colostomy. In posttest, 90% of the caregivers had good practices (Score 27-40) 10% had average practices (Score 14-26) regarding colostomy. This indicates that the practices of the caregivers of patients improved remarkably after the health teaching. Researcher applied paired t-test for the effectiveness of health teaching on knowledge regarding colostomy care. Knowledge score in pretest which increased to14.5in posttest. Researcher applied paired t-test for the effectiveness of health teaching on practices regarding colostomy. Practice score in pretest was11.2which increased to 31.1in posttest. Since p-value corresponding educational status is small (less than 0.05), education status of caregivers of patients was found to have significant association with the practices regarding colostomy care among caregivers of patients. P-values corresponding monthly family income residence were marginal (very close to 0.05), monthly family income and residence were found to have marginally significant association with the practices regarding colostomy care among caregivers of patients.
Conclusion: The study was conducted to assess the effect of health teaching on knowledge and practices regarding the colostomy care among patient’s caregivers. Based on data collected, and after statistical analysis was done, found that there is significant difference in pre-test and post-test knowledge and practice on colostomy care among care givers. Corresponding p-value for knowledge and practices score in Pre-experimental group was found to be small (less than 0.05), hence null hypothesis is rejected and the hypothesis H1 is accepted, indicating that Health teaching is highly effective in improving in the knowledge and practices of caregivers regarding colostomy care.